Meter Swap Request Number: 12586
Pub�ic Wo�s Division
Service Request
Probtem Address: 7388 Able St �y�gtea ay: To�r Birch
Departmeut: WA1ER �.��s: 7388 Able St
Fridiay,MN 53433
Problem/Isaue: INSTALL AMR ME1ER Phone Namber: 763-898-2566
Sch�edaied Date�016-12-29 �� Sched�led Time: 09:0(3:00
ACIION NEEDED:Install AMR
Crerted hy: Beth Kondrick � Date Created: 2016-12-27
AGTION TAI�'.N:
� �A��
Strt�: In Progcess Snbmitter Has Becn r,
Coetactad
Date Completed: Cornpleted by:
1.�;��-t� �'
�. ���
City of Fridley ; E` `�
Water Department ��� � � ��
• ` 6431 University Avenue NE
' Fridley, MN 55432 ���--L( ���"�1 D�� �
763-572-3566
f/we hereby authorize the City of Fridley and/or its empioyees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable fo�the water Iine from the main to tfie premise and all interior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless far any damages that may occur while cioing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. {�understand 1 am aiso required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) V�� � ��D
Name: r�d�� ���•� Address_ � J�l� f'1:��
Phone Number ���"��� � �� p� I �
r .
Signatu e Witness Signature
OLD METER# � ���� �,%�,��
Olp READING�� � ���
NEW METER# -17 I I �b�'I�
NEW RE�A►DiNG }�'
ER�#_ ���v OIo3�7' �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,529,638,662,922,988,1144,1156,1191)
442.5 PERMfT FEE
Prior to constructing or repair of any water of sewer line connecting the exfsting municipai system and any house or building for which the
application is made,the owner or corrtractor shall be required to obtain a permit for such mnnectton,and shalt pay a permit fee as provided irr
Chapter 11 of this Code. After such connection has been made,the Water and Sewer DepartmeM shall be notlfied. it shall be unlawful to�rer
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the C�ty as a
proper and suitable connection.
402.06 REPAIRS AND MAfNTENANCE TO CONNECTION
After the inittal conaection has been made to the water service curb stop box or the sewer lead at the property line or a water secvice lead has
been extended to the property line for connection,the applicarrt,owner,or accupaM or user of wch premises shatl be liabte for atl repairs
required to any water line and sewer lines necessary for connedion of the premises from the main to the premises. ff the propesty anne�
�equests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mai�rtenance andjor
repairs,including necessary street repairs at a rate set annually by an administrative poliry. it shali be the responsibility of the applicarrt,
owner,occupant or user to perform standard maintenance of the sewer service line from the p�emises to the main including debris deari�or
root cutting and to mairrtain the water service curb stop box for operability and at such height as wiii ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)