Meter Swap ` Request Number: 12986
Public works Division
Service Request
Problem Address: 7591 Lakeside Dr Requested By: Euge�
Department: WATER Addresa: 7591 Lakesi�Dr
Fridley,MN 55432
Problem/Iasue: INSTALL AMR METER Phone Number: 763-784-2415
Sc6eduled te: 2017- -26 � Scl�ednled 11me: 1 L:30:00
ACTION NEEDED:Install AMR
Created by: Beth Kondrick Date Cre�ed: 2017-01-20
ACTION TAI�N:
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Status: In Progess �bmitttr Has Been r,,
Co�uted
Dxte Completed: �-^���,� Completed by:
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LI/ate��eparte�ent � �
5431 t�niv�rsity Averaue NE � L: � � /�
� Fridley,MN 55432 �
� 763-572-3566 �l� � l �yyv—J�
�lUPe hereby authorize the�ity af Fridley and/or its employees to do what is necessary to
repiace the water meter. 1 vnderstand that�he property owner as liable for the water line from the main to the premise and all interior
piumbing. (Per C'rty code 402.06) i also hold the City ot Fridiey and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not Bimited to valves,piping,walis,floors or the curb stop box and service 1ine. In understand!am also require�
to obtain a permit prior to any�rorsc,if necessary.
FNYAL RAETER READING(old meter) _ �����
Name:�1�;��. Address / ,J 1 ' �—�t,l�-�Jll3� �J'1.
Phone Num ��'" / ��'� � �L, ��,� Date ) � � "� � 1
Signatur Witness Signature "'�
OLD METER# �� � �V ��
OLD READlNG � °� �'`�'
NEW METER# � � ' � �� ��
NEW READIIVG �
Eirr#_-Co SS�7 `�3 �-I � �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND S�NITARY SEWER
ADMINISTRATION
(Ref Ord�fo 113,464,565,566,629,638,662,922,988,1144,1156,1191j �
402.5 PERMI7 FEE
Prior to constructing or repair of any wafier of sewer line connecting the exisfing municipal system and arry house or buildi�for which the
appiication is made,the owner or contractor shall be required to obtain a permit for�ch connection,and sFiall pay a permi!fee as provided irr
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. it shail be untaarful to cover
any connecting line untii an inspection has been made and such connection and the woric inaderrt thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAlR5 AND MAINTEAIANCE TO CON111ECfION
After the initial connection has been made to ifie water service curb stop box or Che sewer lead at fihe property line or a water seroi�Iead has
been extended to the property line for connection,the appiicarrt,owner,or accupant or user of such premises shali be Itabk for all repairs
required to any water line and sewer lines necessary for connedion of the premises from the main to the premises. If the property owner
requests mai�#enance senrice or repairs be performed by the C'rty,the property owner shall be charged for Lhe cosCs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative poliry. It shati be the responsibility of the applicarrt,
owner,occupant or user to perform standard mair�tenance of the sewer service line from the premises to the main includir�g debris dearing or
root cutting and to mairrtain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grede of the land or property. (Ref 638,1156,1191J