Meter Swap Request Number: 12552
Public Works Division
Service Request
Problem Address: 7527 Lyric Ln Requested By: Pat Lipa
Department: WATER Address: 7527 Lyric Ln
Fridley,MN 55432
Problem/Issue: INSTALL AMR METER Phone Number: 763-786-2577
ScheduledDate: 2017-01-10 ScheduledTime: ]0:00:00
�I;'�'� c� � � , .
ACTION NEEDED:Install AMR
Created by: Beth Kondrick Date Created: 2016-12-22
ACTION TAI�N: *
.................._.. •
.
1 �'� �;_�
� ................. .................... ............... ............................... ... ................................................................... ...........
.......... ............ .... ...... ......... ....��............ .... .................................... .
..................... ................... ................................................................... . ....... ............. .................. ........ . ..................................................... ...................... .. ................ .. .................... ..........
. ... .................... ........................................................................................... ..................... ... . ..................... .............. ................... ............. ........................ ...............................................................................
.. ........ .............. .. . ....... .......................... ........................ .................. . . . ............. ... . .. .. .................... ............. ................................... ...................... .................... . .............
....... ... .............................. .................. .................................. . .................... .. ........................................... ............................. . ................... .................................................................................................
......... ... .............. . ........................................................ .......................... ............... ............................. ....... . .................. ..................................................................................................................
Status: In Progress Submitter Has Been r
Contacted
�
Date Compieted: Completed by:
�! �� ^ r � �^ �
� �
�
City of Fridley ��� ,r ���---��Q , O �
= Water Department
6431 University Avenue NE
Fridley,MN 55432 � ����
763-572-3566 �
UWe fiereby authorize the City of Fridley and/or its empioyees to do what is necessary to
replace the water meter. I understand that the property owner is{iab{e for the water line from the main to the premise and ail interior
plumbing. {Per City code 402.06} I aiso hold the City of Fridfey andjits employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop boz and service line. In understand 1 am aiso required
co obtain a permit prior to any work,if necessary.
FINAL ME R R DIAfG(old meterJ ��� � � `
� n «
Name: � �� ������L t Address ���� �����Y �L' �.� F \
7�',`���� "�5�1"� ��- � �' " 1'�
Phone Number '�- ''� Date
r,...., ,
�Signature 4- �t-� ,�.,�,,�'� `" Witness Signature �
�� '�1
OLD METER# I �`�� ` �� '�
OLD READING ` 1� �� lJ
NEW METER# �� �� �`.c'� � C�
NEW READING l�'
ERT# `0C� 1' �� 1,,� � 1�
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,624,638,662,922,9$8,1144, 1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipai system and any house or building far which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shatl pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It sfiall be unlawfui to cover
any connecting line until an inspection has been made and such connectioa and the work incident thereto has been approved by the City as a
proper and suitabie connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTIOP{
After the initial 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 conneciion,the appiicant,owner,or occupant or user of such premises shall be tiable for all repairs
required to any water fine and sewer lines necessary for connection of the premises from tfie main to the premises. If the property owner
requests mai�tenance service or repairs be performed by the City,the property ow�er shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annuatiy by an administrative policy. It shail be the responsibi{ity of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main includi�g debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wili ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)