Meter Swap . � Request Number: 12672
Public Works Division
Service Request
Problem.Address: 7410 Melody Dr Requeated By: Demus Barnett
DepprtmeM: WATER Addresa: 7410 Mclody Dr
Fridlcy,MN 55432
Prot�em/h:ue: INSTAL.L AMR METER Phone Namber: 763-229-7117
&heduied Date: 201'I-O i-09 Schedided Time: 11:30:(?0
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CreAted by: Beth Kondrick Date Cre�ted: 2016-12-30
ACIION TAi�N: '';�
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St�us: In Progre�s �ba�iaer x,�seee !..
Cont�ted
Date Comptetedc �"' � �" `� Coa�pleted i►y:
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City of Fridley l ►�,C.�. � J ra - J��- "�� �Cli f.� -�.�
Water Department
6431 University Avenue NE � � f
- ' Fridley,MN 55432
763-572-3566 S� �
1/we hereby authorize the City of Priclley andjor 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 atl irKerior
plumbing. (Per City code 4fl2.06j f atsa hold the�ty of Fridley and/its empioyees harm{ess for any damages that may occur while doing this
operation. This to include,but not limited to vaives,piping,walls,floors or the curb stop box and service tine. in understand 1 am also required
to obtain a permit prior to any wark,if necessary.
FINAL ME'f ER READING(ofd meter) D l v a `" �""
Name• ���� 7 �Cl�,�(�`��'3 J Add�ess � l.�v �-�LI[J�'�l �r.
Phone Nu r /� �' �2 ` 1 Date `� � � �
`j Signatu Witness Signature �`'
t�'
OLD METER# ��t����
OLD READIf11G �� ��' �c7�
NEW METER# �� 1 � ��� l
NEW READING �
E�# ���g�`� '�o �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ApMiNiSTItAT10N
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to wnstructing or repair of any water of s�rrer line connecting the existing municipal system and any house or buildiry�for which the
application is made,the owner or contractor shal!be required tv obtain a permit for such connection,and shall pay a permit fee as provided itr
Chapter 11 of this Code. After such connection has beeo made,the Water and Sewer Departmeirt shail be notified, ft shall be unlawfut to cover
any connecting line urrtil a�inspection has been made and such connection and the worlc inadent thereto has been appro�red by tl�e City as a
proper and suitable sonnection.
402.06 REPAIRS AND MAINTEWANCE TO GOWNECTfON
After the inttial connection has been made to the water service curb stop box or the sewer lead at the properly line or a water service lead has
been extended to the propeRy line for connection,the applicarrt,owner,or occupant or user of wch premises shaH be liabk for aii repairs
required to any wate�line and sewer lines necessary far connection of the premises fram the main to the premises. If the property owner
requests mair�tenance service or repairs be performed by the City,the property owne�shall be charged fof the costs of tfie mai�rtenance and/or
repairs,inciuding necessary street repairs at a rate set annuafly by an administrative policy. It shall be the responsibility of the applicaM,
owner,occupant vr user to perForm sta�dard maintenance of the sewer service line from the premises to the main including debris dearing or
root cuttir►g and to maintain the water senrice curb stop box for operability and at such height as will ensure that it remains above the Bnished
grade of the land or property. (Rei 638,1156,1191)