Meter Swap Request Number: 12374
Pubtic Works Division
Service Request
Problem Address: 7444 Concerto Curve Requested By: Stepl�anie
Department: WA'IER Address; ?444 Co�certo Cur�e
Fridley,MN 55432
Problemllssue: INSTALL AMR METER Phone Namber: 763-984-2251
Scheduled Date: 2016-12-16 Stheduled 11m�: 08:30:00
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Ae'IION NEEDED:lnstall AMR
Creat�d by: Beth I�ondrick U�Cre�ted: 2016-12.07
ACTION TAI�N:
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Statas: In Progress ��her HAa Been �.,
Contscted
Date ComQleted: ���- 1 �-- , �(J Com�pleted by:
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, City of Fridley � � � r �C'�
Water Department �6
� 6431 University.Avenue NE
Fridley, MN 55432 �C��-� -�Q'�j � 3��j3
763-572-3566
�/�e ��'�� fiereby authorize the�ty of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that tfie 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 che City of Fridley and/its employees harmless for any damages that may ocwr while doing this
operation. This to inciude,but not limited to valves,piping,walls,floors or the curb stop hox and service line. In unclerstand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READiNG(old meter) ���7 a� �
Name: �����- z�� Address _ ���� 1 �I�L� �1�
1 c� ?�� — �.�,5 ► (2 � t � —t �
Phone Numk�er � 3 ! Date
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Signature L='l/{„r 1�(y" . ���"r\ WitnessSignature_,_��'1����
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OLD METER# � 1 �� � a� I
OLD READING 7 d �� �"��
NfW METER# �Z�'� �3 � �
NEW READING U
ERT# � gg� ! � � �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,63$,662,92Z,988,1144,1156,1191j
402.5 PERM17 FEE
Prior to constructing or repair of any watec of sewer line conr�ecting the existing municipal system and arry house or building for which the
applicatiaa is made,the owner ar corrtredor shaft be required to obtain a permit for such connectipn,and shall pay a pertnit fee as provided in
Chapter 11 of this Code. After wch connection has been made,the Water and Sewer Departmerit shall be notified. it shail be unlawful to wver
arry conneding fine untii an inspection has been made and such connection and the worlc inadent thereto has been approved by the City as a
proper and suitable connedion.
402.06 REPAIRS AND MAINTENANCE TO CONNECf10N
After the initial connection has been made to the water service curb stop box or the sewer lead at the propertY li�or a water service lead fias
been extended to the property line for connection,the applicant,owner,or occupant os user of such premises shaft be liabte for aii repairs
required to any water Itne and sewer lines necessary for connection of the premises fram the main to the premises. If the property owner
requests maintenance service or repairs be performed by tfie City,the property owner shall be charged for the costs of ffie mai�enance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative policy. It shall be the responsibility of the applicaat,
owner,occupant or user to perform standard mairitenance of the sewer service line from the premises to the main iocluding debris ctearing or
root cutting and to maintain the water service curb stop box for operebility and at such height as will ensure that it remains abawe the finished
grade of the land or property. (Ref 638,1156,1191)