Meter Swap • Request Number: 12356
Public Works Division
Service Request
Problem Address: 7478 Jackson St Requested By: Wendy Campion
Depu-tme�: WA1ER Addrees: No address provided
Pro�em/Issue: INSTALL AMR METER Pho�e Nwaber: 763-242-9788
ScLednled Date: 2016-12-15 Sc�edulcd TIme: 02:00:00
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AG7ION NEEDED: � � �
Created by: Wendy Hiatt I9ate Cro�e�: 2016-12-OS
AG'TiON TAI�N:
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Statna: In rro�ess sabmitter H�Bee� C,
Co�acted
D�Ne Completed: Compteted by:
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����� City of Fridley
, � � Water Department
, 6431 University.Avenue NE
, Fridley, MN 55432 ����—S � �' � ����
763-572-3566
I/we hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. {understand tfiat the property owner is tiable for the water line from the main to the premise and ail iMerior
piumbing. (Per C"rty code 402.06) I also hold the City of Fridley and/iu employees harmiess 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) � � � � ��
Name: �'1i fL�� "�`,*���v� Address � .1�
Phone Number /�[L,�����_� 7� Date ��� 1�f�
..-------~
Signature ness Signature
OLD METER# � �I� S
OLD READING_ �� � 1 7 �
NEW METER# '�� 1 �2 g b
NEW READING�
ERT# ���,�� O _
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 PEE
Prior to constructing or repair of any water of sewer line connecting the existing municipai rystem and any house or building for which the
application is made,the owner or contractor shatl 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 shali be notified. It shalt be unlawfut to cover
any conneding line until an inspection has been made and such connection a�d the work incident thereto has bee�approved by the City as a
prope�and suitabie connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the wate�service curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property iine fior connection,the applicarrt,owner,or occupant or user of such premises shail be liabie 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 awner
requests maintena�ce 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 annually by an administrative poliry. It shall 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 i�dudi�deluis 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 ttnished
g�ade of the land or property. {Ref 638,1156,1191)