Meter Swap Request Number: 12545
Public Works Division
Service Request
Problem Address: 7340 Melody Dr Requested By: Juliette Pouliot
Department: WATER Address: 7340 Melody Dr
Fridley,MN 55432
Prob[em/Issue: INSTALL AMR METER Phone Numi�er: 763-270-0365
ScheduledDate� 2016-1,�2-27 � Sch�nledTime: Ot:00:OQ
� Ul„( S'C� � '
,
ACITON NEEDED:Install AMR
Created by: Beth Kondrick Date Created: 2016-12-22
ACTION TAI�N:
�.:�-�:..1_�.__.��. �1�.
Status: In Progress Submitter Has Been C
Contacted
,«_:. �
Date Completed: 'a � a� ,� ,� � Completed by:
. _ City of Fridley �1� ' J ��' a�0 — �
Water Department
6431 University.Avenue NE �� r,�
Fridley,MN 55432 �� �b
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 a(1 irrterior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its empioyees harmiess for any damages that may occur while doing this
operation. This to include,but not limited to vaives,piping,walls,floors or the curb stop box and service line. In understand I am also required
to oFrtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) �/`� '7� ���✓
Name: ��� ����' �o U.1 l U �' Address �� (� �"l e�f1.�/ "�I'�.,
Phone Num r l��7— � L� "d��7 Date ' .yL — �� J �`�
�,$jgnature �--�
Witness Signature
OLD METER# �� ��7�� lL�
OLD READING ��� �� ��
NEW METER# �1,� L 1 � �� I
NEW READING �
ERT# � � � �V � � � t
FRIDLEY CITY CODE
CHAPi'ER 4Q2.WATER,STORM WATER AND SANtTARY SEWER
ADMINISTRATIOAI
(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 and arry house or building for which the
applicatio�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 li of this Code. After such connection has been made,the Water and Sewer Department shali be notifled. It shali be unlawful to�rrer
any connecting line until an inspection has been made and such connection and the work incident thereto has been ap{xoved by the City as a
proper and suitabie wnnection.
402.06 REPAtRS AND MAINTENANCE TO CONNECTION
After the initiai connection has been made to the water service curb stop box or the sewer lead at the property line or a water senrice lead has
been extertded to the property line fo�connedion,the appiicant,owner,or occupar�t or user of wch premises shall be liable for a11 repairs
required to any water line and sewer lines necessary for connectio�of the premises from the main to the prem'�ses. If the properry owner
requests maintenance service or repairs be performed by the City,the property owner shall be cF�arged for the costs of the mai�enance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of�e applicarit,
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 wrb stop box for operabiiity and at such height as will ertsure that it remains above the flnished
grade of the land or property. (Ref 638,1156,1191)