Meter Swap <. � ` Request Number: 12336
Public Works Division
Service Request
Problem Address: 7439 Concerto C�arve Requested By: Sean
DepArtment: WATER ��.e�: 7439 Concerto(,�u�ve
Fridley,MN 55432
Problem/Iaaue: INSTALL AMR METER PLone Number: 763-780-2�93
Scheduled Ds�te: 2016-12-09 Scheialed 1lme: 01:30:00
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ACITON NEEDED:Itffitall AMR
Created by: Beth Kondrick Dat�Crd�ed: 2016-12-02
ACIION TAI�N:
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Status: In Progress Sub�itteF Haa Been �
Contacted
Date Completed: l�—�...- ��g Completed by: �
Hoars
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City of Fridley � � �
. � Water Department C � � ,
° 6431 University Avenue NE �
Fridley, MN 55432
763-572-3566 ��y 5���� ��
I/we s��^'� hereby authorize the City of Fridiey and/or its employees 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 ail irrterior
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,walls,floors or the wrb 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) ���� � 1, �
Name: 5'e�.'V� Address�� � 1 �01�l.tX�� �L�-�/`1/-'�_
Phone Number 7� a " 2 I�te �'�–� � —��
�Signature `� Witness Signature �"'����'`f
OLD METER# � C�� � � � "' �
OLD READING [S I � / � 1 O
NEW METER# �� � I � 3 ��
NEW READING �
ERT# ��� � 1 S � U
FRIDLEY CITY CODE
CHAPTER 40Z.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 wnstruding or repair of any water of sewer line connecting the existing municipal system and any house or buiiding for wli�ch the
application is made,the owner or contractor shall be required to obtain a permit for such mnnection,and sfwtl pay a permit fee as provtded in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover
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 suitable connedion.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service arb stop box or the sewer lead at the property Itne 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 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 wsts of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administretive poliry. It shall be the responsibility of the appliqM,
owner,occupant or user to perform standard maintenance of the sewer senrice 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
grade of the land or property. (Ref 638,1156,1191�