Meter Swap Request Number: 12514
Public Works Division
Service Request
Problem Address: 7485 Melody Dr Requested By: Deborah Brua
7485 Melody Dr
DepArtment: WA'IF.R Addreass Fridley,MN 55432
Problem/Issue: INSTALL AMR METER Plwm Number: 763-780-0425
Sche ed te: 017-01-04 Schedaledll�: 11:00:00
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ACTION NEEDED:It�tall AMR
Created by: Heth Kondrick D�te Cre�cd: 2016-12-19
ACIION T .
�Y � �
St�tas: In Progress ���er Has Been �
Co�acted
Date Completed: Compieted by:
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,�'�m
City of Fridley
Water Department
, 6431 University Avenue NE �� � � � S� ���������`"
' Fridley,MN 55432 � �
763-572-3566 � I �3
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�/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 ali i�rterior
plumbing. (Per C'rty code 402.06) 1 also hold the C'rty of Fridley and/its empioyees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the wrb stop boz 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: Y � Address ��� �1��
Phone Number � � r� ���� p� � �
t
�S�g� Witness Signature ''��_�
OLD METER# � ` �� f�,J`.� 1�
OLD READING ��G����
NEW METER# — b L Y� �� ��
NEW READING �
ERT# ���� O I � 1
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to construding or repair of any water of sewer line connecting the existing municipal system and arry fmuse or building for which the
application is made,the owner or cor�tractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in�
Chapter il of this Code. After such connection has been made,the Water and Sewer Department shall be notified. it shall be unlawful to cover
any co�necting line until an inspection has been made and such connection and the wo�lc inddent thereto has been approved by the C�ty as a
proper and witable 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 seroice lead has
been extended to the property line for connection,the applicaM,owner,or occupaM or user of such premises shall be liabie for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be pe�formed by the City,the property owner shall be charged for the costs of the mafntenance and/or
repairs,including necessary street repairs at a rate set annua�ly by an administrative policy. It shall be the responsi6ility of the appliraM,
ow�er,occupant or user to perform standard mair�tenance of the sewer senrice line from the premises to the mafn indudtng 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 abore the finished
grade of the land or property. (Ref 638,1156,1191)