Meter Swap ` ' -3(�� - 5 n� �.3� -- �i
Request Number: 12310
Public Works Division �p,, I r /_�
Service Request �-' �p ��'
Problem Address: 7351 Concerto Cw�ve Requested By: Denise(resident's daughter)
Department: WA1ER Address: 7351 Concerto G�rve
Fridley,MN 55432
Problem/Lcsue: INSTALL AMR METER Phone N�unber: 763-377-3941
Scheduled Date: 201 -12-07 Scheduled Time: 11:00:00
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ACTTON NEEDED:Install AMR meter
Created by: Beth Kondrick Date Created: 2016-12-01
ACTION T.�I�N:
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pate Completed: Completed by:
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City of Fridley
Water Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
1/we hereby authorize the City of Fridley and/or its employees to do what is necessary to
repface the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) 1 also hold the C'ity of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to va{ves,piping,wa{Is,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 meterJ ✓1 L �� L v
Name: �ll�p Address 7351 EUv�G���Gr C'viY`�1�[
Phone Number�b�3' � �� — � (� � Date �Z���`�Q"'
Signature Witness Signature
OLD METER# �� � � o� 1 ��
OLD READING �!, I 1 2-CJ �C�
NEW METER# �� � � ��` � �
NEW READING �
ERT# � U � � �U � g
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 arry house or building for which the
application is made,the owner or contractor shall be required to obtain a permit for wch connectlon,and shall 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 shall be unlawful to cover
any connecting line untii 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 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 maiMenance and/or
repairs,inciuding netessary 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 remair�s above the finished
grade of the land or property. (Ref 638,1156,1191)