Meter Swap _ Request Number: 12512
Public Works Divisian
Service Request
_ _ _ :_ ___ _ __ _.._ .
Problem Address: 7531 Lyric Ln Requested By: Jerome Meyer
Department: WA'IER Address: 7531 Lyric Ln
Fridley,MN 55432
Prohlem/Issue: INSTALL AMR METER Phone Number: 612-670-6367
Schedul e: 2Q1b-12-29� Scheduled"�me: 01:00:00
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ACTION NEEDED:Ins 1 AMR
Created by: Beth Kondrick Date Created: 2016-12-19
ACTION TAKEN:
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Status: In Progress Snbmitter Has Been r
Contacted
Date Completed: �� — � � -� ��(,? Completed by: '�
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City of Fridley �
Water Department ?� ` �l. �
, 6431 University Avenue NE
� Fridley,MN 55432 � ) J—5��'ij � � �,
763-572-3566
VWe hereby authorize the City of Fridiey andJor its employees to do what is necessary to
replace the water meter. i understand tbat the property owner is liable for the water iine from the main to the premise and all interior
plumbing. (Per City tode 402.06) i also hold the City of Pridley andjits emptoyees harmless for any damages that may occur while doing this
operation. 7his to incfude,but not limited to valves,piping,walis,ffoors or the curb stop hox and service line. In understand i am afso required
to obtain a permit prior to any work,if necessary.
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FINAL METER READING(old meter)
Name: ��.��ti1� �'`E'y��`� Address n� � ✓ � ���I l�' C�h,
Phone Number ��� � 7 L f �9 3��Date ��J �`-t.�� t��
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�Signature` `�'�?'"�'� � - Witness Signature ��
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OLD METER#___� �`' �` � � � �
�LD READIN6
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NEW METER# L`� � y U � � 7
NEW READING �
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SAPIITARY SEWER
ADMINISTRATION
jRef Ord No 113,454,565,566,629,63$,662,922,9$8,1144, 1156,1191)
4U2.5 PERMtT FEE
Prior to constructing or repair ot any wate�of sewer line con�ecting the existing municipal system and any house or buiiding for which the
appiication is made,the owner or comractor shall be required to obtain a permit for such connection,and shail pay a permit fee as provided in
Chapter li of ihis Cotle. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawfuf to cover
any connecting{ine untit 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 AND MAINTENANCE TO C014NECTfOAI
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 sen�ice lead has
been extended to the property line for connection,the appiicant,owner,or occupant or user of such premises shaii be liable fo�al!repairs
required to a►�y 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 shaft be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shail be the�esponsibility of the applicant,
ownef,occupant or user to perform standard maintenante 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 kvill ensure that it remains above the finished
grade of the tand or property. {Ref 638,1156,1191)