Meter Swap Request Number: 12573
Public works Division
Service Req�st
Problem Address: 7330 Melody Dr Requested By: Susan Thompean
Departmeut: WATER Addresa: No ad�css provided
Probiem/Issue: INSTALL AMR METER P6oge Number: 763-486-8229
Schednled Dste: 2017-01-03 Sc�edale�11me: Q1:OO:Ot1
� r�
ACTION NEEDED:AM#t
Cre�ed by: Wendy Hi�t lbte+Crtated: 2016-12-27
AG7ION TAKEN:
�15��� 1� � �`ti��2-----�
Stat�: In Progtess Snbmittar Ha�BaeA r.
Coututed
D�te Com�eted: 1 �. � ,_�� Coe�pteted by:
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City of Fridley �
Water Department S � 1 ���
6431 University Avenue NE t�
Fridiey,MN 55432 �j� �-S� ��/a�I
763-572-3566
1/we hereby authorize the�ty of Fr�dley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is(iable for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) I aiso hold the C'ity 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 curb stop 6ox and senrice line. In understand 1 am atso required
to obtain a permit prior to any work,if necessary.
FINAI METER REAOING(old meter) �� � � v " �
Name: ?�h�. �V�bw�p sd✓L Address � ��� �./�'`�f (YV�•
Phone Number �� j � ��O�D ��.�.-- \ Date �� � ~��
�
��
'�.�,ignature - 'Y� Witness Signature
✓ �
OLD METER# �C� ���� `� � 1
OLD READING ����� V�
NEW METER# 4� �I � ���
NEW READING �
ERT# � U V� �3 ��
FRIDLEIF 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 co�structing or repair of any water o�f s�uer�ine connecting the existing municipai system and any house or building for which the
apptication is made,the owner or contractor shali be required to obtain a permit for such connedion,and shalt pay a permit fee as provided in
Chapter 11 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 untii 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 CONNELTION
After the inrtial connection has been made to the water senrice curb stop box or the sewer lead at the property tine or a water senrice lead has
been extended to the property line for connection,the appiicaM,owner,or occupant or user of such premises shaU be tiable for afl repairs
required to any water line and sewer lines necessary for connectian 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 shali be d�arged for the costs of the maiMenance and/or
repairs,including necessary street repairs at a rate set annuaNy by an administrative poliry. It shall be the responsibility of the applicairt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing or
root cuttir�g and to maintain the water service curb stop box fo�operability and at such height as wili ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)