Meter Swap , �
Request Number: 12300
Public Works Division
Service Request
Problem Address: 73 I 1 Jackson Street Requested By: Charle Gagne
Department: WATER Address: 7311 Jackson Street
Fridley,MN 55432
Problem/Issue: INSTALL AMR METER Phone Number: 612-868-2843
hedul Date: 2016-12-02 �he�luled'lime: 09:00:00
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ACTION NEEDED:Install AMR meter .
Created by: Beth Kondrick Date Created: 2016-12-01
ACTION TAI�N:
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Status: 1n Progress Submitter Has Been �
Contacted
Date Completed: Completed by:
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City of Fridley
Water Department 3�— � �����
6431 University Avenue NE � �
Fridley, MN 55432 �� ( �
763-572-3566 �
1/we hereby authorize the City of Fridley 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 wde 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may ocwr while doing this
operation. This to inciude,but not limited to valves,piping,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.
FtNAL METER READiNG(old meter)
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Name• ��:"�'�-�^1�C l7 . �' � Address � � � � VQC�-Cy��
Phone Number � `"C�`v — � �� Date -
Signatu�e Witness Signature
OLD METER# � 4� �v �✓
OLD READING ���� � ��
NEW METER#_ �`I� I � �Q�,��
NEW READING w :
'� ERT# VJ��� 1��
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�� FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMfNiSTRATfON
(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 municipal system and any house or building for which the
application is made,the owner or contractor shail be required to obtain a permit for such connect�on,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 shail be notified. It shall be uniawful to cover
any connecting tine untii an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitabie connection.
402.06 REPAIRS AND MAINTENANCE�'O CONNECTION
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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 wnnection,the applicant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water line and sewer lines necessary for connection 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 the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annuaHy by an administrative poliry. It shall be the responsibility of the applicant,
owner,oaupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris ciearing or
root wtting and to maintain the water service curb stop box for operability and at such height as wiil ensure that it remairu above the flnished
g�ade of the land or property. (Ref 638,1156,1191) ' �.�