Meter Swap � ` Request Number: 12683
Public works Division
Service Request
Problem Addresa: 7379 Memory Ln Requested By: Lori Kirkeby
Degartmeut: WA1ER Address: 7379 Memory Iai i
Fridl�y,MN ss43a ,
ProWem/Is:ue: INSTALL AMR METER Phoae Namber: 763-923-4123 j
Schedaled Date: 2017-01-10 Scbednled't1ne: 11:30:00
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ACTION NEEDED:Install AMIt I
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Created by: Beth Kondrick Date Crcatt�: 2016-12-3U
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ACIION TAI�N: I
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Status: In Progress �al�mitter Hu Been �. �
Coetncted �
DAte Completed: ` �" �� -- 1� Completad by: r./� I
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City of Fridley � I� _ G ,
Water Department �-1 � n�� W'O�
6431 University Avenue NE .
- ` Fridley,MN 55432 f''� �f
' 763-572-3566 � � o� V��
�IWe � hereby authorize the City of Fridley and/or its empioyees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable fo�the water line from the main to the premise and aN interior
plumbing. (Per City code 402.06) 1 also hold the C'ity of Fridley and/its employees harmless for any damages that may occur while doing this
operatio�. This to include,but not limited to va{ves,piping,walfs,floon or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FHYAL METER READING(old meter) �✓ � � r �1.,/
o!`i `rl� � �`��3 1.�,�, !
Name• qddress / �����45�
Pfione Nu r� � Z p� L— � v ~ 6� 'i
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�•Si nature �^
� Witness Signature I
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OLD METER#_� � ` ����-1 I�
OLD READING �� ` 1��� I,
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NEW METER#_� 6 � �� � O
NEW READING � '�
ERT# �D� V� �� � � �I
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FRI�LEY CITY CODE �il
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 I
Prior to constructing or repair of any water of sewer line connectin the existin munici i em and a house or buiidi for�' hich the
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application is made,the owner or contractor shall be required to obtain a permit for such�nnection,and shall pay a permit fee�s provided in�
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notif'ied. it shall be ur�lawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by lthe City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION '
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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 sefirice lead has
been extended to the property line for wnnection,the applica�rt,owner,or occupant or user of such premises shall be liabie for arl repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. tf the property owner
requests maintenance service or repairs be performed by the Ctty,the property owner shall be charged for the costs of the maint@nance and/or
repairs,including oecessary street repairs at e rate set annualfy by an administrative pofiry. It shali be the responslbility of the applicant,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main includi�debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiil ensure that it remains above!the finished
grade of the land or property. (Ref 638,1156,1191)
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