Meter Swap . � ' Request Number: 12467
Public Works Division
Service Request
Probiem Addresa: ?479 Melody Dr Requeated By: John Miller
Department: WATER �.egg: 7479 Melody Dr
Fridtey,MN 55432
Problem/Issue: 1NSTALL AMR ME1ER Phone Number: �63-786-2049
Sc6ednled lhte: 16-12-21 Sc6edrded 1lmc: 08:00:00
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ACTTON NEEDED:Install AMR
�" Created by: Beth Kondrick Ihte Created: 2016-12-15
ACIION TAi�N:
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Stataa: Tn Progress Snbmitter H�s Been �,
Contacted
Date Completed: Completed by:
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City of Fridley C � ' �� �
Water Department �
.. � 6431 University.Avenue NE -� 1 �S-'��� -Z�`
` Fridley, MN 55432
763-572-3566
1/we hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. t understand that the property owner is liabte tor the water line from the main to the premise and a!I interior
ptumbing. (Per City code 402.06j 1 also hotd the City of Fridtey 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. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) "� �" � � � �D
Name•_� � Address
� � �'�� V1
Phone Number ~ `�''�' � W Y� p� � V � '
XSignature y Witness Signature �
OLD METER# �S �-V �I �I �
OLD READING �Z� I � l D
NEW METER# ; 1� �� �
NEW READING L/
ERT# 1
FRIDLEY CtTY 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 construding or repair of any water of sewer line connecting the euisting municipal system and arry house or building for which tfie
application is made,the owner or corrtractor shali be required to obtain a permit for such connection,and shali pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shail be unlawFul to cover
any connecting line until an inspection has been made and such connection and the work inadent thereto has been approved by the City as a
proper and suitable wnnection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewe�lead at the property line or a water service kad has
been eutended to the property line for wnnedion,the appiicaM,owner,or occupaM or user of such premises shatl 1�tiable for atl 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 mairrtenance senrice or repairs be performed by the City,the property owner shall be charged for the cosls of the maiMenance and/or
repairs,including necessary street repairs at a rate set annual(y by an administrative poliry. It shatt be the responsibility of the applicarrt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main i+�dudirtg debris dearing or
root cutting and to maintain the water service curb stop box for operabitity and at such height as wFll ensure that it r�emains above the�nished
grade of the land or property. (Ref 638,1156,1191)