Meter Swap Request Number: 12377
Public works Div;sion
Service Req�st
Problem Address: 7409 Concerto G�r� Requested By: Ryan Lamere
Departmeirt: WA'IF.R Addreas: No sddress provided
Pro�emllssue: INSTALL AMR METER Phone Number: 651-357-0922
ScLeduled Date: 2016-12-28 Sc6eduled'llme: 09:00:00
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ACIION NEEDED:AMIL
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Created by: Wendy Hi�t Date Cre�ed: 2016-12-07
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ACTION TAI�N: �
��-�w �-�e,�- �.�.�r— b r�-,�-� � ca.�led J�.s�—
Status: 1n Progress Snbmitter Has Beea r.
Cont�cted
Date Com�eted: �,� �'' a�--� I� Completed by: .
,
City of Fridley �a � -�-D � -� � � � D�
� , Water Department
� 6431 University Avenue NE
Fridley,MN 55432 � � � ��
763-572-3566 S ��
�/We hereby authorize the C'rty af Fridley and/or its employees to do what is necessary to
repiace 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 City of Fridley and/its employees hartniess for any damages that may otwr while doing this
operation. This to include,but not limited to valves,piping,walls,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 READING(old meter) ��� �� ��
Name:_b�-VA�� L.�'n Vr�'e1'�"� Address /-6� I W���� ��'�V�
Phone Number V 5�� 3�7 ' U�Z2` Date 1�� C�"`
.�_
Y Signature YVitness Signature
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OlD METER#����� I I � L '
OLD READtNG �� �/ 1,� - ( �
NEW METER# `� t� ����
NEW READING o
ERT# l.D�� V 1 0 ��
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and ariy house or building for which the
application is made,the owner or corrtractor shali be required to obtain a permit for such connectlon,and shali pay a permR fee as provided in
Chapter il of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. it shali be unlawful to cover
any connecting line uirtii an inspedion has been made and such connection and the work inciderrt thereto has been approved 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 servke curb stop box or the sewer lead at the property li�or a water seivice lead has
been extended to the property line for connection,the applicaM,owner,or occuparrt or user af wch premises shall be liable for all 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 maintenance service or repairs be performed by the City,the property owner shall be charged for the�of the mai�enance and/or
repairs,including�ecessary street repairs at a rate set annually by an administrative poliry. k shall be the responsibiliiy of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wili ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)