Meter Swap Request Number: 12331
Public Works Division
Service Request
Problem Address: 7458 Concerto Curve Requested By: Linda Staum
Department: WATER Address: 7458 Cox�erto Curve
Fridley,MN 55432
Problem/Issue: INSTALL AMR METER Phone Number: 612-715-2280
Scheduled Date: 2016-12-16 Schednl ed'15 me: 09:00:00
� • U
f �
ACTION NEEDED:Install AMR
Created bys Beth Kondrick Date Created: 2016-12-02
ACTION TAI�N:
� � :� ��
.......__.........�... ...... ::.�...��...............____...........�...._...__............____._�........._._.._____.........._._.._.._._.._.._.._.._...._.___.___..._.__._.._______�.
��� � -
..................._......._.................._.._._......._......._........._.._.........................._.._._._.............__._.___..............___........_........_........__.__....................__.._.....................__....._._.�..___..._.�.._.._....._._..._....__.... ,�> �;r
:,�
Status: In Progress Submitter Aas Been �
Contacted
Date Completed: Completed by: ���~
i �Z -� 1 � �- I 6
City of Fridley f � I "" � �
Water Department �����,��v .�-�
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
Ijwe hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace 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. (Pe�City code 402.06) 1 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,walis,floors or the wrb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old mete�) � � � � I �
Name: ��4 1'�l��C�, ��wJ� Address ���`V I�CJ h�� l J
�" �- ��'
Pfione Plumber`� ^ � —���! Date '+�'
.:�5ignature Witness Stgnature
1�
OLD METER# �b �� �V O
OLD READiNG c"� �� � 1 �
NEW METER# �� ���� � 1
NEW READING �
ERT# �� �� � ���
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 wnnecting the existing municipal system and arry ha�se or buiiding for which the
application is made,the owner or contractor shall be required to obtain a permit for such cennedtoe,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�ver
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 CONNECi'ION
After the initial connedion has been made to the water senrice wrb 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 appiicant,owner,or occupant or user of such premises shall be liable for all repairs
requirei!to any water line and sewer lines necessary for wnnection of the premises from the main to the premises. If the property ow�er
requests maintenance service or repairs 6e performed by the City,the property owner shafl be charged for the costs of the maintenance andjor
repairs,including necessary street repairs at a rate set annual�y by an administrative policy. 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 induding 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 finished
grade of the land or property. (Ref 638,1156,1191)
� �
.�� .
w�•-�