Meter Swap . Request Number: 14752
,
Public Works Division
Service Request
Problem Address: 5724 Matterhorn Dr Requested By: Ywnne Engstrom
Department: WATER Address: No address�ovi�d
Problem/Issue: INSTALL AMR METER Phone Number: 571-9033
Scheduled Date: 201?-04-2Q Schednled TSme: 11:30:00
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ACTION NEIDED:
Created by: Wendy Hiatt Date Created: 2017-04-18
ACT[ON T.AI�N:
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Status: In Progress Snbmitter Has Been r,
Coutacted
Date ComQleted: Campleted by:
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Hiatt, Wendy
Subject: Yvonne Engstrom 763-571-9033 AMR install got letter during winter-home now
Location: 5724 Matterhorn Dr
Start: Mon 4/24/2017 11:30 AM
End: Mon 4/24/201712:00 PM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: Hara,Sandra
Required Attendees: Hiatt,Wendy
i
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. � City of Fridley S��
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Water Department
6431 University Avenue NE
Fridiey,MN 55432
763-572-3566
Ijwe 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 tiable for the water line from the main to tfie premise and all iMerior
plumbing. (Per City code 402.06) i also hold the City of Fridley and/its employees harmiess for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READfNG(oid meter) __ � �� ��
Name: �vOILr w� ���7� Address t l 6 L- \ � '"`�'► ``�f �LJ• �\ irn
Phone Number �� '' ��v� Date y���� ` f
Signature �✓ �/'�—� Witness Signature
OLD METER# Z-��� � �� I
OLD READING � �� ,���
NEW METER# � �� ��U�
NEW READING �
ERT# `� ��2-�—� � �
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 constructtng or repair of any water of sewer line connecti�g the existing municipai system and any house or building for whkh 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
Chapter li of this Code. After such connection has been made,the Water and Sewer Department shall be notified. ft shali be uniawfui to cover
any connecting line until an inspettion has been made and such connedion and the work incident thereto has been approved by the City as a
praper and suitabie aonnedion.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer{ead at the property tine or a water service lead has
been extended to the property line for connection,the app{icant,owner,or ocwpant or user of such premises sfiall be Ifable for afl repairs
required to any water line and sewer lines necessary for cflnnection af the premises from the main to the premises. If the property owner
requests maintenance service or repairs be perfarmed by the City,the propercy owner shall be charged for the costs of the mairrtenance and/or
repairs,incfuding necessary street repairs at a rate set annualiy by an administrative policy. It shali be the responsibilitp af the appficant,
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 maintain the water service curb stop bax for operabil'�ty and at such height as will ensure that it remains above the finished
grade of the land or property. {Ref 638,1156.1191)