Meter Swap �f
` Request Number: 12834
Public Works Division
Service Request
Problem Address: 1120 Lyn�Dr Requested By: Tsegaye Zegita
Department; WA1ER Addrea:: No address provided
Problem/Issue: INSTALL AMR METER Phose Numbcr: ?63-226-3255
Scl�duled 2017-01-2 Sc6eduded'itme: 10:30:00
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i„,�•�ACIION NEEDED:t1MFi
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��tatedby: WendyHiatt DateCrerted: 2017-Oi-1Z
ACIION TAI�N:
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Status: In Progress 5abmitter Has Beee r
Costacted
Date Complete�: i � '�! �� Completed by:
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City of Fridley ��(,� .� �����
Water Department
- � 6431 University Avenue NE c�- ��
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Fridley,MN 55432 ���� � d l��
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 all interior
plumbing. (Per City code A02.06) 1 also hold the City of Fridley and/its employees ha�miess for any damages that may occur while doing this
operation. This to incfude,but not{imited to valves,piping,walis,ftoors or the curb stop box and service line. In understand I am also required
to obtain a permit prior to any wark,if necessary.
FIMAL METER READIMG(ofd meter) �." �� �`�'' �
Name: ��e A �1�E "�i�� Address L l !� (��/r/�.�'� D►^•
Phone Number `� J � z��'rJ��� Date ��'r-`-'� ��
Signature Witness Signature ''��
OLDMETER# �� �Qa��
OLD READiNG �� t �s' ��v
NEW METER# � 1 i l � t V .J
NEW READING �
ERT# W VS V dl�/� �
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)
A�02.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipai system and any house or building fo�which the
application is made,the owner or contractor shali be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Cfiapter 11 of this Code. After such connectton has been made,the Water and Sewer Department shall be not�ed. it shall be uniawful to cover
a�y connecting line untit an iospection fias been made and such connection and the work incident thereto has bee�approved by the City as a
proper and suitable wnnection.
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 service lead has
been extended to the property line for connection,the appficant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water Ilne and sewer lines necessary for connection of the premises from the main to the premises. tf the property owner
requests mairrtenance service or repairs be performed by the City,the property owner shatl be charged for the costs of the maintenance and/or
repairs,including netessary street repairs at a rate set annually by an administrative policy. It shail 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 including debris ciearing or
root cutting and to maintain the water service curb stop box fo�operability and at such height as will ensure that it remains above the finished
grade of the land or property. {Ref 638,1156,1191)