Meter Swap � Request Number: 12661
Public works Division
Service Request
Problem Address: 7446 Melody Dr Requested By: Jon Hess
7446 Melody Dr
Departme�: WATER Address: Fridley,MN 55432
Problem/Issue: INSTALL AMR ME1ER Phone Number: 763-786-5028
Sc�edule�: 2017-01-11 � Sc1�edWsdllme: 10:00:00
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ACIION NEEDED:Install AMR
C�eated try: Beth Kon�ick Dsite Created: 2016-12-29
ACTION TAi�N:
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5ts�tus: In Progress Submitter H�BeeH �
Contacted
Date Co�pleted: �— l,�' `� Completed by:
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City of Fridley
Water Department � 0 � C �
< 6431 University Avenue NE � �� ��
, Fridley,MN 55432
763-572-3566 �1 � `'����v ��
�/we hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) 1 aiso hold the City of Pridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand 1 am aiso required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(oid meter) � .J�/`�(J U ��
�.,,. —7/�.
Name: ��b V� ��7�j Address 6—E�� �`�►'�'�'�f tt>1^-.
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Phone Number Date � r v� r � ! ��
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D�Signature Witness Signature (�~'
OLD METER# �5� � ��
OLD READING 5�a o 0 2--�
NEW METER# �� "� v���
NEW READING �
ERT# V7��U�I 1� ,
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 constructing or repair of any water of sewer line connecting the existing municipal rystem and a�ry house or buildir�for which the
appiication is made,the owner or corrtractor shall be required to obtain a permit for such connection,and shall pay a permit fee as pronrided 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 wnnection and the work incidem thereto has been approved by the Cit�►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 kad has
been extended to the property line for connection,the appliprrt,owner,or occupant or user of such premises shall be Itable 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 mair�tenance service or repairs be perFormed by the City,the property owner shall be charged for the costs af the mairrtenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative poliry. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard mair�tenance of the sewer service line from the premises to the main including debris dearing 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
�rede of the land or property. (Ref 638,1156,1191j