Meter Swap r.• Request Number: 12680
Public Works Division
Service Request
Problem Address: 7425 Melody Dr Requested By: Fsin Gray
Departmeut: WA1ER Addreas: 7425 Melody Dr
Fridiey,MN 35432
Problem/Issue: INSTAL,L AMR METER Phone Number: 763-792-1745
&heduled Date: 2017-01-04 � Sc6ednled 11me: 07:30:00
I�,�c� � � �;
ACIION NEEDED:InstaU AMR
Crexted by: Beth Kondrick Dste Crcated: 2016-12-30
ACI'ION TAI�N:
��v�,3��,�(,�°.�-- ��-'��.
Status: In Progress Sebmitter Hu Been r
CoMacted
D9►te Con►pleted: �--,L� _.., )-^� Completed by:
� � ..�-_
/ _...
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City of Fridley � �
Water Department �`� 1 (�
6431 University Avenue NE J �
�, Fridtey,MN 55432
� 763-5723566 � l�'-`S��J?�v �3
�/We hereby authorize the City of Fridley and/or its employees to da 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) I also hold the City of Fridley and/its empioyees harmless for any damages that may occur while doing this
operation. 7his to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) �� � � ��
Name: ��1 �G Address � 6�� �-`�L� ��„
Phone Num �� � r V� `f � `J Date l' �'^ � 1
�Si nature' �,
� Witness Signature
OLD METER# �� ' � ��
OLD READtNG � �`�� ��U
NEW METER#_ �-I,��1��� I
NEW READING v
ERT# ����� o�C� ,
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113.464,565;56G,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line wnnecting the existing municipa(system and am house or buildis�g for wfiich the
application is made,the owner or cor�tractor shail be required to obtain a permit for wch connectioa,and shall pay a permRfee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shali he unlawful to�ver
any connecting line untii an inspection has been made and such connection and the work inade�thereto has been approved by the City as a
proper and suitable connection.
402.06 REPWRS AND MAINTENAtYCE TO CONNECTION
t
After the initial connectio�has been made to the water service curb stop box or the sewer tead at the property line or a water service lead has
been extended to the property line for connection,the appticant,owner,or occuparrt or user af wch premises shail be f'�able for ail repairs
required to any water line and sewer lines necessary for connectior+of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maimenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative po�iry. R shall be the responsibility of the app{icaM,
owner,occupant or user to perform standard mair�tenance of the sewer service line from the premises to tbe main includ[ng debris deari�g or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it rematr�above the finished
grade of the land or property. (Ref 638,1156,1191)