Meter Swap � °
Request Number: 12774
Public Works Division
Service Request
Problem Address: 7371 Lyric Ln Requested By: James Lindman
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 786-8966
Scheduled Date: 2017-01 7 Scheduled 11me: 02:00:00
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ACIION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-01-09
ACITON TAI�N:
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Status: In Progress Submitter Has Been r
Contacted
Date Completed: �w ��� ` � ��� Completedby: ,�` �C��,,..---
: �
City of Fridley
Water Department
" 6431 University Avenue NE � � ( - �j����� 'J �
Fridley, MN 55432 f� �j ✓
763-572-3566 S� � � �` `�
I/we hereby authorize the City of F�idley and/or its employees to do what is necessary to
replace the water meter. l understand that the property awner is{iabte for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) i also hold the City of Pridley and/its employees harmless for any damages that may occur while doing this
operation. This to incfude,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) �'1 / � l..`9 ��- ^
Name:�t-t V��� � � Y� C,V�.i�� Address— f � I � Cr`�� l L L�t .
Phone Number� 1 ��= ` ��1 ���' Date t� ' t ` � 7
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�/ Signature - � " _.� 4 Witness Signature
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OLD METER# � � �' � � 3 1���
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OLD READING l � � �%� ��-�
NEW METER# ` � t � � �� �� �
NEW READING C.�
ERT# �� r�� �� 'f �"� F � ��
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 FEE
Prior to construding or repair of any water of sewer line connecting the existing municipal system and any house or building for which the
application is made,the owner or contractor shalf 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 connedion has been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
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 connection,the applicant,owner,or occupant or user of such premises shall be liable 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 owner
requests maintenance service or repairs be perFo�med by the City,the property owner shall be charged for the costs of the maintenance and/or
repairs,inciuding necessary street repairs at a rate set annuatly by an administrative policy. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service tine from the premises to the main including dehris ciearing or
root cutting and to maintain the water service curb stop box for operability end at such height as will ensure that it remains above the finished
grade of the land or property. (Ref fi38,1156,1191)