Meter Swap ,.� e
Request Number: 12547
Public Works Division
Service Request
Problem Address: 7340 Lyric Ln Requested By: Todd Petterson
Department: WATER Address: 7340 Lyric Ln
Fridley,MN 55432
Problem/Issue: INSTALL AMR METER Phone Number: 612-928-5949
Scheduled Date: 2016-12-27 Scheduled 1ime: 11:30:00
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ACTION NEEDED:Install AMR
Created by: Beth Kondrick Date Created: 2016-12-22
ACTION TAI�N:
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Status: in Progress Submitter Has Been r
Contacted
Date Completed: j;�.— �� _ )� Completed by:
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` ��� City of Fridley �j � � ��� �� � � ��"'
Water Department
6431 University Avenue NE
Fridley,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 liable for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) 1 alsa hold the City of Fridley and/iis employees harm{ess for any damages that may occur whiie doing this
operation. This to include,but not limited to valves,piping,walls,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.
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FINAL METER READING(old meterJ
Name• 1 ����" �U7't"�,C"`�x.��- Address j''��.,1� �,� _ C� j � -
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Phone Number ��� � �'V �� � � Date_
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�Signature �✓' Witness Signature
OLD METER# t � I� �' � ( `�'
OLD READING
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NEW METER# l� t I �•�� ✓ �
NEW READING �'
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FRIDLEY CITY CODE
CMAPTER 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 construding or repair of any water of sewer line connecting the existing municipai 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
Cfiapter 11 of this Code. After such connedion 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 wark incident thereto has been approved by the City as a
proper and suitable connedion.
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 connection,the applicant,owner,or accupant or user of such premises shaf{be liabie for alf 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 cherged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. {t 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 wiii ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)