Meter Swap � Request Number: 12701
Public Works Division
Service Req�st
Problem Addresa: 7381 Memory Ln Requested By: Rodell Smith
Department: WATER Address: No address provided
Problem/ls:m: INSTAL.L AMR METER Phone Nwnber: 214-607-i225
Schednled t • 2017-01-I1 ` ,_ ScAedalc�'Iime: 11:00:00
� T-. l ��.
.A�G7ION NEEDED:
Created by: Wendy Hiatt Drte Created: 2017-01-U3
AC'IION TAI�N:
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Stat�: In Progress Sabmitter Hu Beea �..,
Coat�ted
Dsete Coe�pleted: i_�( �1� Completed by:
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Hiatt, Werady
Subject: Rodell Smith 214-607-5225 Install AMR/got letter
Location: 7381 memory Lane
Start: W ed 1/11/201711:00 AM
End: Wed 1/11/2017 11:30 AM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: Hara, Sandra
Required Attendees: Hiatt,Wendy
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City of pridley � r`, � � � _ /
Water De artment �'�
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6431 University Avenue NE
. Fridley,MN 55432 � 1 � , �j(�'�'���--
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. !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) 1 aiso hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,ffoors 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 READING(old meter) ` �� � v� �
��Name: '1��L��-�.���� �IM.t'�'�-� Address ���� lrr�_..
Phone Number:���v �d� � p� l�i �
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PV Signature ,��G Nfkness Signature ""'��
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OI.D METER# ��V����� ����
�����(1 �✓�2� �3 I,v�J �
OLD READtNG � �31—�3 `
NEW METER# V F r� �� '�
NEW READING �
E�# C���S ��t z .
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,562,922,988,1144,ii56,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and arry house or buildingfor which the
application is made,the owner or corrtractor shali be required to obtain a permit for such tonnection,and sha(I pay a permit fee as provided in
Chapter 11 of this Code. After wch connection has been made,the Water and Sewer Departmerrt shall be notified. It shail be unlawful to cover
any connecting line until an inspection has been made and such connection and the work inciderrt thereto h�been approved by the City as a
proper and suitabte connecEion.
402.06 REP�URS A11tD MAIMTEIYAiYCE TO CONIYECTraN
After the initlal connection has been made to the water s¢rvice curb stop box or the sewer fead at l�te property line or a water senria lead has
been extended to the property line for connection,the applicarrt,owner,or accupant or user of such premises shali be liabk for ait repairs
required to any water l�ne and sewer lines necessary for conrtection of the premFses from the main to the premises. If the property owner
requests maintenance senrice or repairs be perFormed by the City,the property owner shall be charged for the costs of the mairrteenance andJor
repairs,including necessary street repairs at a rate set annually by an administrative policy. k sha!!be the responsdbility of the applipnt,
owner,oauparrt or user to perform standaM mair�tenance 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 638,1156,1191j