Meter Swap Request Number: 12315
Public Works Division
Service Request
Problem Address: 7412 Concerto Curve Requested By: Bill Heid
Department: WATER Address: 7412 Co�erto Cuc�ne
Fridley,MN 55432
Problem/Issue: INSTALL AMR METER P6one Number: 763-783-0509 ' �
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Schedul ed Date: 2016-12-13 Schednled 15me: 08:00:00 �'/
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ACITON NEEDED:Install AMR meter
Created by: Beth Kondrick Date Created: 2016-12-01
ACTION T .
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Status: In Progress Submitter Has Been G
Contacted
Date Completed: Completed by:
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City of Fridley
Water Department S � l �.`� 3
6431 University Avenue NE
Fridley, MN 55432 �_����_��
763-572-3566 � �
I/we hereby authorize the City of Fridiey 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 irterior
plumbing. (Per 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.
FINAI METER READING(old meter) �� � � v
Name• ��� }"�e, Address���,�� ��Y1��'�C��
Phone Number ���� � � Date �i� ���. ��
� Signature Witness Signature
OLD METER# ��� �Z�� �
OLD READING ��1 Z- I 3 � U
NEW METER# - I { `' �� (T�
NEW READING �
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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 or buitding for which the
application is made,the owner or contractor shall be required to obtain a permit for such wnnection,and shali 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 not�ed. 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 suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connectio�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 appiicaM,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,including necessary street repairs at a rate set annualiy by an administrative poliry. It sha11 be the responsibility of the applicar�t,
owner,occupant or user to perfo�m standard maintenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiil ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)