Meter Swap - Request Number: 12581
Public works Division
Service Request
_ _ _
Problem Address: 7390 Lyric Ln Requested By: Kelly Bennett
Department: WATER Address: 7390 Lyric Ln
Fridley,MN 55432
Problem/Issue: INSTALL AMR METER Phone Number: 763-780-5705
Scheduled Date: 2016-12-29 Scheduled 15me: 08:00:00
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ACITON NEEDED:Install AMR
Created by: Beth Kondrick Date Created: 2016-12-27
ACITON TAI�N:
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, _. __...______..._.._. ___...__.....___......_....__....._...._.............___._._ _______. .__._.__ ____....._............
Status: In Progress Submitter Has Been r
Contacted
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Date Completed: � -;�"' j '— ��+ Completed by: � (�,��.�}�G'h1-�`` ,
r /
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City of Fridley
Water 0►epartment ��� � ��� �
6431 University Avenue NE
, � Fridley,MN 55432 �?� � �� ������ v�
� 763-572-3566
�/We hereby authorize the City of Pridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable 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 Fridley and/its 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 box and service 1ine. In understand I am also required
to obtain a permit prior to any work,if necessary.
FINAI METER READING(old meter) �� � � �`-� �
Name: �,L N f��/ IJ�' G1 I'��C ���.�--- Address ���� l�� 1�.��' � C (,�'�.
Phone Number �� � � r��:1 ��< �� Date �+�' — ��1� � �`
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� y , .
�, Signature - �r�� Witness Signature
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OLD METER# � J �� � ��
OLD READlP1G �� ������
NEW METER# �� I 1 ��� ���
NEW READING
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ERT# l� ��t-��� �`� �' � �� ,
FR{DLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANlTARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,538,662,922,988,1144, 1156,1191)
402.5 PERMiT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or bui�dis►g for which the
appfication is made,the owner or contractor shall be requi�ed to obtai�a permit for sucfi connection,and shalf 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 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 APID MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property�ine 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 liabte for a41 repairs
required to any water line and sewer lines necessary for connectio�of the premises from the main to tfie 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 and/or
repairs,includi�g necessary street repairs at a rate set annually by an administrative poliry. 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 ensure that it remains above the finished
g�ade of the land or property. {Ref 638,1156,1191)