Meter Swap ..
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Request Number: 12568
Public Works Division
Service Request
Problem Address: 7430 Able St Requested By: Youko Shannon
Department: WATER Address: 7430 Able 5t
Pridley,MN 55432
ProblemlIssue: INSTALL AMR METER Phone Number: 763-780-7138
Scheduled Date: 2016-12-29 Scheduled'I]ime: 07:00:00
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ACITON NEEDED:Install AMR
Created by: Beth Kondrick Date Created: 2016-12-23
ACIION TAI�N: � �� � , � �
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Status: In Progress Submitter Has Been �..
Contacted
Date Completed: � ��a,�— ��j Completed by:
�. Y City of Fridley I�-
Water Department ��� ��
6431 University Avenue NE
Fridley, MN 55432 �� � 'y� �3�U�v�°
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 liable for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06� 1 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 limited to valves,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.
�-i 74 �,,�: D ��`
FINAL METER READING(old meter) �
Name• !v�l�� s�aM�i�.+�'� Address r v�'�� f'� �'� �
Phone Number ���� ��� ���� Date "r/�-' � �"` �` '
(�Sinature `�'"�
B �� Y1'`�""�"-'�"�'"" Witness Signature
OLD METER# ������ �
OLD READING F� G � ��J v
NEW METER# '"F� �� U CO 3 �
NEW READING a
ERT# � ��� d �v 3� .
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)
4fl2.5 PERM{T fEE
Prior to wnstructing or repair of any water of sewer line connecting the existing municipal system a�d arry hause or building for wfiich tfie
application is made,the owner or coMractor shall be required to obtain a permit for such�nnection,and shali pay a permit fee as provided in
Chapter 11 of this Code. Afte�such connection has been made,the Water and Sewer Departmerrt shall be notified. It shall be unlawful to cover
any connecting iine until an inspection has been made and such connectio�and the work incident thereto has been approved by the City as a
proper and suitable connection.
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 service lead has
been extended to the property line for connection,the applicaM,owner,or occupant or user of such premises shall be liabie for all repairs
required to any water tine and sewer{ines necessary for connedion of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative poliry. It shall be the responsibility of the applicar�t,
owner,occupant or user to perform standard mai�tenance of the sewer service line from the premises to the main inciudirig debris clearing or
root wtting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the flnished
grade of the land or property. (Ref 638,1156,1191)