Meter Swap � Request Number: 12445
Public works Division
Service Request
Problem Address: 7325 Able St Requested By: Jolm Gletm
Deputmeut: WAT�R Address: 7325 Able St
Fridley,MN 55
Probiem/Tasue: INSTALLAMRMETER P6oneNnmber: 612-353-1348
ScheduledDat�•r 20 -12-3 � Sched�led'nme: 01:00:00
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ACIION NEEDED:Install AMR
Cre�ed iry: Beth Kondrick Date Cre�ed: 2016-12-14
ACTION TA1�N:
����i "�
Shtus: In Progress Snbmitter Has Been r,
Contscted
Date Completed: Completedhy: ��vf/_ "
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City of Fridley �r .,
y Water Department �l,� �� �'t�
6431 University:Avenue NE ���5�-
� Fridley,MN 55432 ���'
763-572-3566
s/We hereby authorize the City of Fridley and/or its empioyees to do what is necessary to
repiace the water meter. 1 understand that the property owner is liable for the water line from the maia to the premise and a8 interior
plumbing. (Per City code 402.06) I also hold the City of Fridiey and/its empfoyees fiarmiess for any damages that may occur while doing this
operation. This to include,but not limited to vaives,piping,walis,floors or the curb stop 6ox and service line. 1n understand f am also required
to obtain a permit prior to any work,if eecessary.
FINAL METER REMING(old meter) � �`--' � �� '"
Name: U���(�, � "�h� Address 1��� �('��Cr J�
Phone Number p ���� � r �� I y Date '� ��✓ � 1�
XSignature Witness Signature y
OLD METER# U�`� ��3 5 � 3
OLD READiNfa V J �� ���
NEW METER# �� � � Q�1 S�
NEW READING �
�
ERT# � iJ � � � � C� � '
FRIDLEY CITY CODE
CHAPTER 402.WATER,S[ORM WATER AND SAN{TARY SEWER
ADMlNISTRATION
(Ref Ord Ido 113,464,565,566,6Z9,638,662,922,988,1144,1156,1193)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the extsting snunicipal system and am house or buihiing for which the
application is made,the owner or coMractor shaff be required to obtain a permit far such connection,and shalt pay a permit fee as provided in
Chapter 11 of this Code. After wch connection has been made,the Water and Sewer DepartmeM shatf be not�ed. It shail be unlawful to cover
any connecting line until an inspectian has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MA{NTEPIANCE TO CONNECTfON
After the in�tial connection has been made to the water senrice curb stop box or the sewer lead at the property line or a wate�service lead has
been e�ctended to the property line for connection,the appiicar�t,owner,or occuparrt or use�of such prem(ses shalt be tiabte for al{repairs
required to arry water line and sewer lines�ecessary for connection of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the City,the property awner shal!be charged for the costs of the mairrtenance and/or
repairs,inciuding�ecessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of t�e applitarrt,
owner,occupant or user co perform standard maintenance of the sewer ser+rice line from tbe premises to the main including debrts ciearing or
root cutting and to maintain the water service curb stop box for operability and at such height as witl ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
�?3� a
j ��a-�s -�'qf���
city of Fridley
Water Department
�
Address ) 3 � � � ��'� 5 +
Name ��c� ��l (� /t' � �
Date �- � l` U
� �
Old Meter Number�� ^
Old Meter Reading O l� a g d'
Replacement No. �O L� l 3 �c� 3
� Replacement Reading �
Replacement Make��
Remarks• � �`�,/� r� ���r�
�
Signed _
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