Meter Swap � Request Number: 12799
Public Works Division
Service Request
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Problem Address: 7401 Lyric Ln Requested By: Mike Miller
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-913-9782
Schedule�Date: 2017- 1-13 Scheduled Time: 08:00:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-01-09
ACTION TAI�N:
Status: In Progress 5ubmitter Has Been r
Contacted
Date Completed: Completed by:
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City of Fridley �
Water Department � I � �� `�
6431 University Avenue NE � �
� Fridley, MN 55432 ��i���,,�j
763-572-3566 '�1\�
1/we hereby authorize the City of Fridley andJor 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 aN interior
plumbing. (Per City code 402.06� I also hold the City of Fridley andjits employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,wal4s,fioors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINA4 METER READING(old meterJ � � �- � � � `
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Name: �\ � � �\ �``�v Address �� L�� � �` �lr�i � � 4��
Phone Plumber ���� _�,`�^ ���[—Date ` _ ` � � `
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�' Signature ��/��/'�'�l� �'�<��'"` WitnessSignature �"
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OLD METER# � ��' ` ``" -''
OLD READING � .��� � S ,�i
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NEW METER# � � � �r-��L---C
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NEW READING � �
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINlSTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988, 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 for which the
appiication is made,the owner or contractor shall 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 connection has been made,the Water and Sewer Department shall be notified. It shal!be unlawful ta 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 p�operty 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 liab{e 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 property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance andJor
repairs,including necessary street repairs at a rate set annually by an admi�istrative poliry. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer senrice line from the premises to the main including debris clearing or
root cutting and to maintain the water service curb stop box for operabitity and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)