Meter Swap Request Number: 12608
.
Pubtic Works Division
� Service Request
Problem Address: S57 Cheri Ln Requested By: Yup S�g
Department: WA'IER Addre:s: No�ddress p�c►vided
Problem/Isaue: INSTALL AMR ME'IER Phone Nwaber: 763-574-9953
Scbeduie�IMte: 2017-01-05 `\� 5ic6eddl�T1me: 10:30:OQ
�—+�
ACTION NEEDED:AMtt
Created by: Weady Hiett U�te Cre�ted: 2�16-12-28
AC'IION TAKEN:
�S`�-��
Seb�itter H�s Been
Status: In Progress �, C' _�
. Co�tacted
Dxte Ca�leted: �--- � -- `� Com�eted by:
1
�'~'
� �s� ,
Hiatt, Wendy
Subjecta Yiup Sung, ph#763-574-9953, AMR Install
Location: 557 Cheri Lane NE
Start: Thu 1/5/2017 10:30 AM
End: Thu 1/5/201711:00 AM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: Johnson, Susan E.
Required Attendees: Hiatt,Wendy
1
City of Fridley
Water Department
6431 University Avenue NE �j�2 , t-['�����C
fridley,MN 55432 (/ �
763-572-3566 � � �� j �.' D
• ilwe hereby authorize the City of Fridley 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 interior
plumbing. (Per City code 402.06) I alsa hold the City of Fridley and/its employees hannless fo�any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the wrb stop box and service line. {n understand 1 am also required
to obtain a permit prior to any work,if necessary.
fNYAL METER READING(old meter) ���`�' � �
Name: I�� � Address �� / �r'� 1 ��
Phone Number��� ��� � �� pate �, r �'J �� V�'
`'°��;:.
�ti
�ignature���_ Witness Signature
v '
OLD METER# ����/ v� ���
OLD READtNG �V`'� a `�
NEW METER# ��� �� �� � �
NEW READlNG V
ERT# � �JV�� _ { � ✓
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER ANO SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156.1191j
402.5 PERMIT FEE
Prior to wnstruct(ng or repair of any water of sewer line connecting the existing municipal system and any house or building for which the
appiication is made,the owner or coMractor shaii be required to obtain a permit for such connedion,and shali pay a permit fee as provided irr
Chapter il of this Code. After such connection has been made,the Water and Sewer Department shall be notif'ied. It shall be unlaurful to cover
any connecting line until an inspection has been made and such connection and the work incideM thereto has been approved by the City as a
proper and suitabie connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initta!connection has been made to the wate�service curb stop box or the sewer lead at the property line os a water service lead has
been extended to the property line for connection,the applicant,oMrner,or acaipant or user of such premises shalf be liable for aft repain
required to any water line and sewer lines necessary for connection of the premises from the main to tfie premises. ff the property oMrner
requests maintenance service or repairs be performed by the City,the properCy owner shaN be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administretive potiry. li shali be the responsibility of the applicam,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main i�cluding debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiil ensure that it remains above the flnished
grade of the land or property. (Ref 638,1156,1191)