Meter Swap � ' Request Number: 12499
Public Works Division
Service Request
_ _ __ _ _ _ _ _ _ _. __ _
Problem Address: 7563 Lyric Ln Requested By: Dwight Beglau
Department; WATER Address: 7563 Lyric Ln
Fridley,MN 55432
Problem/Lcsue: INSTALL AMR METER Pho�e Number: 763-784-9101
Scheduled Date: 2016-12-22 Scheduled Time: 02:00:00
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ACTTON NEEDED:lnstall AMR
Created by: Beth Kondrick Date Created: 2016-12-16
ACTION TAKEN: � � y��� �. �
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Status: In Progess Submitter Has Been r.
Contacted
Date Compteted: Completed by:
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City of Fridiey S � ( � �`-�
Water Department �
� ` 6431 University Avenue NE "�j � � —��57��'j c'� i
' Fridiey,MN 55432
763-572-3566
�/we hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. I understand that the property owner is liabte for the water tine from the main to the premise and all interior
plumbing. (Per City code 402.06) I also hold the C'ity of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited tv valves,piping.walls,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READlNG 4old meter) �� � � � v o
�� �' t� V .� ' . .
Name: � 4- � � ILl" � Address �f� J � �' r� 1�.'�1
Phone N er� ' � ~ � Date � � ���� � ( `
�.� , � �r,�,_......-..-,..---`_""._�...._._.....�_.
�Signature � ^��1 Witness Signature
OLD METER# � � I � 1 �� �
OLD READING �' '�f � �
NEW METER# _ �f� � 1 �.L'��
NEW READING V
ERT# � � ��
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,488,1144, 2156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer iine connecting the existing municipal system and any house or building for which the
applicaTion 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 noti�ed. 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 connedion,the applicant,owner,or occupant or user of such premises shall be(iable for a((repairs
required to any water line and sewer tines necessary for connection of the premises from the main to the premises. If 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 administrative policy. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensu�e that it rernains above the finished
grade of the tand or property. (Ref 638,1156,1191)