Meter Swap Request Number: 12418
Public Works Division
Service Request
Problem Address: 7321 Co�erto Curn Requested By: Ieffrey An�derson
IJepartment: WATER A�ddress: No address providcd
Problem/7aa�: INSTALL AMit METER Phoae Na��ber: 6S 1-283-7476
Sched�le Date: 016-12-14 c e Sched�de�1lma: 07:00:00
�r•..
A(.'TION NEEDED:AMIi
Created by: Wendy Hi�t Date Cre�ed: 2016-12-12
ACTiON TAKEN:
I 1
Stat�: In Progess ��tter Hai Bee� �..
Co��ted
Date Completed: Campleted by:
t �.r 1�I� l�
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City of Fridley � �3 i � t'�
, - Water Department >
6431 University Avenue NE 7 J�_ S�d��y-�.
. Fridley, MN 55432 �
� 763-5723566
�/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 iMerior
plumbing. (Per C'rty code 402.06) 1 also hold the C'rty of Fridley and/its employees harmless for any damages that may occur wrhile doing this
operation. This to include,but not limited to vaives,piping,walls,floors or the curb stop boz and service line. In understand I am also required
to obtain a permit prior to any wortc,if necessary.
FIPIAL METER READING(old meter) L �v ��
Name: •X.��'� �Ch�Y"� I►ddress�� ��`�1(1 CsP�r""� �J'��- �
Phone Nurr�ber �s t � ���� I�7+� Date ��� �i' �' �T' II
, `,,.,___
�Signature Witness Signature
OLD METER# � 1 I� � �� � I
OLD READING �-1 .7�� I�
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NEW METER# `I, ` 1�, �Z J�
NEW READING �
ERT# b v� �o f �-4
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j �
402.5 PERMIT FEE
Prior to co�structing or repair of any water of sewer line connecting the existing municipal system and arry house or building f r which the
application is made,the owner or corrtractor shall be required to obtain a permit for such rnnnection,and shall pay a permit f as provided in
Chapter 11 of this Code. After such connedion has been made,the Water and Sewer DepartmeM shali be notifiied. it shall be nla�aful to cover
any connecting line until an inspection has been made and such connection and the wortc incident thereto has been approved I�y the City as a
proper and witable connection. '�,
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the wate�service curb stop box or the sewer lead at the property line or a water rvice lead has
been extended to the property line for wnnection,the appiicant,owner,or accuparrt or user of wch premises shai{be liabie f all repairs
required to any water line and sewer lines necessary for connedion of the premises from the main to the premises. If 1�e p owner
requests maintenance service or repairs be performed by the City,the property owner shali be charged for the costs of the mai�tenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administretive poliry. It shall be the responsibility of the lapplicarrt,
owner,occuparit or user to perform standard maintenance of the sewer service line from the premises to the main including d�bris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiil ensure that it remains abbve the finished
grade of the land or property. (Ref 638,1156,1191) '
� R
Request Number: 12418
Public Works Division
Service Request
Problem Address: 7321 Concerto Curve Requested By: Jeffrey Anderson
Department: WA1ER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 651-283-7476
Scheduled Date: 2016-12-14 Scheduled Time: 07:00:00
ACIION NEEDED:AMR
Created by: Wendy Hiatt Date Created: 2016-12-12
ACTION TAI�N:
Old meter#89487247 Old reading:2450960 New meter#47118256 ERT#68880989
Status: Completed Submitter Has Been �
Contacted
Date Completed: 2016-12-14 Completed by: Jake Aspenson ,
Hours