Meter Swap ' Request Number: 12462
Public works Division
Service Request
Problem Address: 7340 Memory Ln Requested By: Raymond Cramble
Deptrtme�: WATER p�.e�s: 7340 Memory La
Fridley,MN 55432
Problem/Isane: INSTAI,L AMR METER Phoa Number: 763-786-7303
Sc6edaled llnte: 2016-12-21 5c�ed'led 1lme: 09:00:00
.-� C L S�'` c�
ACRUN NEEDEll:Install AMR
Cre�ted by: Beth Ko�trick Date C�e�ed: 2016-12-1 S
ACTION TAKEN:
�hS�ti� ��� ��Z
Statua: In Progress ���er H�Been �,
Co�ted
Dxte Com�eted: ��✓ ��� I /� ComEdeted by:
Honrs �S�
� ..
�
City of Fridiey S � I� ��
Water Department � ��
6431 University.Avenue NE �3 ' ���'S ��
. Fridtey, MN 55432
763-572-3566
1/we �"�'�%G•�-c•y�. G�`�w���-t� hereby authorize the City of Fridley and/or its employees to do what is necessary to
repiace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and ail interior
plumbing. (Per City code 402.06) I 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 READING(old meter) �� � "� � 1 v
Name: �W`4 a'►C �.JI�?'"'�,�r`��"C' Address /3��� ��hn0� �
Phone Number ` ��'� !� ���� Date �2' � � f� ` �
�ignatur V . 1«J"C� Witness Signature ��U'�
OLD METER# ����V ��Z
OLD READlNG �5 / � � l v
NEW METER# �� � I U���
NEW READING �
ERT# � v� � � l � �
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 connecting the existing municipai system and any house or building for which i�e
application is made,the owner or contractor shall be required to obtain a permit for such rnnnection,and shall pay a permit fee as provided i�
Chapter 11 of this Code. After wch connection has been made,the Water and Sewer Departmerrt shall be notfied. it shall be unlawful to�ver
any connecting line untii an inspection has been made and such connection and the work inadeM thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water senria curb stop box or the sewer lead at the property iine or a water service lead has
been extended to the property line for wnnection,the applicaM,owner,or occupant or user of such premises shail be liable for a!I 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 mair�tenance service or repairs be performed by the City,the property owner shall be d�arged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annualiy by an administrative poliry. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard mairnenance of the sewer service line from the premises to the main includir�g debris dearing or
root cutting and to mairrtain the water service arb stop box for operability and at wch height as will enwre that it remains above the ftoished
grade of the land or property. (Ref 638,1156,1191)