Meter Swap , " Request Number: 12807
Public Works Division
Service Request
Problem Address: 1641 73rd Ave Requested By: Walter Lillie
Departme�: WATER ���a: 1641 73rd A�
Fridley,MN 55432
Problem/Issue: INSTALL AMR METER Phone Number: 763-438-3888
Scheduted Date: 2017-01-12 Scheduled'I�me: 01:00:00
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ACIION NEEDED:lastall AMR
Created by: Beth Kondrick Date Creakad: 201�-Ol-09
ACTION TAKEN:
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Stutus: 1n Progress ' S�bmitter Haa Been r
� Centscted
Date Completed: � --12 -- I� Com�pleted by:
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City of Fridley � O l�� �
.
Water Department
• 6431 University Avenue NE
' Fridley, MN 55432 ��'7� —��'�� �a
763-572-3566
i/we hereby authorize the City of Pridley and/or its employees to do what ts 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 aii 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 inc{ude,but not limited to vaives,piping,walls,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.
fIMAL METER READING(old meter) � ������
Name: �NC�vv" �-� ��I�1�� Address ���' ��� r�v� �
Phone Number �� v��� ^�VV V Date �� V� � ��
^ ...��
�Signature G�w� WitnessSignaWre
OLD METER#_ ��� 1�� O� 1 �
OLD READING �����d
NEW METER# V y �� ����
NEW READING U
E�# �`��� 1 �ti�
FRIDLEY CITY CODE
CHAPTER 4U2.WATER,STORM WAl'ER AND SANiTARY SEWER
ADMINISTRATION
(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 ofi sewer line connecting the existing municipal system and any house or building for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permR fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be nottfPed. It shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the worlc incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNEC710N
After the initial connection has been made to the water service curb stop bax or the sewer fead at the property Iine or a water service lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable for all repairs
required to arry water line and sewer lines necessary for connectio�of the premises from the main to the premises. If the property owner
requests mairrtenance service or repairs be performed by the City,the property owner shail be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shali be the responsibility of the applicant,
owner,occupant or user to pe�form standa�d mairrte�ance of Che sewer service line from the premises to tfie main including debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the tand or property. (Ref 638,1156,1191)