Meter Swap Request Number: 12389
` Public Works Division
Service Request
Problem Address: 7699 Jackson St Requested By: James Kelly
Department: WA'IER Address: 7699 Jacicson St
Fridley,MN SS432
Problem/Iasue: INSTALL AMR MET�R Phoae Nnmber: 763-784-4044
Scheduled Date: 2016-12-15 Sc�duled T1me: 11:30:00
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ACTION NEEDED:Install AMR
Created by: Beth Ko�rick Date C�estted: 2016-12-08
ACIION TAI�N:
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Statu.tc: In Pregress Snbmitter Has Been r
Co�ted
DAte Completed: `L .� �� -�'� � Completed by:
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City of Fridley '� �
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Water Department
6431 University.Avenue NE J�����y J�U�
, Fridley,MN 55432 �
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763-572-3566
�/We �a'�� �Q'���% hereby authorize the City of Fridley and/or its empioyees to do what is necessary to
replace the water meter. I understand t at the property owner is liable far the water line from the main to the premise and ali interior
plumbing. (Per City code 402.06) I aiso hold the C'ity of Fridley and/its employees harmless for any damages that may occur 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.
FINAL METER READtNG(oid meter) ��� `� " � � �
Name: ���5 1Z.�1��! Address__ �� ` 1 ��-c�1�SC4tr� �
Phone Number �D� " �P � ` l� I� Date_��'— �� � `�
��Signature� �`�- /��� VY'ttness Signature v —
OLD METER#__ � O I � `Q V � �
O�D READtNG �� � � 1 t C�
NEW METER# � � i 1 g a �3 I
NEW READING �
ERT# �9 � V � d� �J 5
FRIDI.EY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMIN{S1'RATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to construding or repair of any water of sewer line connecting the existing municipal system and arry house or buiiding for which the
epplication 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 Wate�and Sewer Department shall be notified. 4t shall be unlavafut to cover
any connecting ilne until 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 CONAIECi'IOTI
After the initial connection has been made to the water service wrb 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 appiicant,owner,or occupant or user af wch premises shall be liable for all repairs
required to any water{ine and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requests mair�tenance service or repairs be performed by the City,the properly owner shall be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shali be the responsibility of the applicant,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the�nished
grade of the land or property. {Ref 638,1156,1191)