Meter Swap �
' Request Number: 12487
Public Works Division
Service Request
__ _ _ _ _ _ _ _ __ __ _
Problem Address: 7583 Lyric Ln Requested By: Phillp Kitsey
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Nwnber: 763-780-3486
Scheduled Date• 2016-12-2 5cheduled'Itme: 09:00:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2016-12-16
ACTION TAI�N:
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Status: In Progress 5ubmitter Has Been r
Contacted
Date Completed: � ,� _ '���„ J�,, Completed by: rl�}�/'��__-
t , ld����
City of Fridley ��� � ��(,,�
Water Department
. 6431 UniversityAvenue NE � ��j���--
, Fridley, MN 55432 � � �
763-572-3566
1/we hereby authorize the City of Fridley and/or its empioyees 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
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,waiis,floors or the curb stop boz and service line. In understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter)
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Name: � �"1l � t�� ���� '��`� 't' �� �'� 3 �--�% /`�•(>- 1.�t1 .
`/ Address
Phone Plumber / �` � � j- �� — �` `•' Date __ �J" � �� '^ � �'°'
_._.....�„
'�Signature �`'� ^ Witness Signature '
OLD METER# � �� �� � �� � �
OLD READING ���°����
NEW METER# � � � � �� � L
NEW READING D
ERT# �' � " V �1 � � � ,
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINtSTRAT{ON
(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 conneding the existing municipal system and any house or building for which the
application is made,the owner or contractor shall be reguired to obtain a permit for sucfi connection,and shali 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 noti�ed. It shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the woric incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initiat 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 appiicarit,owner,or occupant or user of such premises shall be liabie 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 shail be charged for the costs of the maintenance and/or
repairs,including 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 boK for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
F�eqt�t fvr Serv�; R+�Rort
City c�f Fndley
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i�aq�� T�rpe� Smik hde �nter�d€3y: W�dy#��.t
. Sewer t:�z�Na�ne: Baa�If��e
Ad�ess_ ?5�!'YRIC L.I�I NE Pt�e: 7�3-7��
Schr�d D�e= P�apee�y t3riR►er
incatic�n[��s: F�e�quest Deta�: Sir�ldtiule�ro�ad_ Cat{ 6arb�rJst��a
�f sirYd�ale ta I�hee kr�o�w if� is
so�ethrc�g to du w�h her servioe_
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