Meter Swap � Request Number: 12540
Public Works Division
Service Request
Problem Address: 7441 Lyric Ln Requested By: Ryan Peterson
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 651-775-1314
Schedule ate: 201b- -23 Scheduled'I3me: O1:30:00
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ACTION NEEDED:AMIt
Created by: Wendy Hiatt Date Created: 2016-12-21
ACTION TAI�N:
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Status: In Progress Submitter Has Been r
Contacted
Date Completed: �,� " Z� �-- ��1 Completed by: �
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City of Fridley �
Water Department L� � � �
6431 University Avenue NE ,
` Fridley,MN 55432 � � �—��1��`���
' 763-572-3566
�/we ��/�� �����U��` hereby authorize the City of Fridley and/or its employees to do wfiat 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 a�d all interior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may occur while doi�g this
operation. This to include,but not timited to valves,piping,walis,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 READIPIG(old meter) '� Cl�� ✓ (./��
Name: � CL�"� ���("'�-i�`j�.%ir� ""� f '�a� + • `� ,�,
� Address_ _ ` ��I Y r l L `'" � '
Phone Number ����� ( '�� ^ 6 J 1� Date ��— �� — l�
� M. . � .----`
J�Signature �' % .�' -•�.-.�-�w..—, �- Witness Signature
OLD METER# _ � 1 • I c� U1 t� L �_
OLD READING � t � C� � c�
NEW METER# �� 1 1 � l✓7 � l
NEW READING C'
ERT# � �� � l � ! �
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 constructing or repair of any water of sewer line connecting the existing municipal system a�d any house or building for which tfie
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 notified. It shali be unlawful to cove�
any connecting line unti)an inspedion 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 MAIfVTENAAICE TO CONNECTION
After the initial connectio�has been made to the water service curb stop box or the sewer lead at the property iine or a water service lead has
been e�ctended to the property line for connection,the applicant,awner,or occupant or user of such premises shaii be tiabie for ail repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If tfie property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mai�tenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy, it shail be the resQonsihitity of the applica�t,
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 ensure that it remains above the finished
grade of#fie land or property. (Ref 638,1156,1191)