Meter Swap .
Request Number: 12448
Y Public works Division
Service Reqaest
Problem Address: 7373 Memory Ln Requested By: Jeremy Powers
Department: WA1ER Address: 7373 Memory Iai
Fridley,MN 55432
Pro�emRsaue: INSTALL AMR METER Phone Nwnber: �63-780-0732
Sc6eduled Date: 201?-01-04 Sc6eduled'I1me: 10:30:00
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ACIION NEEDED:Install AIbIR
Created by: Beth Kondrick Date Created: 2016-12-14
AClION T .
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Stataa: In Progress Sabmitter Haa Been �
Cont�cted
Date Completed: Completed by:
Hoar:
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City of Fridley y
Water Department S �' � � /
6431 University Avenue NE ����Q �v �
Fridley,MN 55432 �j I �- ��
� 763-572-3566
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I/we hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. I understand that the property owner is liable for the water line from the main to the premise and all irrterior
p{umbing. (Per City code 402.06) 1 also hold the Gty of Fridley and/its employees harmless for any damages that may occur while doing this
operatian. This to include,but not limited to valves,piping,walts,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER RfADING(oid meter) i v v � �lJ�
Name:}, ��1`�'l ,�( )W v J Address \ �
Phone Numbe � '� ✓�''
�/��ate_ 1�
x Signature Witness Signature
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OLD METER# � p F � ���,�
OLD READING ����� � �C�
NEWMETER# " �����`o� �
NEW READING �
ERT# �s�/T 1� "� �
FRIDLEY CITY 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�ine connecting the existing municipal system and ar�y house o�building for which the
application is made,the owner or coritrador shati be required to obtain a permit for such�nnection,and shall pay a permit fee as pro�ided in
Chapter 11 of this Code. After sucfi connection has been made,the Water and Sewer Departme�shall be notified. It shall be uniawful to co�rer
any conneding line untii an inspection has been made and such connection and the work inciderrt thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNEC7701Y
After tfie initial connection has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been eztended to the property line for connection,the applipr�t,owner,or occupant or user of such premises shali be liable for a8 repairs
required to any water line and sewer lines necessary for wnnection aE 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 c�arged for the costs of the maintenanee and/or
repairs,including 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 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 ope�ability and at such height as wili ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
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