Meter Swap � � Request Number: 12801
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Public Works Division
Service Request
Problem�ddreas: 7361 Melody Dr Requested By: Carol Sar�dau
Depu�tment: WATER qdd�.ess: �361 Melody Dr
Fridley,MN 55433
Problem/Isane: INSTALL AMR METER Pho�Nnmber: ?63-784-6113
Scaedaled D�te: 201 -OL-17 � Scheduled 11e�e: 1Os30:00
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AG"IION NEEDED:Install AMR
Crexted by: Beth Kondrick Date Created: 2017-01-09
ACTION TAi�si:
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Status: In Prog�ress 5abmltter I�S Beea �..,
CoM�cted
Dxte Completed: �,^ � � r � � Completed by:
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City of Fridley J� � � � � �
Water Department
• 6431 University Avenue NE
, Fridley, MN 55432 � ��—���3yU�� �
763-572-3566
I/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
plumbin�. (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,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.
FINAL METER READING(old meter) � � V `-' �""�
Name: 1.���"� � C�.n � vl Address ���� ' ��l '� 1��� �� �`'
Phone Number ��I✓ '� �� � ( �•bate �� � ( � ��
,�"t� ` �. ,a ��_
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Signature t''`LG- (.l``� �,_ G`" , �"'". Witness Signature
OLD METER# � v � `-'' � / J C'�
OLD READING � � l.,� ��
NEW METER# � 1 � � �✓ �I
NEW READING �
ERT# � V V V ' `� � �
FRIDLEY CITY CODE
CHAPTER 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 municipal system and arry house or butlding for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shail pay a permtt fee as provided in
Chapter li 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 untii 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.
40Z.06 REPAIRS AND MAINTENANCE TO CONNECTtON
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 applicaM,owner,or occupant or user of such premises shall be liable for all repairs
required to any water line and sewer lines necessary for connedion of the premises from the main to the premises. If the properly owner
requests maintenance service or repairs be perFormed by the City,the property owne�shall be charged for the costs of the maiMenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shali be the responsibility of the applicant,
owner,occupant or use�to per�orm 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 flnished
grade of the land or properly. (Ref 638,1156,1191)