Meter Swap S
. Request Number: 12463
Public works Division
5ervice Request
Problem Addreas: 7436 Melody Dr Requested By: Lonaine Caouette
Departme�: WATER Address: 7436 Melody Dr
Problem/Issne: INSTALL AMR METER P6o�Number: 763-780-3154
Scheduled Date: 2016-12-20 5chedeled 11me: 08:30:00
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ACTiON NEEDED:I�tall AMR
Created bp: Beth Ko�rick Date Created: 2016-12-1 S
AC'IION T . �
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Date Compieted: Completed by:
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City of Frid{ey � �i � � ����
Water Department
� 6431 University Avenue NE -'� `�.,�����3
� 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. 1 understand that the property owner is liable for the water line from the main to the premise and ail interior
plumbing. (Per City code 802.06) I also hold the City of Fridley and/its employees harmless for any damages that may ocaar while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and senrice line. In understand i am alsa required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) ✓� �GJ `r
Name: �����1� `�"V�L Address � I `
Y '
Phone Nu r '' V � 1� p�e 2 �� � ` �
xSignatu Witness Signature / /
OLD METER# I �� 1 � � t
OlD READING ��� Z�O
NEW METER# `t� (' ����
NEW READING �
ERT#
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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 constructing or repair of any water of sewer line connecting the existing municipal system a�arry house or buiiding for which the
appiication is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shatl be nott�ied. tt shall be uniavrful to co+rer
any connecting line until an inspection has been made aod such wnnedion and the wo�lc incident thereto has been approved by the City as a
proper and suitabie wnnection.
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 service lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water fine and sewer iines necessary for connection of the premises from the main to the premises. If the property owner
requests mairitenance service or repairs be performed by the City,the property owner shall be charged for the cos�of the maintenance and/or
repairs,inciuding necessary street repairs at a rate set annualiy by an administrative policy. It shall be the responsibility of the appliqnt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiil ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
F2�que�t f�r Ser�e R�part
�ty of FrNdi�/
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[k.par#rr�: � Cdaze�1+#ame: �e Ca�u�te
Ad�eas� �43611AE�ODY[}F� NE a�Ph€�e: �fi3-7�-3154
Sc�d [?�e: 1�6FZ012 ]��A�M P�y t3wner: S�e
Location��s: [�backs i.,ip wt�en�dc>laxx�y. Fie��est Details: flaoc Dtaw�� Up wt�en she dnes
laudry_Can r:v�ary twe�fer
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R���est �or Ser��e Repvrt
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�fe�enc� Nc�: �4,?2-1Z-�d49 �ate: 1��'`�4�'2�12
R� T�rpe� t)tt�(�ewer[)ep#_� Errtered By: ,}eanrne Bc:n�on
Departmer�t: Seswer �hizen Name: Lorra�re CaQu�tte
�: 74� t�EEtAQY L7R PiE Callback�an�: 7�3-78�-3154
Sc� L�ate. t0/7.6J2fi112 10�t101�1 Propeft�f�wan�r� S�
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t�tion Taken:
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