Meter Swap f� Request Number: 12473
Pubtic Works Division
Service Request
Problem Address: 7463 Melody Dr Requested By: Shawna Jaa
De�rtmeat. WA,IER ��,�5. 7463 Melody Dr
Fridley,MN 55432
Problem/Is:�: INSTAi.L AMR METER P�one Nmnber: 612-205-7608
Sc6ednle 2016-12-22 Schedaled�me: 11:00:00
�'l�
ACTION NTEDED:Install AMR
Crested by: Beth Ko�rick Date G�erted: 2016-12-15
AClION TAKEN•
I � �--�..��-� 1�
Stntus: 1n Progress ���er Has Been �.,
Co�acted
Date Completed: Com�eted by:
/2 ' �� ' 1 �
:��
City of Fridley C � � ���j
Water Department J �
, 6431 University Avenue NE
j Fridley, MN 55432 . � 1 a- �'-S�4'��v��
763-572-3566
!/we hereby authorize the City of Fridley and/or its employees to do what is necessary to
reptace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all irrterior
plumbing. (Per Gty code 402.06) I also hold the C'ity of Fridley andjits employees harmiess for any damages that may occur while doing this
operation. This to indude,but not limited to va{ves,piping,walfs,floors or the curb stop box and service Ilne. In understand 1 am also required
to obtain a permit prior to any wor4c,if necessary.
FINAL METER READING(old meterj � � { V
Name: _� )�tA,��v\ ����lddress � �� �L �
Phone Number� `� '��O� '��[�� p�e � � � �
�; Signature Witness Signature
OLD METER# �-`� � �J�
OlD READtNG � ��tc� ►�V
NEW METER# _ f� � I &J�fn l
NEW READING �
ERT# ��C:a ��� C� � L��
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 sewe�line connecttng the existing municipai system and ariy house or buifding for which the
application is made,the owner or contractor shall be required to otrtai�a perm+t for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After wch connection has been made,the Water and Sewer Qepartment shall be notified. it shall be unlavvful to cover
any connecting line until an inspection has been made and such connection and the wvrk[ncident thereto has been approved by the City as a
proper and witable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initiai connection has been made to the water seroice curb stop box or the sewer lead at the property line or a water service lead has
been extended to tbe property line for conn¢ction,the appiica�rt,owner,or occupant or user af such premises shall be liabie for all repairs
required to arry water tine and sewer iines necessary for connection of the premises from the main to the premises. ff�e property owner
requests mairitenance service or repairs be performed by the City,the property owner shall be charged for the�of the maiMenance and/or
repairs,inc{uding necessary street repairs at a rate set annually by an administrative poliry. It shail be the responstbility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to mairrtain the water service curb stop box for operability and at such height as wiii ensure that it remains above the flnished
grade of the land or property. {Ref 638,1156,1191)