Meter Swap Request Number: 12457
Public Works Division
5ervice Request
Problem Address: 7482 Melody Drive Requested By: Al�Sadecld
Department: WA1ER Address: 7482 Melody Driwe
Fridlcy,MN 55432
Problemllssne: INSTALL AMR METER Pho�Number: 763-784-8808
Schednied Date: 2016- 2-22 �Sch�daled Time: 01:30:00
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AC'IION NEEDED:lnstall AIvIIt
Cre�ed by: Beth Kondrick Drte Crested: 2016-12-15
ACIION TAI�N:
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.
Status: In Progress 5abmitter Has Heen r,
Conts�ted
Date Completed: ��aa .� �� Completed by:
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City of Fridley
Water Department � � � � � �
6431 University.Avenue NE
Fridley,MN 55432
763-572-3566 � � �..-� �r'�U(� �
1/we � ` ��"� ��t��' �-�l hereby authorize the City of fridley and/or its empioyees to do what is necessary to
replace the water meter. t understand that the property owner is liable for the water fine from the main to the premise and all iMerior
plumbing. (Per City code 402.06) I also hotd tfie C'�ty of Fridley and�ts empioyees harmiess for any damages that may occur while dotng this
operation. This to include,but not(imited to vaives,piping,walls,floors or the curb stop box and service line. In understand I am also required
to obtain a permit prior to any wortc,if necessary.
FINAL METER READING(old meter) ` " � � �� �
Name: Q ` ���^ '�Jltid 't,C,�-(, Address �� v � �e 10�`I j✓r1�V�
Phone Number ��� � t ��� �V"� Date 12 � 2"� l�
� Signature ��f''G�(.c,�(��D.�� Witness Signature _'
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OLD METER# 1� � O'�� �- l �
OLD READING �� � �� ✓�
NEW METER# - l� 1 � v / ��
NEW READING �
ERT# W � � � 1 JJ �
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FRIDLEY CITY CODE
CHAPI'ER 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 constructtng or repair of any water of sewer lioe connecttng the existing mun"scipal system an�f arry hvuse or buildtng for which the
appiication is made,the owner or corrtractor shall he 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 Departmer�t shall be notified. It shall be unfa�aful to wver
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by tbe Cit�/as a
proper and suitab{e connection.
402.06 REPAIRS AND MAINTENANCE TO COfYNECTION
After the initial connectioa has been made to the water service curb stop box or the sewer lead at the property iine or a water service lead has
beert eute�ded to the property line for connection,the appiicant,owner,or occupaM or user of such premises shall be liable for all repairs
required ta any water line and sewer li�es necessary for co�nection of the premises from the main to the premises. If the property owner
requests mairrtenance service or repairs be performed by the City,the property owner shail be charged for the costs of the maintenance artd/or
repairs,including necessary street repairs at a rate set annually by an administrative pulicy. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the pr'emises to the main including debris c9earing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiN ensure that it remains above the finished
grade of the land or property. {Ref 638,1156,1191)