Meter Swap ' � J�l..���<<���'; ��f't:� 1 �- �1 ��
Request Number: 12322
Public works Division
Service Request
Problem Address: �448 Concerto Curve Requested By: Louise Mullenkamp
Department: WATER Address: 7448 Concerto Curve
Fridley,MN 55432
Problem/Issue: INSTALL AMR METER Phone Number: 763-786-6083
Scheduled Date: 2016-12-12 Schednled 13me: 09:00:00
ACTION NEEDED:Install AMR meter
Created by: Beth Kondrick Date Created: 2016-12-02
ACTION TAI�N:
�ns �.���d �►�1. �
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Status: In Progress Snbmitter Has Been �
Contacted
Date Completed: 12 � �2 '� �V Completed by:
;.: ,
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City of Fridley ��'� � �, ��
Water Department
6431 University Avenue NE �
Fridley, MN 55432 �j J �l'�c���
763-572-3566
I/we 1-�-ry'�L�`C hereby authorize the City of Fridley and/or its employees to do what is necessary to
reptace the watev meter. 1 understand that tfie property owner is liabie for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) I aiso 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 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 � � �
Name: �v N.i f� l�'��t��Yl. �iw�'+1,1� Address �-`�� �9'1'L G P��i C-�.�-Ir"�/'`e.
Phone Number ��"3 y 7�� N��� Date ��^ �v� l�
Signature �°`-� �� Witness Signature ��/�U�-
OLD METER# � 1 `� ��I��d i
OLD READING � � � � � I v
NEW METER# 1� t I u � 1�
NEW READING �
ERT# �u�� � O I �
FRIDLEY C{TY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,fi38,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or building for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter li of this Code. After such connection has been made,the Water and Sewer Department shail 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 suitabie 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 fine or a water senrice lead has
been extended to the property line for con�ection,the app{icant,owner,or occupar�t or user of such premises shail be liable for afl 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 shali be charged for the costs of the maiMenance 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 638,1156,1191i