Meter Swap Request Number: 12555
Public Works Division
Service Request
Probtem Address: 7371 Melody Dr Requested By: Lori Courneya
Department: WATER ��.�ss. 7371 Melody Dr
Fridley,MN 55432
Problem/Issue: INSTALL AMR METER Phone Number: 763-7I2-1075
Schedaled Date: 20I 7-01-03 Schednled'ITime: 10:00:00
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ACTION NEEDED;Install AMR
Created by: Beth Kondrick Date Created: 2016-12-23
ACIYON T .
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Status: In Progress Submitter Has Been C,
Contacted
Date Compieted: Completed by:
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' City of Fridley Q � ���
Water Department S �
6431 University Avenue NE
Fridley, MN 55432 � � �`����'� ���
763-572-3566
�/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 ir�terior
plumbing, (Per City code 402.06) 1 also hold the City of Fridley and/its empioyees harmless for any damages that may occur while doi�this
operation. This to include,but not limited to valves,piping,walls,fioors 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 ME7ER READING(old meter) � � � `�'
Name: � � Address 1 �
Phone Number � / �• � p� �;� J'�
XSignateire � Witness Signature• � ( "
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OLD METER# �
OLD READING ��� � ��
NEW METER# Y�,� �.J���
NEW READING �
ERT# � �
FRIDLEY CtTY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMlNISTRATION
(Ref Ord No 113,4&4,565,566,529,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewe�line wnnecting the existing municipai system and arry house or butldin�for whidi the
application is made,the owner or wrrtractor shalt be required to obtain a perm�t for such connection,and shall pay a�rmit fee as provided in�
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmer�t shal(be notified. It shait be unlavvful to cov�er
any connecting line until an inspection has been made and such connection and the wor(c inciderrt thereto has been approv¢d by the City as a
proper and suitable connection.
402.06 RERAIRS AND MAtN't'ENANCE TO CONMECTION
After the initia!connection has been made to the water service wrb stop box or the sewer fead at the property line or a water senrk:e lead has
been extended to the property line for connection,the appticant,owner,or occuparrt or user of su�premises shall be liable for all repairs
required to any water tine and sewer lines necessary for connection of the premises from the main to the premises. ff the proqerty owner
requem maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repain at a rate set annual(y by an administrative poliry. It shail be the responsibillty of the applicant,
owner,oaupant or user to perform standard maintenance of the sewer service line from the premises to the main inciuding debris clearing or
root cutting and to maiMain the water service a�rb stop box for operability and at such height as will ensure that it remains a6ove the�nished
grade of the land or property. (Ref 638,11S6,1191)