Meter Swap � Request Number: 12400
Public Works Division
Service Request
Problem Address: 7585 Jackson St Requested By: Sy Sou
Departmeut: _ �VA1ER A�ddress: No address provided
Problem/7acsue: INSTALL AMR METER Phone Number: 612-203-5290
Scheduled D�te• 2016-12-1 Schedaled 11me: 11:30:00
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ACIION NEEDED:AMR
Created by: Wendy Hiatt 1?�te Createdz 2016-12-08
ACTION TAI�N:
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Status: In Progress Submitter Iiu Been r,
Contacted
Dute Completed: Completed by:
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City of Fridley �� � � ��
Water Department
6431 University.Avenue NE
� Fridley,MN 55432
763-572-3566 ?j�—��'�"���`��
t/we hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. t understand that the properly owner is liable for the water line from the main to the premise and ait ir�terior
plumbing. (Per City code 402.06) 1 also hold the City af Fridley and(its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,watts,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any wortc,if necessary.
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FIPIAL METER READING(old meter) � �1C� 'C� �� ���`���~
Name: Addres ��J���� t� �
Phone Number�10 (Z ^�� Date_L�� '(._-~ '� J
�Signature �tness Signature
OLD METER#__U-1 1� 1 �
OLD READING ��� r0 ���
NEWMETER# �� �"I E�Z� O
NEW READiNG �
ERTt� � ��� O t (, �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINiSTRATiON
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipai system and anY house or building for which the
appfication is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provkled in
Chapter 11 of this Code. After such co�nection has been made,the Water and Sewer Department shalt be notified. tt shail be unlawful to cover
any wnnecting line until an ir�spection has been made and such connection and the work inciderrt thereto has been approved by the City as a
proper and suit�bfe connection.
402.06 REPAlRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water serotce curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property fine for connection,the applicarit,owner,or occupant or user of wch premtses shall be liabie for aU repa(rs
required to any water line and sewer lines necessary for connection of the premises from tbe main to the premises. ff the property owner
requests maintenance service or repairs he performed by the City,the property owner shali be charged fior the costs of the mairrtenance and/or
cepairs,including necessary street repairs at a rate set annually by an administrative poliry. It shatl be the responsibility of the appiicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main includirig deb�is dearing or
root cutting and to maintaie the water serv+ce curb stop box for operability and at such height as wiif ensure that it remains above the finished
grade of the land or property. {Ref 638,1156,1191)