Meter Swap s
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Request Number: 12567
Public works Division
Service Request
ProWem Address: 7321 Melody Dr Requested By: Tim Kirk
Department: WA1ER Address: 7321 Melody Dr
Fridley,MN 55432
Problem/Issue: INSTALL AMR METER Phone Number: 763-354-8186
Schednled Date: 2016-12-30 Scheduled 13me: 07:30:00
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ACTION NEEDED:Install AMR
Created by: Beth Kondrick Date Created: 2016-12-23
ACTION TAI�N:
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Status: In Progress Submitter Has Been C,
Contacted
Date Completed: '��^ 3 G1 .�- ��1 Completed by:
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City of Fridiey
Water Department
6431 University Avenue NE `3 ��.sj-����1 �O`�
Fridley, MN 55432
763-572-3566 �a � �/ C'1 �
1/we hereby authorize the City of Fridfey andjor 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 all interior
plumbing. (Per City code 402.06) I afso hoid tfie City of Fridley and/its empioyees 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 I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER REAOING(old meter) `� ��1 �"` �
Name: ` (�� ���"' IL- Address � ��� f"1'(� iC'4'7/ �'-
Phone Nurti�ber 7��.^���� " �� Date `"`� �— ��
XSignature � �/'"'`'� Witness Signature �i
OLD METER# �� � ���� 1
OLD READtNG �� � � ""G G
NEW METER# �� I � a� � �
NEW READING �
ERT# l.s/ ��� ` I � I =
FRIDLEY C1TY 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 sewer line wnnecting the existing municipal system and any house or buiiding for which the
apptication is made,the owner or corrtractor shalt be 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 Department shall be notified. It shall be unlawful to cover
any wnnecting tine until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable wnnection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initiai connection has been made to the water service curb stop box or tfie sewer lead at the property line or a water service lead has
been extended to the property line for connedion,the applicant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water line and sewer{ines 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 costs of the maintenance and/or
repairs,inciuding necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicant,
owner,occupant or user to perForm standard mairrtenance of the sewer service line from the premtses to the main induding deb�is clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)