Meter Swap .
' Request Number: 12669
Public Works Division
Service Request
ProWem Address: 7596 Jaekson St Requested By: Asliley
Dep�rt�ent: WATER Addreas: 7596 Jackson St
Fric�ey,MN SS433
ProMem/iaa�e: INSTALL AMR METER P6oee Number: 763-639-16�4
Se�wtduled Date: 2017-01-OS Schedaled 11�: OS:00:00
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ACTION NEEDED:Install AMR
Created by: Beth Kondrick Date CreMed: 2016-12-30
AClTON TAKCN:
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Stataa: In Progress Snbmitter Has Been r,
Coutacted
Date Completed: i � �,w �� Completed by:
City of Fridley
Water Department � (� ���
6431 University Avenue NE
'r Fridley,MN 55432 U3
-��� -51�=a-�i�-.
. 763-572-3566
UWe hereby authorize the City of F�idley 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 interior
plumbing. (Per City code 402.06) 1 a(so hold the City of Fridley andrts employees harmtess for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,waiis,floors or the curb 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 meter) � �� ` ��O
Name• '�� Address I� l � �Ztiti'�'��� J�-
Phone Nu ber �� '��' V '� ! l Date �� �`r' 1
o�
Signature Witness Signature r_
OLD METER#_� I� , ��
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OLD READING ���� ���
NEW METER#_ �� � i lJ 7 � ,
NEW READiNG O
ERT# � ��t7 Q �o:I Cp
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINtSTRATION
(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 connecti�g the existing municipai system and arry house or buiWing for whid�the
appiication is made,the owner or contractor shall be required to obtain a permit for such connect(on,and shall pay a permit fee as provided in�
Chapter 11 of this Code. Afte�such connection has been made,the Water and Sewer Department shali be notified. It shail be unlawfui to cover
any connecting line urrtil an inspection has been made and such connection and the work inadent thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENqNCE 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 se�vkx leat!haa
been extended to the property line for connection,the applicarit,owner,or occupar�t or user of such premises shall be liabie fa�all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If tfie property owner
requests maintenance service or repairs be performed by the C'�ty,the property owner shali be charged for the costs of the maiMenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poficy. it shalt be the responsibility of the applicaM,
owner,occupant or user to perform 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 will errsure that it remains above the Snished
grade of the land or property. (Ref 638,1156,1191)