Meter Swap ,
� Request Number: 12407
Public Works Division
Service Request
Problem Address: 7312 Van Buren St Requested By: David White
Department: WATER Address: No address provided
ProMem/Issue: INSTALL AMR METER Phone Nwnber: 763-354-0132
5chedaled Date: 2016-12-20 Sc6ednled 11me: 07:00:00
" J �S �\ -�`-t_..I��'�
AClION NEEDED:
Crexted by: Wendy Hi�,t Date Created: 2016-12-09
ACTION TAI�N:
._._..__.. �-�'��� `� C� �.�'�`�-
5tatus: In Progress Sabmitter Has Beea �..
Contacted
Date Compieted: �2� � "'��0 Completed by: _.
City of Fridley �jC' � —7 � �
Water Department �� �
6431 University Avenue NE �((p���-���}(�-v(
Fridley,MN 55432
` 753-572-3566
1/we h r,:.�1 e� �"��ti'� hereby authorize the City of Pridley and/or its employees to do what is necessary to
repiace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and ali interior
ptumbing. (Per City code 402.06) i also hold the C'ity of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand t am also required
to obtain a permit prior to any wortc,if�ecessary.
FINAL METER READING(old meterj Q �� " � ��f
Name: J��U�� �
tArc��e �,d,� �73 �� V�-�. t3µ�� 5 -
Phone Number ��' 35�` �3� '' Date lZ� Z� � � �
�Signature N[itness Signatu�e ��/�tr-�
OLD METER# ��� � r� ��w'
OLD READiNG_Q�`� I �� �
NEW METER# '���1 g5� 1
NEW READiNG �
ERT# �98 �� � Z2- /
FRIDLEY CITY CODE
CHAPTER 402.WATER,S70RM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipai system and ar�y hvuse or buildir�g for vrfiich the
application is made,the owner or contractor shall be required to obtain a permit for such rnnnedion,and shal!pay a permit fee as provtded in
Chapter ii of this Code. After wch connection fias been made,the Water and Sewer Department shaff be notified. It shail be unlawful to crnrer
any connecting line until an inspection has been made and such connedion and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNEC770N
After the initial connection has been made to the water service wrb stop box or the sewer lead at the proqe�ty line or a water senrice lead has
been eztended to the property tine for connection,the applicaM,owner,or occuparrt or user of wch premises shaii be iiable for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be performed by the�ty,the property owner shail be charged for the�sts of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of�e applicaM,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing or
root cuttiog and to maintain the water service curb stop box for operability and at such height as wiii ensure that it remains above the fintshed
grade of the land or property. (Ref 638,1156,1191j .