Meter Swap � Request Number: 12451
Public works Division
Service Request
Problem Address: 7390l�Concerto C�rv� Requested By: Don Elias
7390 Coc�certo Curve
Departme�: WA1ER ��'CSS� Fridley,MN 55432
ProblemRasue: 1NSTALL AMR METER Pbone Number: 763-?86-3915
Schednled Date: 2016-12-21 Sc6eduled 1lme: 01:00:00
� ' 2 � Si _.:.
ACIION NEEDED:lnstall AMR
Createdbys BethKondrick DateCreated: 2016-12-i4
ACTION TAI�N•
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St�tus: �r►Progress Snbmitter Hna�een r.
Contacted
Date Completed: Completed by; „ ,^�
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� .�City of Fridley ��, � � �
Water Department
• ' 6431 University Avenue NE "�j�L' —j U��Ck!`'d (
Fridley, MN 55432
763-572-3566
1/we hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liabfe for the water line from the main to the premise and ail iMerior
plumbing. (Per City tode 802.06) I also hold the C'rty aF Fridley and/its employees harm{ess for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop boz and senrice line. In understand i am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � � 1 � ���
Name: �V��1 l� Address � J 1 v 1�C7�1 � �U�1�J�+
Phone Number (1 !O —3�p�, l�%��'� I�
�Sinature `�---""`r�
g Witness Signature
OLD METER#__"I�� (�� ��
OLD READING I��!O �� v
NEW METER# �� r ���v` +
NEW READING �
ERT# (G�
FRIDLEY CITY GODE
CHAPTER�t02.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,46�,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to wnstructiag or repair of any water of sewer line conneding the existing municipat system and arry house o�building for which the
application is made,the owner or contrador shall be required to obtain a permit for such connection,and shafl pay a permit fee as provided i�
Chapter 31 ofi this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. It shall be unlawful to c.over
any connecting line untii an inspection has been made and such connettion and the work incident thereto has been approved by the Ciry as a
proper and suitabie connection.
402.06 REPAIRS ANQ MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the properly line or a wa�r servics lead has
been eutended to the property line for connection,the applicarrt,owner,or occupaM or user of wch premises shail be IiaWe for ail repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requests maiirtenance service or repairs be performed by the City,the properly owner shali be charged for the�sts of the mair�tenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative pofiry. It shail be the responsibility o#the appiicant,
owner,occupant or user to perform standard mairrtenance of the sewer secvice line Erom tfie premises to the main induding debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiil ensure that it remains above the fiaished
grade of the land or property. (Ref 638,1156,1191)