Meter Swap i
Request Number: 12324
Pubtic Works Division
Service Request
Problem Address: 7451 Jackson Street Requested By: Alfred Rejman
Department: WATER Address: 7451 Jackson Street
Fridley,MN 55432
Problemllssue: INSTALL AMR METER Phone Number: 763-783-9173
Scheduled Date: 2016-12-12 Scheduled 1yme: 10:00:00
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ACITON NEEDED:Install AMR
Created by: Beth Kondrick Date Created: 201 b-12-02
ACITON TAI�N:
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Status: In Progress Submitter Has Been �
Contacted `�
Date Completed: Completed by:
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City of Fridley � � r % ��
Water Department � ��'i
6431 University Avenue NE
Fridley, MN 55432 2
763-572-3566 J���1�'�`���v �
i/we hereby authorize the City of Fridley 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
plumbing. (Per City wde 402.06) I also hold the City of Fridley and/its employees harmless t'or any damages that may ocwr while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service tine. in understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER EADING(old meterj � � �� � � �
Name: � Address � `�i �lX�J V� �
Pfione Number �� � '��� � Date ��"' {� ^ l 10
�Signature � � Witness Signature � �_ ___ _ _ __
OLD METER# �� � " � � � �
OLD READtNG � v"1� �� t �
NEW METER# �� `� �2��
NEW READING lJ
ERT# �o ��(l D 1 6 �
FRIDLEY CITY CODE
CHAPTER 4Q2.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 municipaf system and arry house or building for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be not�ed. It shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the worlc incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE Tp CONNECTlON
After the initial connection has been made to the water service curb 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 applicant,owner,or occupant or user of such premises shali be liable for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the prernises. {f the property awner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance andjor
repairs,including necessary street repairs at a rate set annualiy by an administrative policy. it shall be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main induding debris clearing or
root cutti�g and to maintain the water service curb stop box for operebility and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
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