Meter Swap �' Request Number: 12436
Pubtic Works Division
Service Request
Problem Addresi: 7584 Able St Requested By: Brenda
Department: WA1ER A�ires:: No ad�ress provided
Prablem/Issm: INSTALL AMR METER Phone Number: 612-986-2804
Schednl d Date: 16-12-14 � Schednled 1'In�e: 02:00:00
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ACIION NEEDED:AMR
Created by: Wendy Hiatt Date Cre�ed: 2016-12-13
ACITON TAI�N:
�,r�s�u.G[�� -[�V��
Statnsc In Progcess Sabmitter Has��aa C,
Cont�ted
I?:te Com�eted: Compieteei by:
���- ��� �6
City of Fridley �'� i� j �
, Water Department � �
� � 6431 University.Avenue NE ��t �j,� C� �'�Jt�'� �--
Fridley, MN 55432
763-572-3566
1/we hereby authorize the City of fridley andior its employees to do what is necessary to
replace the water meter. I understand that the property owner is liable for the water line from the main to the premise and atl interior
plumbing. (Per Ctty code 402.06) I also hold the C'rty af Fridley and/its employees harmiess for any dama�es that may occur while doing this
operation. This to inciude,but not lirnited to valves,piping,walls,floors or the curb stop box and service line. In understand 1 am alsa required
to ohtain a permit prior to any wortc,if aecessary.
FfNAL METER READIN6(old meter)_�Y�' �� '"��
Name: Icj'`�u �� Address [ �(s�1�! /-l�l� �
Phone Number_1V��'� l(J�CJ� 2-EJ�.�" 1 Date L2' �L"{�' � °�
�Signature `"���`�G� L I uC,C e�dV Witr�ess Signature
OLD METER# "I�D 1 �� � �
OLD READING f!'')���/ d
NEW METER# r�� 1�� v ` �
NEW READING �
ERT#_JC1 �/ U� �0��
FRiDIEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEINER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,b38,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructtng or repair of any water of sewer line wnnecting the existing municipal system and arry house or twiiding for which the
appiication is made,the owner or corrtractor shall be requfred to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. k shall be unlawful to cover
any connecting line untii an inspection has been made and such connection and the work indderrt thereto has been approved Iry 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 Lfie sewer lead at the property Gne or a water senrice lead has
been extended to the properCy line for connection,the appiicar�t,owner,or occuparrt or user of such premises shalt be tiabte 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 owne�
requests'maintenance service or repairs be perFormed by the City,the property owner shall b�charged for the�sts of the maiMenance and/or
repairs,incfuding necessary sCreet repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer senrice line from the premises to the main including debris clearing or
root cutting and to maintain the water service curb stop box fo�operahility and at wch height as will ensure that it remains above the finished
grade of the land ar property. {Ref 638,1156,1191)