Meter Swap �� Request Number: 12491
Public Works Division
Service Request
_ _ _
Problem Address: 7589 Lyric Ln Requested By: Steven Aaen
Department: WA'IER Address: 7589 Lyric Ln
Fridley,MN 55432
Problem/Issue: INSTALL AMR METER Phone Number: 763-780-9866
5ched ed�ate: 2016-12-28 Scheduled 1ime: 02:00:00
� _ �
ACTION NEEDED:Install AMR
Created by: Beth Kondrick Date Created: 2016-12-16
ACTION TA1�N:
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Status: In Progress Submitter Has Been r
Contacted
Date Completed: Completed by:
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f^r��
City of Fridley ��,
� Water Department . � � � � �
, 6431 University Avenue NE
Fridley, MN 55432 `� , ��S��y�.' �U�--
763-572-3566
t/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 liable for the water line f�om 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 co valves,piping,walis,floors or the curb stop box and service line. in understand i am aiso required
to obtain a permit prior to any work.if necessary.
FINAL METER READING(old meter) �� �� ���
�--� .��,, (� _-� 5°9 ��I��� � `
Name: 7 E fi\�t�4� Address �> N
Phone Numbe� ��7 "���'�+ " `l�p Date " , ��
� ''�G�'l/� /`� � L i-'�--�. ,
Signature ,� , L� ('� Witness Signature_ �f�
OLD METER# � ����V`C;�
OLD READING__ . )��� � 1�
NEW METER# �� 1`� �Y����
NEW READING �
ERT# �(���� �� p�,�
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 and any house or bui�ding for which the
app{ication is made,the owner or corrtractor shail 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 shaN be notified. it sfiail be unlawful to cover
any connecting line untii an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitabie connection.
402.06 REPAIRS AND MAINTENANCE TO C0111NECTION
After the initial connection has been made to the water ser�ice curb stop box or the sewer lead at the property line or a water service lead has
been extended to the p�operty line for connection,the appiicant,owner,or occupant or user af such premises shaii be iiabie 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 performed by the City,the property owner shall be charged for the costs of the maintenance and/or
repairs,inc{uding necessary street repairs at a rate set annualiy 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 fram the premises to the main inctuding 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#he land or property. (Ref 638,1156,1191)