Meter Swap Request Number: 12711
` Public Works Dtvision
Service Request
Problem Addresa: 7449 Co�erto Cur�e Requested By: Keith Sparka
Department: WA'IER Address: 7449 Concarto C�e
Fri�ay,MN 35433
ProWem/Isaue: INSTALL AMR METER PLon�N�ber: 763-458-0453
Sc�dnled Date: 201�-01-Oi Screddled 11me: 02:00:00
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A.�."RQN NF,EDED:Tffit�U P1rlm
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Created by: Beth Kondrick Date Cre�ted: 2017-01-03
ACIION TAI�N•
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Statns: In Progress ���er Hn Heen �.,
Coatnct�d
Date Completed: Ca�pleted by:
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City of Fridley
Water Department C Q � �� �
6431 University Avenue NE •J
Fridley,MN 55432 ��C���1���-��
763-5�2-3566
�iWe hereby authorize the City of Fridley and/or its employees to do what is necessary to
repface the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all iMerior
p{umbing. (Per City code 402.06) 1 aiso hold the�ty of Fridiey and/its employees harmless for any damages that may occur while doing this
aperation. This to include,but not limited to valves,piping,wails,floors or the curb stop box and service line. In understand i am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READIN (pki meter) ���� •� "
Name- ��� � C1�� Address �� 1 W�v"�'� W�•t'�..
Phone Number��v^L� J F��(J��� p� L ` � — � �
XSignature Witness Signature
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OLD METER#��� 1� 1 ` 1
OLD READING � � c��� �
NEW METER# " t � I�� � �/
NEW READING _ \J
ERT# �!��� �� � .
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,9$8,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and arry house or building for whic�h the
application is made,the owner or coMrador shall be required to obtain a permit for such connection,and shall pay a permR fee as prrnrided in
Chapter 11 of this Code. After wch connection has been made,the Water and Sewer Departmerrt shall be natiFied. it shaii be unlawfui to cover
any conneding line until an inspection has been made artd such connect'son and the work inciderrt thereto has been appro�ed by the Gty as a
proper and suitable connectien.
402.06 REpA1RS AND MAtNTENANCE TO CONNECTION
After the initial connectio�has been made to the water service curb stop brnc or the sewer lead at the property Rne or a water service lead has
been extended to the property line for connection,the appiicarrt,owner,or accupant or user of such premises shall be 1'iable for aU repairs
required to any water(ine and sewer lines necessary for connection of the premises from the main to the premises. If the property aaner
requests maintenance senrice 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 shali be the responsibility of the applicant,
owner,uccupant or user to perform standard maintenance of the sewer service fine from the premises to Che main incfuding debris dearing or
�oot cutting and to mair�tain the water senrice curb stop box for operability and at such height as will ensure that it remains above the flnisbed
grade of the land oc property. (Ref 638,1156,1191) ; ;- �
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