Meter Swap ' Request Number: 12477
Public Works Division
Service Request
Problem Address: 7310 Memory Ln Requested By: Darrell Hauge
Departmevt: WA1ER Add�.ess. '7310 Memu�ry La
Fridley,MN 55432
ProWem/Issue: INSTALL AMR METER Phone Number: '763•370-007?
ScheduledDate: 2016-12-23 � Schedaled'I1me: 09:OO:QO
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ACIION NEIDED:Install AMR
Created by: Beth Kondrick Dsite C�e�ed: 2016-12•15
ACITON TAI�N:
`�-��5� C�� �. .��
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Shtus: In Progress snbmittcr Haa s�en r,
Co�acted
Date Completed: �2. �3 -- I�1 Completed by:
City of Fridley � (� � � ���
Water Department
. 6431 University Avenue NE �r� �j�t ���t1 Z a---
. Fridiey,MN 55432
763-572-3566
I/we t:� �i�� �� L""��,,�,i �, hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand th 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 also hold the City of Fridley and/its employees harmless for any damages that may occur white daing this
operation. This to include,but not limited to valves,piping,walls,floors or the curh stop box and service line. i�understand f am also required
to obtain a permit prior to aoy work,if necessary.
FIHAL METER READING(old meter) �� � � " ��
Name: ����''� �'� �C�.Kv1 � Address � 3 �t� Y�.�e-►a,,.��y G�..
Phone Number l� � -� ` ��^L��)� Date `�^ � 7 — 1�
_.-�7
�Signature Witness Signature � --._.._......_ ._
OLD METER# � V � �� ��
OLD READING 3�l � � b�
NEW METER# `� � � ����
NEW READING �
ERT# � V I� � t� Cl� ,
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,6Z9,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipa{system and arry house o�building for which the
application is made�the owner o�corrtractor shall be reguired to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After wcfi connection has been made,the Water and Sewer Department shall be notiffed. It shall be uniawful to cover
any con�ecting line until an inspection has been made and such connectioo and the work incideM thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS ANQ MAINTENANCE TO COtdNECI'ION
After the initial connection has been made to the water service curb stop box ar the sewer lead at the property line rn a water service lead has
been extended to the property line for connection,the applicam,owner,or occuparrt or user of wch premises shali be liabie for ali 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 cr repairs be per�ormed by the City,the property owner shall be charged for the costs of the mainte�ance and/or
repairs,includin�necessary street repairs at a rate set annually by an administrative poliry. It shall he the responsibility of the applicaM,
owner,oaupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris ciearing or
root cutting and to maintain the water service curb sto}s box for operability and at such height as wiii ensure that it remains abore the finished
grade of the land or property. (Ref 638,1156,1191}