Meter Swap Request Number: 12447
Pubtic Works Division
Service Request
Problem Address: 7436 Concerto Ctiuve Requested By: Datrell Ritzema
7436 Concerto Gtiuve
Departme�: WATER Address: Fridley,MN 55432
ProMem/Isaue: INSTALL AMR ME1ER P6one Number: 763-780-840I
Scheduled Dates 2016-12-22 Sc6edaled 1ime: 11:30:00
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ACIION NEEDED:Install AMR
Crented by: Beth Ko�rick Date Creited: 2016-12-14
ACTION TAI�N:
_______ -'�,�5�l��.- P�-��
Statns•. In Progcess �bmitter Haa Beea �,
Coatacted
Date Completed: t��' 2'2,.�' ' �,p Completed by:
/ _
/
. � City of Fridley �
' Water Department ���; � � � �
6431 University.Avenue NE
Fridtey,MN 55432 ��,� ��.������D�
763-572-3566
t/we �41'Y f � �` �t'�"2 e-v�-;�� hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace tf►e water meter. 1 understand that the property owner is liable for the wrater line from the main to the premise and all irrterior
plumbing. (Per City code 402.06j i also hold the Gty of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to vatves,piping,walls,floors or the curb stop box and senrice lirre. In urtderstand 1 am also required
to obtain a permit prior to any work,if necessary.
FlNAL METER READING(old meter) �v �^�� ��
Name: �°��"Y�-�.� �"�+ZC G'Vl� Address ��J� �9v`C,-e.�`� �.t�,�/'V�
Phone Number l� 1 C � "' d� Date �Z `� 2�'"�' ��D
�Signature Witness Signature ��
OLD METER#_ t v � l �- `Y'�
' OLD READiNG 7� 3 3� �U
NEW METER# '��� t �7 � 3
NEW READtNG �
ERT# � � �� � ✓ l , ,
FRIDtEY CIIY CODE
CHAPTER 402.WA7ER,STORM WATER AND SAN{TARY SEWER
ADMINIS7RATlON
(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 tine connecting the existing municipal system and any house or butldir�g for which the
application is made,the owner or contrector shall be required to obtain a permit for such connectioo,a�d shall pay a perm(t fee as provided in
Chapter 11 of this Code. After wch connection has been made,the Water and Sewer DepartmerK shall be notified. n shail he unla�aful to wver
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitabie connection.
402.06 REPAIRS AND MAlNTENANCE TO CONNECTION
After the initiai connection has been made to the water servke curb stop boz or the sewer leac!at the property Une or a water servke lead has
been extended to the property line for connection,the applicaM,owner,or accupaM or user of wch premises shall be liable for aN re�airs
required to any water line and sewer lines necessary for wnnection of the premises from the main to the premises. If the property owrter
requests mair�tenance service or repairs be pe�formed by the C'�ty,the property owner shall be charged for the wsts of the maintenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative poliry. k shall be the responsibility of ifie applicant,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ret 63$,3156,1191)