Meter Swap . `�
Request Number: 16172
Public works Division
Service Request
Problem Addresa: 1130 Lynde Dr Requested By: Alice
Department: WATER Address: No ackhess provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-810-7455
SchednlEd Dnte: 2017-06-30 Sc6edaled 11me: 01:0,�:00
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AC"IION NEEDED:
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Created,by; Beth Kondrick Date Created: 201?-06-27
AC110N TAKEN:
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Status: fn Progress 5ubmitter Iias Been i..,
Co�acted
Date Completed: /! _ ` �� ,,,,, 1`-� Completed by: ���
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�Ci1ty of Fridley
Water Department �Q� � �'�
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/`A/e hereby authorize the C"rty aF Fcidley and/or its empioyees to do wfiat 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 ali iMerior
plumbing. (Per City code 402.06) 1 also hold the Crty of Fridfey and/its employees harmless for arry damages that may occur while doing this
operation. This to include,but nat limited to valves,piping,waits,floors or the curb stop box and service line. in understand t am also requited
to obtain a permit prior to any work,if necessary.
FINAL METER READING(oid meter)_ __�� �'1 � l,�
Name:�'��Q Address 1� =J Q '�\/ r�,(,``� 1✓�,
Phone Number Vd�a.' �60 ' ��"'� Dafie �� �d � 1
�ignature - �� W�tnessSignature "^
OLD METER#_ _s���� ����
OLD READING �� � ` � �v
NEW METER# ��v��� ��
NEW READIWG `�
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FRIDLEY C{TY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINtSTRA710N
(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 munic�pal system and any house or bui(ding for which the
application is made�the owner or contractor shal!be required to obtain a permit for such connection,and shafl pay a permi#fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer DeparCment shall be not�ed. It shall be uniawful to c�ver
any connecting fine untii 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.
802.06 REPA{RS AWD MAtN'i'EAIANCE TO COIIIIUEC770N
After the initial connection has been made to the water service curb stop(mx or the sewer lead at the properiy line or a w-ater service iead has
been extended to the property line for connection,the applicant,owner,or occuparrt or user of such premises shall be liable for aii repairs
required to any�rater line and sewer lines necessary for connection of the premises from the main to the premises. ff the pro�rty owner
requests maintenance service or repairs be perFormed by the City,the property owner shall be charged for the costs of the matsstenan�and/or
repairs,inciuding necessary street repairs at a rate set annually by an administrative poliry. it shall be the responsibility of the applicarrt,
owner,occupant or user to perform standard maintenance of tfie sewer service tine from the premises to the main including debris dearing or
root cutting and to maintain the water service curb stop box for operabii'�ty and at such height as will ensure that it remains above the finished
grade of the land or property. (Re#638,1156,11910