Meter Swap � Request Number: 13015
Public works Division
Service Request
Problem Addtess: 7500 Lakeside Rd Requested By: Jim Svwedberg
Departme�: WA1ER ��.ess: 7500 Lakeside Rd
Fridley,MN 55432
Problero/Issue: INSTALL AMR METER Phone Number: 763-784-3290
Scheduled Date: 2017-01-30 Schednled 1lme: 10:30:00
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ACIION NEEDED:AMR
Created by: Beth Kondrick Date G�eated: 2017-01-33
ACTION T .
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St�ua: 1n Progress Submitter Has Bees r
Contacted
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Drte Completed: Completed by:
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Wate��epartrn�nt
5431 l9niversity Avereue 6VE ��� •,� �� � �
, Fris!ley,MN 55432 /
. � 753-572-3566 ��(�—���`���� �j
��TM�e hereby authorize the C"rty af Fridley and/or its emptoyees to do what is necessary to
replace the water meter. !understand that the property owner�s liable for the water line#rom the main to the premise and all iMerior
plumbing. (Per City cosle 402.06) i also hold the C'tty of Fridley and/its empioyees harmless#or any siamages that may ocwr while doing this
operation. This to include,but not limi#ed to valves,piping,walis,floors or the surb stop box and service iine. In understand 1 am also require�
to obtain a permit prior to any�eror�c,if necessary.
FIfl1AL METER REAQING(old met ) ���� �
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l�lame: , Address 6�I,�,,,
Phone Number� � ✓ � `�
Date
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Signature Witness Signature `_ .
OLD METER# ����J � � �
OLD READtNG__��� 3��
NEW METER#_���� 7 �Z
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NEW READtR1G O ' '"
t }�fC/ l ' .
ERT# � 1� �J i� � � � I
FRIDLEY CIIY CODE �
CHAPTER 402.WATER,STORM WATER AAID SANITARY SEWER
ADMINiSTRATiON
(Ref Ord NO 113,464,565,566,529,638,662,922,988,1144,II56,1191]
402.5 PERMIT FEE
Prior to construcCir�g or repair of eny water of sewer line connecting the existing municipaf system and arry house or 6uildi�for which the
application is made,the owner or cor�tractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided irr
Chapter 11 of this Code. After wch connection has bee�made,the Water and Sewer Department shall be notified. ft shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the work inaderrt fihereto has been approved by the C'ity as a
proper and suitabie connection. :
402.06 REPAiRS AND MAINTENANCE TO COAINECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at fihe pmpecty line os a water service fead fias
been extended to the property line for connection,the appiicarrt,owner,or accuparK or user o#such premises shalt be IiaWe for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the properCy owner
requests maintenance senrice or repairs be performed by the City,the property owner shall be charged for the costs of the mairKenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative poliry. It shatl be the responsbility of the applicarrt,
owner,occuparrt or user to perform standard mairrtenance of the sewer service li�e firom the premises to the main�ncluding debris clearing or
root cutting and to mairrtain the water service curb stop box for operability and at such height as wiii ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)