Meter Swap . Request Number: 12603
Public Works Division
Service Request
_ _ __ _ . _ _ _ �__ .__ __
Problem Address: 7567 Lyric Ln Requested By: Lisa Braithweite
Department: WA'IER Address: 7567 Lyric Ln
Fridley,MN 55432
Problem/Issue: INSTALL AMR METER Phone Number: 763-783-5644
Scheduled Date: 2017-01-09 Scheduled'ITi me: 11:00:00
, 4 i <." �`'
ACIION NEEDED:Install AMR
Created by: Beth Kondrick Date Created: 2016-12-27
ACITON TAI�N:
� ' -
I _ !\ �.
��-�'�r]� t L t ��`�� -� �,�C"��-+\
Status: In Progress Submitter Has Been r,
Contacted
Date Completed: '1�'' ��, = 1 � Completed by:
Hours
_�_,_.._-.�___ ✓
i,�'���
�
City of FridleY �J�!� �f�1�� �- Q�,
Water Department
_ 6431 University Avenue NE
Fridtey,MN 55432 �� � (e r�, �
� 763-572-3566 `f; �J
�/we hereby authorize the City of Fridley andjor its employees to do what is necessary to
replace the water meter. I understand that the property owner is{iab{e for the water tine from the main to the premtse and a{{interior
plumbing. (Per City code 402.06) i aiso 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,wal{s,floors or the curb stop box a�d senrice tine. {n understand I am aiso required
to obtain a permit prior to any work,if rtecessary.
FiNAL METER READING{o!d meter)
-� �p �.' �; � l2 c.�,.,
c . ; �-7['
Name: ��S C� ���G'� t ��1��"� i �L- Address 1 �� �G 7 Ly r t�� .. t-�1 .
t / � "7 � t � �
Phone Number LG f � J :� � ' �� �� Date �.J � . � '_'�
�Signature . c-i � �i Witness Signature ~Y���
OLD METER# ` �r� ` ` ��� �
OLD READlNG ��t �-` � 1 ���`
NEW METER# �� t l �� 1 `�
NEW READING �'
t,�, .n ., t
ERT# � C;��� �, �5 � �4
FRIDLEY CITI(CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,529,638,662,922,988,1144,1156, 1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer{ine connecting the existing municipai rystem and any house or building for which the
appiication is made,the owner or contractor sha{I be required to obtain a permit for such connection,and shali pay a permit fee as p�ovided in
Chapter 11 of this Code. After such connection 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 work incident thereto has been approved by tfie City as a
proper and suitable connettion.
402.06 REPAIRS AND MAIN7ENANCE TO CONNECTION
After the initial connection has been made to the water service cur6 stop box or the sewer lead at the property line or a wate�senrice lead has
been extended to the property line for connection,the app�icant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water line and sewer lines necessary for con�ertion 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 shafl be charged for the costs of the maintenance andjor
repairs,including necessary street repairs at a rate set annuatfy by an administrative policy. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service li�e 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 heigfit as will ensure that it remains abnve the finished
grade of the land or property. (Ref 638,1156,1191j