Meter Swap �-
� Request Number: 12580
Public works Division
Service Request
ProWem Address: 7442 Melody Dr Requested By: Mark Zelenak
Departme�: WATER A�dress: No address provided
Problem/Issue: INSTALL AMR METER Pho�Number: 763-370-6392
SchedoicdD�e� 2016-�t2-29 Scheduledllme: 08:30:00
�.� ��c. 2 ��
A[.'TION NEEDED:AMR
Created by: Wendy Hiatt IMt�s C�erted: 2016-12-27
.
ACIION TAKEN:
�In��-t� � ��° � �r��-
� St�: In Progress Sabmitter H�s Been r
Co��ted
D�te Compteted: i �_ aq-- l� Completed by: Y
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City of Fridley
Water Department �G�
•r' 6431 Universiiy Avenue NE �����7��'��
� Fridley, MN 55432 � � � ���C'1
763-5723566 � �
�/Mie 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 all irrterior
plumbing. (Per City sode 402.06) I also hold the C'ity of Fridley andJits employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,vralts,floors or the curb stop box and service line. In understand f am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) �`� v `-' � ` �
Name: •�Ct�J'�' 2,{.(�1/1�.l`- Address � 1"1 � �e IU�� �ri
Phone Number ���^✓ [v ��S�� Date 1�� �`�—� �
/
�Signature � Witness Signature /
OLD METER# � i � I� ��
OLD READtNG �� �� ���
NEW METER# _`� ����✓ t
NEW READtNG �
E�# � �88o� 3�f �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATtON
(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 fine connecting the existing municipal system and arry house or building for which the
application is made,the owner or wr�tractor shail be required to obtain a permit for such connectlon,and shall pay a permft fee�provided irr
Chapter 11 of this Code. After such connedion has been made,the Water and Sewer Departmerrt shall be notified. It shall be unlawful to cover
any conneding line until an inspection has been made and such conaection and the work incident thes�to has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the propeetY line or a water servke Iead has
been extended to the property line for connection,the appiicant,owner,or occupant or user of such premises shall be liable for all 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 maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mafMenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibitity of the applica�,
owner,occupant or user to perPorm standard maintenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to maintain the water service curb stop box for operabil'ity and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)