Meter Swap . Request Number: 12330
Public Works Division
Service Request
Problem Address: 7401 Jackson Street Requested By: Pete 5chalwig
Department: WATER Address: 7401 Jackson Street
Fridley,MN 55432
Problem/Issue: INSTALL AMR METER Phone Number: 763-786-2196
Scheduled Date: 2016-12-12 5chednled 15me: 08:00:00
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ACTION NEEDED:lnstall AMR
Created by: Beth Kondrick Date Created: 2016-12-02
ACTION TAI�N:
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Status: In Progress Subm�itter Has Been �
Contacted
Date Completed: Completed by:
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City of Fridley S L'; � �� C�
Water Department
6431 University Avenue NE �3�c� _ S'"i��`T D���
Fridley, MN 55432
763-572-3566
i/we 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 owaer is liable for the water line from the main to the premise and all ir�terior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmiess for any damages that may occur while doing this
operation. This to include,but not limited to valves,pipi�g,walls,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) ���� �
Name:�` � � W � Address �� � � `�G`E�1(f��1(� ��
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Phone Number � `� JJ��b ^ ��(O Date �?� I�� f �
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xSignature Witness Signature
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OLD METER# L- � ��Z� S�
OLD READING � ��'�`.��O
NEW METER# � � � ` "�' 2""� �
NEW READING �
ERT# � � ��"'�
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FRIDLEY CITY GODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord 1Vo 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 conr+ecting the existing municipal 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 notified. It shall be unlawful to cover
any connecting line untii an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connedion has been made to the water service curb stop box or the sewer tead at the property line or a waier service lead has
been extended to the property line for connection,the appiicant,owner,or occupant or user of such premises shali be liabk for ali repalrs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. if the property own¢r
requests maintenance service cr repairs be performed by the City,the property owner shail be charged far the costs of the mairrtenance and/or
repairs,incfuding necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the appiicarrt,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main inctuding debris clearing or
root cutting and to maintain the water service curb stop box for operabifity and at such height as will ensure that it remains above the finished
grade of the land o�p�operty. (Ref 638,1156,1191)
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