Meter Swap Request Number: 12421
Public works Division
Service Request
Problem Address: 7424 Able St Requested By: Elirabeth Sackett
lkpartme�: WA'IER Address: 7424 Able St
Fridlcy,MN 55432
ProblemRssue: INSTALL AMR METER P�one Number: 763-783-1033
Scheduled Date: 2016-12-20 � Schednl�d'I1me: 09t00:(ro
� �
AC"IION NEEDEH:Install AMR
Cre�ed by: Beth Kondrick Date Cre�ed: 2016-12-12
ACIION TAKF.N•
�vt 5-�-c�,���E�- �c-I���
Stat�: In Progress SnbmitEer Ii�Been �
Contacted
Date Completed: �2... �U �,� Completed by: --.-
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City of Fridley
Water Department
� 6431 University.Avenue NE �7j� � �y ��3�U�
�ridley, MN 55432 �) 1
� 763-572-3566 5 (� � �`� �
Uu+e `'��'�►�'�'` ��`"'�'"`�'�'�� hereby authorize the City of Fridley andjor 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 iMerior
plumbing. (Per City code 402.06) I also hold the City of Fridfey and/its empioyees harmfess for any damages that may otwr while doing this
operation. This to include,but not timited to valves,piping,walls,floors or the curb stop box and service line. In understand t am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READiNG(oid meter) ��� � 4 �
Name: ����k,b tC� �7�nC.�Ge� Address � `�� �''C �'
PhoneWumber�U13'��� � �V�"l Date ��--` � ��
�. n ��y (v��
Signature � 7� ` Witness Signature
OLD METER#_ � � 1 � oC � v �(I
OLD READING �� cP � ! U
NEW METER# �� �� �Cp(1 R
NEW READiNG �
ERT# � ��� v l � /
FRIDLEY CITY CODE
CHAPTER 402.WA7ER,STORM WATER AND SANRARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191}
402.5 PERMIT FEE
Prior to construding or repair of arry water of sewer line connecting the existing municipal system and ar►y house or building for which the
appllcation is made,the owner or coritrector shall be required to obtain a permit for such connection,and shaii 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 not�ed. It shall be unlawful to cover
any connetting fine uritii an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
d02.06 REPAIRS AMD MA{AITEAIAfUCE TO CONNECTiON
After the Initial connection has been made to the water service curb stop box or the sewer lead at the property Ifne or a water service lead has
been eztended to the property line for connettion,the applicant,owner,or acwparit or user of such premFses shaU be liable for all repairs
required to arry water line and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requests mair�tenance service or repairs be performed by the City,the property owner sha{i be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annuatfy by an administrative poiiry. it shail be the responsibility of the applipnt,
ow�er,occupant or user to perform standard maintenance of the sewer service line from the premises to the main inciuding debris ciea�iag or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensuse that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)