Meter Swap , Request Number: 12209
Public works Division
Service Request
Problem Address: 1549 S Oberlin Circle Reqnested By: Clttis Zui�ma
Depnrtme�: WATER Address: No address provided
Probiem/Issue: INSTALL AMR METER P6one Number: 612-245-9247
Scheduled e: 2016-11-18 � Schednled'IIme: 08:00:00
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AG7ION NEEDED:AMR
Created by: Wendy Hia�tt Date Creuted: 2016-11-09
ACTION TA[�N:
.�n����evitC� riLt�✓ I�J�Q ✓►'�e.'7'S�'
Stntus: In Pro ess Snbmitter HAs Been r
� Co�acted
Date Compieted: Completed by:
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Hiatt, Wendy
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subject: CHRIS ZUIDEMA, PH 612-245-9247, AMR INSTALL
Location: 1549 SOUTH OBERLIN CIR NE
Start: Fri 11/18/2016 8:00 AM
End: Fri 11/18l2016 8:30 AM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: Johnson, Susan E.
Required Attendees: Hiatt, Wendy
i
City of Fridley
Water Department
� 6431 University Avenue NE
� Fridley, MN 55432
763-572-3566
!/we hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. i understand that the property owner is liable for the water line from the main to the premise and afl interior
plumbing. (Per City code 402.06j i also hold the City of Fridley and/its empioyees harmless for arry damages that may occur while doing this
operetion. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. 1�understand i am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter)�� I���5�
Name: Address
Phone Num Date
Signature Witness Signature
OLD METER# 'o�10� � S S � �
OLD READING o?� } a S,�Y
NEW METER# � 7 1 ��,5�7�
NEW READlNG �
ERT# �0 ��,�'L—���I'�-�,
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRAT{ON
(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 any water of sewer line co�necting the existing municipai system and any house or building for whicfi the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Cfiapter li of this Code. After such connection has been made,the Water and Sewer Department shall be not�ed. It shatl be untawfu{to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been app�oved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initiaf connection has been made to the water service curb stop box or the sewer lead at the property line or a water seroice lead has
been extended ta the properry line for connection,the applicant,owner,or occupant or user of such premises shal!be liable for all repairs
required to any water fine and sewer lines necessary for wnnedion 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 wsu 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 the appiicant,
owner,occupant or user to perform standard maintenance ofi the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the water service curb stop hox for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)