Meter Swap � Request Number: 12742
Public Works Division
Servlce Request
Problem A�ddresa: 1311 73rd A� Reqaested By: Bn�ce Fyksen
13 l 1 73rd Ave
De�nrtmeut: WATER Addres:: Fridicy,MN 55432
Problem/lssae: iNSTAL.L AMR METER Phoae Nu�ber: 763-780-5667
3ehed�led Date: 201']-O 1-17 Sche�ed 1lme: l 0:0A:00
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ACIION NEEDED:Install AMR-do le�mit,mailing ed�ess is 1309,vvatcr meter is in 1311
Created by: Beth Kondrick Dxte Created: 2017-01-OS
ACTION TAI�T: � �
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StN�n: In Progress submiaer Hn Been r.
ContRcted
Date Com�eted: � "' �� � � � Compteted try: � � �� �
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�oty or rr�aoey
Water Departrnent � �
6431 University Avenue NE � b � �
Fridleya MN 55432 ✓
�- 763-5723566 ��3 ����"��v��
' 1/we her�by authorize the City of Fridley and/or its employees to slo what is necessary to
re�►lace#he 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 402.06j i also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limi#ed 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.
yry� /�� � �`
FINAL METER READING(cid meter) � � � '�� 1 (�-I f�� lJv1�'/u�` �T�
Name:_�r�� ��F-' C%� Address �� � ' `73� `�}'1��,
Phone Number��: �G� '�` J l�l�a� I � �� ' �,�
�•-�°,�„:-
n[ Signature ''��' Witness Signature
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OLD METER# �/'��� � 7�a l (
OLD READtNG � � � ��
NEWMETER# I, �� 1 v � ��
NEW READIIVG Q
ERT# � � ��� I � � I
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITAttY SEWER
ADMINISTRATION
(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 connecting the existing municipal system and arry house or building for which the
epplication is made,the owner or corrtrador shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After wch connection has been made,the Water and Sewer Department shall be nvtified. tt shail be unla�wFul to oover
any connecting line until an inspection has been made and such connection and the work inadeM thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AAID MAINTEWANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property iine or a water serv�e lead has
been extended to the property line for connection,the appiicarrt,owner,or accupant or use�of such premises shall be liabie for ail repatrs
required to any water line and sewer lines necessary for connedion of the premises from the main to the prem'�ses. tf the property ovmer
requests maintenance service or repairs be performed by the C'ity,the property owner shall be charged for the costs ofi the mairrtenar�e and/or
repairs,including necessary street repairs at a rate set annually by an administrafive poliry. It shall be the responstbility of the applicarrt,
owner,occupant or user to perform standard maiMenance af the sewer servtce line from the premises to the main includir�debris dearing or
root cutting and to mairrtain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of#he land or property. (Ref 638,1156,1191)