Meter Swap w Request Number: 12466
Public Works Division
Service Request
ProW em Address: 7445 Melody Dr Requested By: Richard Amu►dson
Department: WA1ER Addreas: No address provided
Probleroflsane: INSTALL AMR METER Phone Number: 763-786•306�
Schedaled Date: 2016-I 5c6edulcd 1tme: 11:30:00
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ACIION NEEDED:AMIt
Created by: Wendy Hiatt D�te Cre�ed: 2U16-12-2 S
ACIION TAI�N:
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Status: In Progress Sabmitter Haa Bees �,
Coirtacted
Date Completed: '2-- ��--��� Completed by:
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City of Fridley /
Water Department � �� �'1 f�'; �
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6431 University.Avenue NE � �f
Fridiey,MN 55432 �(� �(OS-(�O�M
763-572-3566
1/we �.iC.�/�u� �.. ���"i� �r*'V� hereby authorize the City of Fridiey 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 ail interior
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 curb stop box and service line. 1�understand i am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) `�� v� � ��
Name•�1� ��' �i�i,rl,(,►SGI�- Address ` • "� �� 7^ .
PhoneNu r �� � ��` ��� Date ��'� �� � �'�
Sign e. Witness5i nature Qr.�
.� � S �
OLD METER# � � r� ��Q �
OLD READING L � � � I �d
NEW METER# `�� I ' �D 9�
NEW READING �
ERT# Ca888 � c� � 5
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 constructi�or repair of any water of sewer line connecting the existing municipal system and arry house or building for whicFi the
application is made,the owner or wrrtractor shall be required to obtain a permit for wch connection,and shall pay a permk fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shali be notified. R shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the work inciderrt thereto has been approved by the City as a
proper and witable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNEC170N
After the initial connection has been made to the water service wrb stop box or the sewer lead at the property Iine or a water service lead has
been extended to the property line for connection,the applicant,owner,or accupant or use�of wch premises shali be liai�e for all repairs
required to any water line and sewer lines necessary for conoection of the premises from the main to the premises. If�te property owner
requests mairrtenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maiMenance and/or
repairs,inciuding necessary street repairs at a rate set annuaily by a�administrative poliry. It shali be the responsibility of the applicant,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to mairrtain the water senrice curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
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