Meter Swap Request Number: 12343
Public Works Division
Service Request
Problem Address: 7400 Concerto Cuc� Requested By: lrene&rtler
Departme�: WA1ER Address: No�ess pcovided
Problem/Isaue: INSTALL AMR ME1ER Pho�Number: 763-785-6020
Sc�edoled Date: 2016-12-13 Sc�daled Tlme; Q8:30:00
`Tv�s �� l3�`' � �� �a
AG"1TON NEEDED:AMR
Creatai by: We�dy Hiatt Date Cre�ed: 2U 16-12-OS
ACTTON TA1�N:
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Status: In Progi�ess ���r Hsis Beea �,
Coat�EEd
Date Compteted: 12� ��j -- t(D Campleted by:
• • City of Fridley �� ( ���
Water Department �
6431 University Avenue NE
Fridley,MN 55432 �j (7��5����3
763-572-3566
1/we �'��"'� �1.�.��'�''� hereby authorize the City of Fridiey 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 f�om the main to the premise and all irrterior
pfumbing. (Per City code 402.06) 1 aiso hold the C'rty 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 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) � V �� �g O
Name: 1'��`t ��T��� � Address _ ��VU �c`tnG�2-�� C'v..r`11e
Phone Number �� `" S"'���� Date ��"` �3 � ��
�Signature Witness Signature ��-- !��^-^"''^�
l -
OLD METER# 1� `� lC�� l I
OLD READING �1 I � ��
NEW METER# _1� � I ����
NEW READING �
�
ERT# CQ��79 5�'�� � �
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord Plo 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 arry house or buliding for which the
application is made,the owner or contractor shall be required ta obtai�a permit for such connection,and shall pay a permit fee as provided in
Chapter ii of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shali 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 suitabie connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initiai con�ection has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
bee�extended to the property line for connection,the appticant,owner,or occupant or user of such premises shall be Itable 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 ow�er shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. 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
grade of the land or property. (Ref 638,1156,1191)