Meter Swap .
° ' Request Number: 12787
r�n�wo�n�ion
Service Request
Problera Address: 7420 Melody Dr Requested By: Betierly
Depnrtme�: WA'IER Address: 7420 Melody Dr
Fridley,MN 55432
. Problendlss�: INSTALL AMR METER Phone Nunber:
Scheduled Date: 201?-01-09 Sched�led 11e�: 11:30:00
` � I
ACIION NEEDED:Install
Crested by: Beth Kondrick Date Crerted: 201'7-Oi-09
ACIION TAI�N:
_.�..� : ti � � � ��
St�us: In Progress Sabmitter Has Beea �.
Contacted
Date Co�eted: Completed by:
� `� � _
� �
G ,
��c� �- ��� - s�� �S�a .- r��
,. City of Fridley
Water Department
6431 University Avenue NE � � �
Fridley,MN 55432 �� �
763-572-3566 �
1/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 irrterior
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,walls,floors or the wrb stop box and senrice line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) .:I~'�"-' ` � `-� �� � �
Name• "e'�^ Address � 1� r�'�`�� r�' �
Phone Num �— Date �� \ � I Y
�.��
xSignatur .�' �''�`�1Nitness Signature
'�--_.
OLD METER# ��C'� �� 1 � � �
OLDREADING �� � 1� � ��DI� �I�1 a���if � � ��'
NEW METER# �� �r� � �g
NEW READING D
ERT# � !� � F ,�
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 wnstructing or repair of any water of sewer line wnnecting the existing municipal system and any house or building for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter ii 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 the City 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 Itne or a water service lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be Ilable for all repairs
required to any water line and sewer lines necessary for connedion of the premises from the main to the premises. 1f the property a�rner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administretive poliry. It shall be the responsibility of the appli�M,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main induding debris clearing or
root cutting and to maintain the water service curb stop box for operabitity and at such height as will ensure that it remains above the flnished
grade of the land or property. (Ref 638,1156,1191)