Meter Swap � � Request Number: 12443
Public works Division
Service Request
Problem Address: 7514 Van Buren St Requested By: Kevin Saastamoit�n
Department: WA1ER Address: 7514 V�Buren St
Fridley,MN 55432
Problem/Issue: INSTALL AMR METER P6o�Namber: 763-670-6804
SchedWed Date: 2016-12-20 Scbedaled 1lme: 07:30:00
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ACIION NEEDED:Instatl AMR
Created by: Beth Kondrick Date Crerted: 2016-12-14
ACIION TAI�N:
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Status: In Progress Snbmitter Hae Been r
Cont�ted
Date Completed: Completed by:
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City of Fridley c �� I ��f �
Water Department l �
, . 6431 University.Avenue NE
. Fridley,MN 55432 ��� ✓S ��U�`-��
763-572-3566
�/�e hereby authorize the City of Fridley and/or its employees to do what is necessary to
repiace the water meter. I understand that the property owner is liable for the water line from the main to the premise and all interior
plumbing. (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
ope�ation. This to include,but not limited to valves,piping,walls,floors or the cu�b stop box and service line. {n undentand 1 am atso required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) D�� ��v I b
Name: f��l1��Y1 70�J1 �1�`1 Address ��/�� V(.UV� �
Phone Num r /��� 6J'� L Date ,�� l�� � I
�ignature -�'�' ��---- Witness Signature
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OLD METER# � t� 1 �O� (
OLD READING�,_��� �I V
NEW METER# �� l I �5�15
NEW READING O
ERT# � O b �
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 constructi�g or repair of any water of sewer line connecting the existing municipal system and ar�y house or building for which the
application is made,the owner or coMractor shail be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After wch connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover
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 wrb stop box or the sewer lead at the property line or a water senrice lead has
been extended to the property line for connection,the appiicant,owner,or occupant or user of such prcmises shali be liable for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shali be the cesponsibility of the applicarit,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to mai�rtain the water service curb stop box for operability and at such height as will ensure that it remains above the�nished
grade of the land or property. (Ref 638,1156,1191)