Meter Swap M �
� Request Number: 12409
Public works Division
Service Request
ProWem Address: 7433 Able St Requested By: AndrewClark
Department: WA'IER Address: 7433 Able St
Fridley,MN 55432
Probletn/Isaue: INSTALL AMR METER Phone Number: 612-'I16-7020 .
Scheduled Dsite: 2016-12-16 Schedaled 11me: 11:30:00
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ACITON 1VEEDED:Install AMR
Created by: Beth Kondrick Date Created: 2016-12-09
AC'YTON TAI�N:
��s��I I� � Y�'I IZ-
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Status: In Progress Snbmitter Haa Be�n �
Coatacted
Date Compieted: ��-- 1�t "' l �p Completed by:
Aours _..
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City of Fridley � � f � � ��
Water Department �
, ° 6431 University.Avenue NE
, Fridley,MN 55432
763-572-3566 ���`�� �3�l O�
�/�e l��`��t'`} � t�'���—�-- hereby autfiorize the City of Fridley andJor its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liab{e for the water tine from the main to the premise and all interior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/'sts employees harmless for any damages that may occur white doing this
operation. This to include,but not limited to valves,piping,walts,ftoors or the curb stop box and service fine. fn understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINA4 METER READING{old meter) `�' � " � � t✓`�
Name: 1"ivti��v �j�G�i� ��" Address �"L�3 ��� �•
PhoneNumber ��2-� ��� '—�� � Date �i-""'���� "`
',�Signature_ Q�L�/ � ��- �tness Slgnature ��f'���
OLD METER#_� � �( J� J>
OLD READING ��v�`� ✓�
NEWMETER# t l � � � � J �
NEW READING V
ERT# � v�� �� ��
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,92Z,988,1144,1156,1191)
402.5 PERM17 FEE
Prior to constructing or repair of any water of sewe�line connecting the existing municipal system and arry fiouse or buitd"mg for which the
application is made,the owner or corrtractor shall be required to obtain a permit for such connection,and shall pay a permit fee as pro�ided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shal{be not'�f'ied. tt shafl be unfawful to cover
any connecting line untii an inspection has been made a�d such connection and the woric incident thereto has been approved by the City as e
proper and suitable wnnection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a water senrice lead has
been extended to the property line for connection,the applicant,awner,or occupant or user of such premises shali Ix liable 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 properry owner
requests maintenance service or repairs be performed by the CHy,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shali be the responsibility of the applicant,
owner,occupar�t or user to perform standard mair�tenance of the sewer service line from the premises to the main Includirig debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wili ensure that it remains above the finished
grade of tfie tand or property. (Ref 638,1156,1191)