Meter Swap -.,t
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Request Number: 12314
Public Works Division
Service Request
Problem Address: 7501 Jackson Street Requested By: Gail Colon
Department: WATER Address: 7501 Jackson Street
Fridley,MN 55432
Problem/issue: INSTALL AMR METER Phone Number: 763-?84-9030
Scheduled Date: 2016-12-13 Scheduled Time: 10:30:00
13 -
ACTION NEEDED:Install AMR meter
Created by: Beth Kondrick Date Created: 2016-12-01
ACTION TAI�N:
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Status: In Progress Submitter Has Been �
Contacted
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Date Completed: Completed by:
1 �2 - 13 -' l�o
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City of Fridley
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Water Department
6431 University Avenue NE �j��5�1 �./ �!� --D�--
Fridley,MN 55432
763-572-3566
1/we �``�`� 1 ����1^ 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 ail interior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) �� I ����
Name: C�rtii � �a tV V�- Address ��� 1 �C�L1�dU+�`- S�- ,
Phone Number ���� 7 V l � v r>� Date ��c.."�1� `�� `�
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�Sianature ���.-� Witness Signature 'l�-
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OLD METER# V I� �� i I C}� v I�n�g��� 1
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OLD READING 1���� ��
NEW METER# ��I' �3 � �
NEW READING �
ERT# lSJ 8�� 1 LI 3 , �!�'
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or buifding for whkh the
application is made,the owner or contredor shall be required to obtain a permit for such connection,and shall pay a permR 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 wver
any connecting line until an inspection has been made and such connedion 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 connection has been made to the water sewice curb stop box or the sewer lead at the p�operty Rne or a water service lead has
been extended to the property line for con�ection,the appiicant,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 premises. If the property owaer
requests maintenance senrice or repairs be performed by the City,the property owner shail be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annualiy by an administrative poliry. It shall be the responsibility of the applipr�t,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing or
root cutting a�d to maintain the water service curb stop box for operability and at such height as will enwre that it remains above the fioished
grade of the land or property. (Ref 638,1156,1191)