Meter Swap ,
` Request Number: 12877
Public Works Division
Service Request
Problem Address: 7561 Central A� Requested By: Mike Mancuso
7561 Central A�ne
De�rtme�: WA1ER Address: Fridley,MN 55433
Problem/Iasue: INSTALL AMR METER Phone Number: 763-'786-1U94
3c6eduled Date: 2017-01-23 Schednled 11me: 01:OO:QO
,� l `,,,_,
ACIION NEIDED:Instatl AMR
Created by: Beth Kon�ick Ds�te Cres�ted: 2017-01-13
ACIION TAI�N: •
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Statns: In Progress Snba�itter A�s Been r,
Contacted
Unte Completed: Completed by:
I' - 2�� � � �.�-�
�
�ir.y or tr�aoey
Water Departrrtent �O ���'1 �'�
6431 llniversity Avenue NE �' �
. � Fridley, MN 55432 �������3 y V�� �
' 753-572-3566
�Sw� hereby authorize the Ciiy of Fridley and/or its empioyees to do what is necessary to
replace the water meter. I understand that the property owner is liable for the water line f�om the main to the premise and all iMerior
plumbing. (Per C"�ty code 402.06) i also hold the C'tty of Fridley and/its employees harmless#or any damages that may occur while doing this
operation. This to include,but not limi#ed to vabes,piping,wails,floors or#he curb stop box and service line. In understand t am also required
to obtain a permit prior to any worEc,if necessary.
FItVAL METER READING(old meter) + � � �� � �
Name: �� `���C�`,�Address J 1 [�, �..
Phone Number�,�)�l��i� v� Date \i?j J ��
��
Signature iN'�tness Signature
OLD METER# � s� � �l o �3
OLD READtNG t � � 2. �—t� �''�_
NEW METER# .� � � � � C ,�6�
NEW READtNG C�
E�# �S � OOO � .
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,5b5,566,629,638,662,922,9$8,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existirig municipal system and arry house or building for which the
application is made,the owner or corrtractor shall be required to obtain a permit for such connection,and shall Qay a persnit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. it shall be unlawful to cover
any connecting line until an Inspection has been made and such connectio�and the wark inaderrt thereto has been approved by the C'�y as a
proper and suitable connection.
402.06 REPAIRS AND MAINTEPIANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the praperty line or a water service lead has
been eutended to the property line for connection,the appiicarrt,owner,or accupant or user af such premises shaii be liai�e fa all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the properly orrner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative poliry. It shait be the responsibility of the applicarrt,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main induding debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remairis above the finished
grade of the land or property. (Ref 638,1156,1191j