Meter Swap � ��� Request Number: 12376
Public works Division
Service Request
Problem Addreas: 7300 Memory Ln Requested By: MatthewFalk
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME'IER Phone Number: 763-248-4403
Scheduled Date: 2016-12-09 Schedaled'Rme: 08:30:OU
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ACIION NEEDED:AMR
Crcated by: Wernly Hiatt Date Created: 2016-12-07
AC"IION TAi�N:
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Status: In Progress Sebmitter H�Been r,
Conitacted
Date Coe�pleted: Compteted try:.,,,,...�'"'�'
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City of Fridley � � j / �j �
Water Department � �� I
-�-' 6431 University.Avenue NE
�' Fridley,MN 55432
763-572-3566 � �� ����
�/+Ne �"�''�'�.W 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 iaterior
plumbing. (Per City code 402.06) t also hotd the C'rty of Fridley andrts 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 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) �'J v� � / �
Name: ���Qw ��^«C.. Address ��D(J �-�W� �.
Phone Number Z� ' °� l�' �y�3 Date �'2�� � ��
v�ignature ,� Witness Signature �^� C � _
OLD METER# �2 7C0 �2"1�Gt
OLD READING d"J C.O�j�U
NEW METER# �� �I �3 l 1
NEW READING �
ERT# C4 g8S �� �5
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 municipal system and a�y house or building for which the
application is made,the owner or wMractor shall be required to obtain a permit for wch 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 Department shall be notiRed. It shall be unlawful to crnrer
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitabie connection.
402.06 REPAIRS AND MAlNTENANCE TO CONNECTlON
After the initial connection has been made to the water servtce curb stop box or the sewer lead at the properly Iine or a water service lead h�
been extended to the property line for connection,the applicant,owner,or occuparrt or user af such premises shall be liable for all repairs
required to any water line and sewer lines necessary for connectio�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 charged for the�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 the applicarit,
owner,occuparrt 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 fo�operability and at such height as will ensure that it remains above the fioished
grade of the land or property. (Ref 638,1156,1191)