Meter Swap v r Request Number: 12427
Pubhc works Division
Service Request
Problem Address: 7341 Co�erto G�r� Requested By: Carly Mcklosky
DepartmeM: WATER Address: 7341 Concerto G�utie
Fridley,MN 55433
Problem/lssne: INSTALL AMR ME1ER Phoae Namt�er: 612-702-2381
Schednled Date: 2016-12-19 Sc�edolulll�: 07:30:00
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AC"IION NEEDED:Instatl AMR %�•r=
Crexted lry: Beth Kondrick Date Created: 2016-12-12
AClION TAKEN•
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Statna: 1n Progress 5nbmitter H�1ee� �.,
Coirtacted
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Dnte Completed: Completed by: �r. �������,t�
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City of Fridley �� I � � �i
Water Department
. � 6431 University Avenue NE ��(�,.,S��P�� "��—
* Fridley, MN 55432
763-572-3566
�/We hereby authorize the C'rty of Fridley and/or its empioyees 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 interior
plumbing. (Per City code 402.06) 1 also hold the C'ity of Fridley and/its employees harmless fior any damages that may ocwr while doing this
operation. This to inc�ude,but not limited to vahres,piping,walis,floors or the curb stop box and service line. !n understand t am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READIAIG(old meter) �� ����
Name: � s Address � C.� 1� W�7'e'�� �V Y`'�
Phone Number 2 ��v �--r � Date ��� M L� ��
� Signature � Witness Signature
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OLD METER# 1 � �� � I
OLD READING �D� I �O Q
NEW METER# " I�� 1 Z����
NEW READING O
ERT# � l/� l I � � �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
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402.5 PERMIT FEE s t�._,�;;,.
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Prior to constructing or repair of arry water of sewer line wnneding the existing municipal system and arry house or buiiding for which '`'��'"
application is made,the owner or coMractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided�
Chapter 11 of this Code. After wch connection has been made,the Water and Sewer Department shall be not�ed. it shall be unlawful to cover
any connecting line until an inspection has been made and such connedion and the work inciderrt thereto has been appro�red by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a water servioe iead has'
been extended to the property line for connection,the applicant,owner,or occuparrt or user of such premises shali be liabie for all repairs
required to any water line and sewer lines necessary for connedion of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the cosks of the mairrtenance andjor
repairs,including necessary street repairs at a rate set annuaily by an administrative poliry. R shall be the responsiWiity of the appiipr�t,
owner,uaupant or user to perform standard maintenance of the sewer service line from the premtses 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 tt remains above the flnished
grade of the land or property. (Ref 638,1156,1191)