Meter Swap t
, Request Number: 12440
Public Works Division
Service Request
Problem Address: 7656 Van Buren St Requested By: Wally Kalin
Departme�: WATER Address• 7656 Van Buren St
Fridley,MN 55432
Problem/Isaue: INSTALL AMR METER PLone Number: 612-940-1020
Scbedaled Date: 2016-12-20 Sc6edqled 11me: 11:00:00
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ACIION NEEDED:Ix�stall AMR
Il'�°.'Y, .
Cre�ted by: Beth Kondrick Date Cre�ed: 2016-12-13
ACTION TAI�N:
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11 ""�—
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Stntns: In Progress Snbmitter Aas Been r,
Contacted
Dnte Completed: '�'2� 2 C� � 1�Q CompleteA by: � /� „
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City of Fridley � �� f�L�
Water Department
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• ` 6431 University.Avenue NE �y
� Fridiey, MN 55432 �j� �-��'3a'�� 1
763-572-3566
�/We hereby authorize the City of Pridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all icrterior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may ocwr while doing this
operation. This to inciude,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand i am also required
to obtain a permit prior to any work,if necessary.
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S � (���s�o�
FINAL METER READING(old meter)�� � �
Name: � 1�� Address V
Phone Numb r � s � a� �� �
/� Signatu , �i Witness Signature _._.
OLD METER# �� Z� � �
Z
OLD READING L� I� -1�V l_��.�,� �� � �
NEW METER# ���� I✓'�O 13
NEW READING D
ERT# �� � V� l.✓
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of arry water of sewer line connecting the existing municipal system and any house or building for which t�e
application is made,the owner or wntractor shall be required to obtain a permit for such connectton,and shalt pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. It shail be unlawful to wver
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initiai connection has been made to the water service curb stop box or the sewer lead at the property line or a water senrice Iead has
been extended to tfie property tine for connedion,the appiicaM,owner,or occupant or user of such premises shall be liable for all repairs
required to any water line and sewer lines�ecessary for connection of the premises from the main to the premises. If the property owner
requests mairrtenance service or repairs be performed by the City,the property owner shall be charged for the wsts of the mai�enance and/or
repairs,inciuding necessary street repairs at a rate set annually by an administrative poliry. it shall be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to maintain the water service curb stop box for operabitity and at such height as wiil ensure that it remains above the�nished
grade of the land or property. (Ref 638,1156,1191)