Meter Swap Request Number: 12329
Public Works Division
Service Request
Problem Address: 7419 Concerto Curve Requested By: Sheila Dougherty
Department: WATER Address: 7419 Concerto Curve
Fridley,MN 55432
Problem/Issue: INSTALL AMR METER Phone Number: 763-785-7816
Scheduled Date: 2016-12-15 Scheduled Time: 11:00:00
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ACTION NEEDED:Install AMR
Created by: Beth Kondrick Date Created: 2016-12-02
ACTION TAI�N:
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Status• In Progress Submitter Has Been r
' Contacted
Date Completed: Completed by:
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M City of Fridley 1 �p � 3
Water Department ��
6431 UniversityAvenue NE � _ v��jD��
Fridiey, MN 55432 � U� �
763-572-3566
I/we hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. I understand that the property owner is liable for the water line from the main to the premise and ali interior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walis,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) ��� ��
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Phone Number��`�� �� �`ti' Date � �_— I �"� � �
� Signature ��G'l.�'%L'1 ��- Witness Signature � �"'
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OLDMETER# ' .� �6 ;:�� 11c.� �a-C�
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OLD READING � � v �fi'���j,�—�.
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NEW METER# �� �� l�'Z��
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NEW READING
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SFu��^
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ADMINISTRATION ' �`� �
(Ref Ord No 113,464,565,566,629,638, 662,922,9 .�'�"�<�k/`"�`��y
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402.5 PERMIT FEE f���� `�� ���
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Prior to constructing or repair of any water of sewer line connecting the existing municipal sy L��,~ � �ch the
application is made,the owner or contractor shall be required to obtain a permit for such con -���( , ����Z �rovided in
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Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departrr �/,/.��� 7'���
any connecting line until an inspection has been made and such connection and the work incid 1�'� __.,.,een approved by the City as a
proper and suitable connedion.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connedion has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such 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 costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility 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 will ensure that it remains above the finished
grede of the land or property. (Ref 638,1156,1191)