Meter Swap s �
Request Number: 12326
Public Works Division
Service Request
Problem Address: 7392 Memory Lane Requested By: Robyn Gelhar
Department: WATER Address: 7392 Memory Lane
Fridley,MN 55432
Problem/Issue: INSTALL AMR METER Phone Number: 612-251-3452
Scheduled Date: 2016-12-23 Schednled 13me: 08:30:00
�ri �C a G .� �,
ACITON NEEDED:Instail AMR
Created by: Beth Kondrick Date Created: 2016-12-02
1!
AC'�ION TAI�N: .
..........__.:._�Y15�.����� .__..��'����.____._..........__......_.........._._____..._................_._.........._..______..............__.._ _.._.._.. __..__.
......................_................._..._.._..___................_._......................._..___............_..__.....__...__...............__............._.__..._............_.......___.............,.__.._.__............._..__.____...___......____._._.._____..�..._.....
Status: In Progress Submitter Has Been �
Coptacted
Date Completed: � ?� Z-� '�lB Completed by:
`��' ,�'� �� ���'_
��" �
t ',-
� S�:' �� �
City of Fridley
Water Department �y��� ��v�U'a--
6431 University Avenue NE "� �
Fridley, MN 55432
763-572-3566
I/we '��� � � �lt'�1!� hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water eter. 1 understand that the property owner is liable for the water line frorn the main to the premise and all interior
plumbing. (Per City code 402.06) 1 also 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,floors 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 READIN (ol eter) � " � � � � �
�� `^� .
Name: 1�' � �-r"�.�� �G��:1�� Address �1 ��� � ��'�N.l3i^�.� �
Phone Num � �� � I � -� / � Date 1�—��' � �
�Signatu�e Witness Signature ��
OLD METER# �_L� �u��
r
OLD READING l�/D� � �
NEW METER# � 7 � I ��7. �a
,
NEW READING C7
ERT# � � l' � � � t �
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 line wnnecting the existing municipal system and arry haise or building for which the
application is made,the owner or contractor shali be requi�ed 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 Departmerrt shall be notified. It shall be unlawful to cover
any connecting line until an inspection has been made and wch connection and the work incident thereto has been approved by the City as a
proper and suitabie wnnection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer tead at the property line or a Mrater service leact has
been extended to the property line for connection,the applicant,owne�,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 maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shali 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 induding 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)