Meter Swap � Request Number: 12519
Public Works Division
Service Request
Problem Addresa: 7663 Jackson St Requested By: Ahmed Osman
Departmeut: WA'IER Addresss 7663 7�kson St
Fridley,MN 55432
Probleml�ssne: INSTALL AMR ME1ER Phone Number:
3cheduled Date: 2016-12-20 ` `� Schednled Tfine: 08:00:00
T�
ACIION NEEDED:Install AMR
Created by: Beth Kondrick Date Created: 2016-12-19
ACTION TAKENc
.____._.......��.s��:� l�e � _`A�''"�,�._ ..._....._
Statue: 1n Progress �nbmittsr Has Bcen �.,
Contacted
Date Completed: lZ�. 2� _ } ( „ Completed by:
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Ciiy of Fridley ��� � ( C���
Water Department ��
. 6431 University Avenue NE � ��
, Fridley, MN 55432 �j� ��� ��
763-572-3566
I/we �w�.� � L���i�y-c-,�, 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 i�terior
piumbing. (Per C'�ty 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 fimited 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(oid meter) ��/� l � ✓"
Name: f����^''e� a7�"�'uc,h Address —� �Q�7 �Gu-�Sx�ct �"
Phone Number p�e `Z �2 U — �,�
�g��� Witness5ignature ��l�G"�
OLD METER# ` � � 4� ��V
OLD READING_1� / ! ���
NEW METER# � t �� S� �S
NEW READiNG �
ERT# ����/ � 1 � U
FRiDLEY CITY CODE
CHAPTER 402.WATER,STORM WA'TER AND SANITARY SEWER
ADMiN1STRATi0111
(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 buildir�for whlch the
application is made,the owner or coMractor shall be required to obtai�a permit for such connection,and shall pay a permit fee as provided irr
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. R shall be unlawful to cover
any connecting line untii an inspection has been made and such connection and the work inciderrt thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the tnitial 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 appiicant,owner,or accupant or user of wch premises shall be liabie for all repairs
required to any water line and sewer lir►es�ecessary for connection of the premises from the main to the premises. If#�e property owner
requests mair�tenance service or repairs be performed by the City,the property owner shall be d�arged for the costs of the malntenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shafl be the responsibility of the applicant,
owner,occupant or user to perForm standard mairitenance of the sewer senrice 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 finished
grade of the land or property. (Ref 638,1156,1191j