Meter Swap r
Request Number: 12352
Public Works Division
Service Request
Problem Address: 7450 Concerto Curve Requested By: Roger Hall
Departmeni: WATER �.e�s: 7450 Co�certo Gtiuve
Fridtay,MN SS432
Problem/Issne: INSTALL AMR METER Phone Nnmber: 763-786-4543
Schefided Date: 2016-12-0 Se6eduied'11me: 09:00:�
�`�t� � t
ACIION NEEDEU:Install AMR
CreAted by: Beth Ko�ick Date Crested: 2016�12-OS
ACTTON TAKEN:
�-v+s�v.�\-e� �R �
5tatus: In Progress S�bmltter H�a Been �.,
CaM�ted
Dxte Completed: � 2, — � � `(Q Completed by: .."'�' .-7 .�-
.s�. �'�''� .tp"�
� � ------.
� '_.....-
City of Fridley � �,,��� ��'��
Water Department
� � 6431 University.Avenue NE �}
Fridley,MN 55432 �C��� '���`'77C)��
763-572-3566
�/we ��'��'1`�� hereby authorize the City of Frediey 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 iMerior
plumbing. (Per Crty code 402.06) I aiso 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.
FINAL METER READING(old meter) � 1 �� � �`�
Name: RQq'�-W^ ���� Address � `15v e..on�;e.r�v tLtV'V�
Phone Numb /�3� / �� ' � �/Date 1� — �'—' 1�
r�...r
Signature Witness Signature
OLD MEfER# �5� ��� 8�
OLD READING Z 1 U� _1 I�
NEW METER# �� �I � � J ��
NEW READING �
ERT# � � � v � � ��
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 arry house or building for whkh the
appiication is made,the owner or cor�tractor shail be required to obtain a permit for such connedion,and shali pay a permlt 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 cover
any con�ecting line until an inspection has been made and such wnnection and the work inadent thereto has been approved by the City as a
proper and witabie connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service 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 applicaM,owner,or occupant or user aF wch 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 ow�er
requests mair�tenance service or repairs be performed by the City,the property owner shall 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 applicaM,
owner,occupant or user to perform standard maiMenance of the sewer service line from the premises to the main including debris ciearing or
root cutting and to maintain the water service curb stop box for operability and at wch height as wili ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)