Meter Swap .
� Request Number: 12417
Public Works Division
Service Request
Problem Address: 876 76th A�e Requested By: George Scott
Department: WA1ER Addreaa: No ad�ess provided
Problem/�ssne: INSTALL AMR METER Phone Nnmi�er:
Scheduled�., 2016-12-27 ,� Scbednled'11me; 10:00:00
P S` C �-�? �C� �i.v✓�
ACIION NEEDED:AMR
Crested by: Wendy Hiatt Date Cre�ed: 2016-12-12
AC'IION TAI�N:
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Statua: In Progess Snbmitter$ns geeH r
Contacted
Date Compteted: Com�eted by:
t�/�� ��
Hiatt, Wencly
From: Pellegrin, Cheryl
Sent: Friday, December 09, 2016 1:50 PM
To: Hiatt,Wendy
Subject: AMRs that need a Work Order
Hi Wendy:
I scheduled an AMR on the calendar for George Scott at 876—76th Ave NE on Dec. 27th at 10 am . Can you please do a
work order for it? Thanks.
City of Fridley �J (�� - S Q,�3�O O -- O�
Water Department
6431 University.Avenue NE /
' Fridley,MN 55�32 �� (�� �
' T63-572-3566
t/we hereby authorize the City of Fridley and/or its employees to do what is oecessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all iMerior
plumbing. (Per City code 402.06) i also hold the C'ity of Fridley andjits employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand t am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(oid meter) _ V����
Name• ���'�-"� �f.c��'t' Address �������
Phone Number����Cli.- ��� Date �sJ`' ��`�
5ignature �tness Signature
OLD METER# r����g�
/ /� �,,��
OLD READING O �p�►C���V �7'u° C �� (7
� � ��
NEW METER# l ����qd � �
NEW READING !�-�
ERT#�� U� ���
FRIDLEY CITIf CODE
CHAP'TER 402.WATER,STORM WATER AND 5ANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMR FEE
Prior to construding or repair of any water of sewe�line connecting the existing municipal system and a�ry house or building tor which the
application is made,the owner or corrtrector shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
tfiapter 11 of this Code. After wch connection has been made,the Water and Sewer Departmerrt shall be notified. It shall be uniawful to cover
any connecting tine until an inspection has been made and such connection and the work incident there�to has been approved by the Cty as a
proper and suitable connection.
402.fl6 REPAfRS AND MAIWTEWANCE TO CONNECTION
After the initial connection has been made to the water service wrb 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 appiicant,owner,or occupant or user af wch premises shall be liabie for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requests mairrtenance service or repairs be pecformed by the City,the property owner shafi be cfiarged for tfie costs of the mairitenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative poliry. It shall 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 dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that tt remains above the finished
grade of the land or property. (Ref 638,1156.1191)