Meter Swap � " Request Number: 12615
Pubfic works Division
Service Request
_ _ _ _ _ __
Problem Address: 7350 Lyric Ln Requested By: John Miller
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-784-8459
Scheduled Date: 2016-12-30 Scheduled'I3me: 09:00:00
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ACTION NEEDED:Hasn't used the shut off valve since 1962. ,=
Created by: Wendy Hiatt Date Created: 2016-12-28
AC1'ION TAKEN:
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Status: In Progress Submitter Has Been r.
Contacted
Date Completed: Completed by:
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City of Fridley C, r., (
Water Department �l,� � ���
6431 University Avenue NE
, ' Fridiey,MN 55432 �I �—� ����v� ,
763-572-3566
�/we hereby authorixe 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 ail interior
piumbing. (Per City code 402.06� I also hold the City of Fridley and/its employees harmless for any damages tfiat may occur white 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: �.)�;ei N �t 11 L��c.`� � � � y ����, �. '
Address ��_C i' � � �N
Phone Number 7�;�� �7�`�' ��� { Date i, � �J ��`cj'
Signature ,`-i rGV L Z ,�'���ti--�_ ���... Witness Signature___,� � f
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OLD METER# � +�c��.�` `"i !� ��
OLD READING � Z";�� 1 ,
NEW METER# �i � i , �`C���I
NEW READING �--�
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,624,638,662,922,988,1144,1156,1191)
402.5 PERMiT FEE
Prior to construding or repair of any water of sewer line connecting the existing 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 connedion has been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover
any conneding line until an inspedion has been made and such connection and the work incident thereto has been appfoved 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 connection,the appiicant,owner,or occupant or user of such premises shaH be liabie for alf repairs
required to any water line and sewer lines necessary for connedion of the premises from the main to the premises. If the property owner
requests maintena�ce service or repairs be perFarmed by the City,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative poliry. It shali 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
grade of tfie land or property. (Ref 638,1156,1191)