Meter Swap Request Number: 12317
Public works Division
Service Request
Problem Address: 7405 Concerto Cur� Requested By: Patrick Peterson
Department: WATER Address: 7405 Concerto C�utie
Fridley,MN 55432
Problem/Issue: INSTAL,I.AMR METER Phone Number: 763-?85-1766
Scheduled Date: 2016-12-13 Schednled 15me: 11:30:00
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ACTION NEEDED:Install AMR meter
Cre$ted by: Beth Kondrick Date Created: 2016-12-01
ACTION TAKEN:
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Status: In Progress Submitter Has Been �
Contacted
Date Completed: Completed by:
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' City of Fridley
Water Department S�'� � � �
6431 University Avenue NE
Fridley, MN 55432 �j JI.� _�j�7�j--(� �
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 a{i iMerior
plumbing. (Per City code 402.06) t 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,wal�s,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) � ���
Name: �.��Y�LV� �-l.f��h Address ✓ l..l:Y�.�.1 �-h%1��1'��
Phone Number � � ��U v Date �� � � �
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�S�gnature Witness Signature
OLD METER# �03� �� �
OLD READING_�r1 l�I 33 p -
NEW METER# � � ������
NEW READING lJ
ERT# �g�7 �y3Z
FR{DLEY CI'TY 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 wnneding the existi�g municipal system and any house or building for which the
application is made,the owner or contrector shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and 5ewer Department shall be notified. It shall be unlawful to co�ner
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 connection has been made to the water service curb stop box or the sewer lead at the property Iine or a water service lead has
been extended to the property line for connection,the applicant,owne�,or occupa�t or user of such premises shall be liable fw 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 properly owner shail be charged for the costs of the maintenance 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 mainte�ance of the sewer service line from the premises to the main induding debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wil{ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)