Meter Swap t Request Number: 12516
Public works Divisian
Service Request
Problem Address: ?331 Jackson St Requested By: Kathy Busch
?331 lackson St
Department: WATER Addreaa: Fridley,MN 55432
Problem/I�sue: INSTALL AMR METER Phone Number: 763-783-A426
Scheduled Date: 2017-01-OS 5c6eduled 11�: 07:00:00
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ACTiON NEEDED:Install AMR
Cre�ted by: Beth Kondrick Date Crested: 2016-12-19
ACTION TAKLN:
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Stntus: 1n Progcess 5ebmltter A�u Been �,
Contscted
Dnte Completed: �-- �� '�� Complettd by: .
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City of Fridiey h � � ��
Water Department �V
- 6431 University Avenue NE
� Fridley,MN 55432 � ���5) l��C(���--
763-572-3566
IJwe hereby authorize the City of Fridiey 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 irtterior
p{umbing. (Per City code 402.06) 1 also hold the C'�ty af Fridley andjits employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,wa{is,ffoors or the curh stap boz and service line. fn understand t am also required
to obtain a permit prior to any worh,if necessary.
���l./ t �,,C,�
FtNAL METER READING(old meter)
Name: 1'�&,�'"�-1 �i�.5t...� Address ! 3�) �C�.C.���t>1�- �.
Phone Number ��� '- 7��"6�{2-�O p� �"'-�� ` �
(�Signature �"''� �� Witness Signature '�
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OLD METER# `�'yA`��'"� �,,
OLD READING `✓�� - G��
NEW METER# � 1 � � �� ��
NEW READING �
ERT# �� V� � j � �
FRiDLEY CfTY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINIS7RATION
(Ref Ord No 113,464,565,566.529,638,662,922,988,1144,1156,1191)
402.5 PERMiT FEE
Prior to constructing c�repair of any water of sewer line connecting the existing municipal system a�d arry house or building for which the
application is made,the owner or corrtractor shall be required to obtain a permit for such connedion,a�d shail pay a permit fee as provided irr
Chapter 11 of this Code. After wch connection has been mede,the Water and Sewer Department shalt be notified. It shalf be uniarvfui to coaer
any connecting line until an inspection has been made and such conneccion and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENAf1fCE TO CONNECTION
After the initiai connettion has been made to the water senrtce wrb stop box or the sewer lead at the property 4ine or a water service lead has
bee�e�ctended to the property line for co�nection,the applicar�t,owner,or occupant or user of such premises shaii be tiabie for all repairs
required to any water line and sewer lines necessary for con�ection of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for tfie costs of the mairKenance andfor
repairs,including necessary street repairs at a rate set annually by an administrative policy, it shaii be the responsibitity of the applicaM,
owner,occupant or user to perform standard maintenance of the sewer service li�e from the premises to the main includir�g debris clearing or
raot cutti�and to maintain the water service curb stop box for operability and at such height as wiil ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)