Meter Swap -1
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Request Number: 12305
PuWic Works Division
Service Request
Problem Address: 7310 Concerto Curve Requested By: Richard Hansen
Department: WA1ER Address: 7310 Concerto C�u�e
Fridley,MN 55432
Problem/Issue: INSTAL.L AMR METER Phone Nnmber: 763-717-0216
Schedaled Date: 2016-12-06 Sc6ednled Time: 01:00:00
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ACTION NEEDED:Install AMIt Install
Created by: Beth Kondrick Date Created: 2016-12-01
ACITON TAI�N:
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Status: In Progress Submitter Has Been �
Contacted
Date Completed: � � _, �,� � � Completed by: ��
i ,
City of Fridley �
Water Department � I�, I � � �
6431 University Avenue NE �'
Fridley,MN 55432 3�y_���!��_��.
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 all interior
plumbing. lPer 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 curb stop box and service line. In understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READlNG(ol meter) `� ��� � �
Name• ���, �'�`�� � �"' Address �� v0Y w� �U��'
Phone Number �'6 J � �� ��Z�v Date ���� ^ f w
Signature Witness Signature
OLDMETER# ��� 3�V7 �
OLD READING ��� I � �
NEW METER# ""1 [ ( I�Z L� �
NEW READING o
ERT# b v�U I �� I
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 any house w building for wf�id►the
application is made,the owner or cor�tractor shall be required to obtain a permit for such connection,and shali pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shail 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 witable connedion.
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 line or a water sen�ce lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shatl be liabk 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 mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. R shall be the responsibility of the applicarrt,
owner,occupant or user to perform standard maintenance of the sewer service line from the p�emises to the main iotluding 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 flnished
grade of the land or p�operty. (Ref 638,1156,1191)