Meter Swap - Request Number: 12459
Public Works Division
Service Request
Problem Address: 7456 Melody Dr Requested By: Acm B
DepArtment: WA'IER Address: No address provided
Problem/1ssu�: INSTALL AMR METER Phone Number: 763-784-1614
Schefiiled Dite: 2016-12-20 Sc6ednled 1tmc: 02:00:00
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ACIION NEEDED:AMR
Created by: Wendy Hiatt Date Created: 2016-12-15
ACTION TAI�N:
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Stxtus: In Progi�ess Snbmitter Hx�Beea r,
Contacted
Date Completed: Completed by:
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City of Fridley �
Water Department � `~, 1� �
6431 University Avenue NE
� ` Fridley,MN 55432 `z� l a_�-'f(p� �\
` 763-572-3566
I/we hereby authorize the City of Fridiey andJor its employees to do what is necessary to
replace the water meter. i understand tfiat the property owner is liable for the water line from the main to the premise aod all interior
plumbing. (Per C'rty code 402.06) 1 also hofd the City of Fridley and/its employees harmless fo�any damages that may occur whi{e doing this
operation. This to include,but not limited to vaives,piping,walls,floors or the curb stop box and service tine. 1�understand i am also required
to obtain a permit prior to any work,if n¢cessary.
FINAL METER READING(otd m$ter) ` �� Z� �v
Name:�,��� Address -1�
PhoneNumber �� ^ �YJ� pate �.�� ',
� Signature � Witness Signature
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OLD METER# :� ` � ���
OLD READtNG 1 ���J�'1�/��� ����
NEW METER# _���� �� 5 I
NEW READfNG
ERT# /J �� �
FRIDLEY CITY CODE
CHAPTER 4U2.WATER,STORM WATER AND SANITARY SEWER
ADMtNISTRAT{ON
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to wnstructing or repair of any water of sewer line wnr�ecting the existing municipai system and arry house or building for which the
application is made,the owner or contractor shafi be required to obtain a permit for such connection,and shall pay a permit fee as provfded in
Chapter 11 of this Code. After wch connection has been made,the Water and Sewer Departmerrt shall be noti�ied. It shafl be unfawfut to ao�r
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitab4e connection.
402.06 REPAIRS AND MAINTENANCE TO CONNEC710N
After the initial connection has been made to the water service curb stop box o�the sewer lead at the property Iine or a water service lead has
been extended to the property line for connection,the appiicarrt,owner,or accupas�t or user of such premises shaN be Fiable for all repairs.
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the msts nf the maintenance and/or
repairs,incfuding necessary street repairs at a rate set annuaily by an administrative poliry. It shalt be the responsibility of the appticant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main lncluding debris dearing or
�oot cutting and to maintain the water service curb stop box fo�operability and at such height as will ensure that tt remains above the finished
grade of the land or property. (Ref 638,1156,1191)