Meter Swap � Request Number: 12449
Public Works Division
Service Req�st
Problem Address: 7330 Memory Ln Requested By: Mike Fmerson
Departme�: WATER Address: 7330 Memory Ln
Fridley,MN 55432
Problem/isaue: INSTALL AMR METER Phoae Number: 612-961-7519
Sc�dWed D�te: 2016-12-19 Schednle�T1me: 01:00:00
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ACIION NEEDED:Install AMR
Created iry: Beth Kondrick Date Cre�ed: 2016-12-14
ACIION TAI�N:
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Status: In Progress ���er�Been �
Co�acted
Date Completed: Completed by: I���r�J,�""'
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C'rty of Fridley �"��
Water Department S� �
� 6431 tJniversity.Avenue NE
� � Fridley, MN 55432 '� �a �(S�C���,—
763-572-3566
�/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 interior
plumbing. (Per City code 402.06) I also hold the C'ity of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not timited to valves,piping,walls,floors or the curb stop boz artd service line. In understand 1 am aiso required
to obtain a permit prior to any work,if necessary.
PINAL M R READING(o�d meter� � �� � �
Name• e _����,��Address � , ' 1�
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Phone Nu be� . � Date
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� Sign re{a� WRness Signature � �..
OLDMETER# ���� ���� .
OLD READING 2�'v� D�
NEW METER# �.� I! �✓ (�
NEW READING �
ERT# ���v�✓ � t V
�RIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADM(NISTRATtON
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to construding or repair af any water of sewer line connecting the existing municipal system and arry house or building for which the
application is made,the owner or contractor shall 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 Departmer�t shall be notified. It shail be unlaw(ul to cover
any connecting tine until an inspection has been made and suc6 connection and the work inctdent thereto has been appraved by the City as a
proper and suitabte 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 property line or a water service kad has
been extended to the property line for connection,the applicaM,owner,or occuparrt or user of wch premises shall be Iiable for all repairs
required to any water tirte and sewer lines necessary for connection of the premises from the main to the premises. If the property�rner
requests maintenance service or repairs be pe�formed by the City,the property owner shall be charged for the costs of the maintenance and/or
repairs.including necessary street repairs at a rate set annuaily by an administrative poliry. It shall be the responsibility of tlie applipM,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to mair�tain the water service curb stop box for operability and at such height as witt ensure that it remains above the finished
grade af the land or property. (Ref 638,1156,1191)