Meter Swap 3 r� - ��� ���� ��i
' Request Number: 12354
Public Works Division
Service Request
Problem Address: 7311 Memory Ln Requested By: Ben Hedlu�d
Department: WATER Addre�s: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-786-3424
Sc�eduled Date: 2016- - � Schedaled 11�: 10:00:00
. �
AC"IION NEEDED:AMR
Created by: Wendy Hi�t Date Creattd: 2016-12-(13
ACTION TAI�N:
I h ����;�. � I� �
Status: In Pro ss Submitter Has Reea C,
� Con�tacted
Dat�Completed: Compieted by:
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City of Fridley
Water Department
� 6431 University.Avenue NE �I a--S'�S`��`'���
Fridley, MN 55432 ��
763-572-3566 �l.' � �� �
�/We hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. t understand that the property owner is liable for the water line from the main to the premise and all interior
plumbing. (Per City code 40Z.06j 1 atso hold the City of Fridley and/its employees harmiess for any damages that may occur while doir�g this
operation. This to include,but not limited to valves,piping,walis,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)_�l{ � � q V{,/
Name: Address� �Y� 1 �t��(',��� �n
Pho�e Number `�� 7�a JL ( p� �''l�' � ;10
Signature ' Witness Signature
OlD METER# � � �� ��j � ..>
OLD READING_``1 F� � ���.,!
NEW METER# � 1 � � i"'��
NEW READING_ ( /
ERT# � V � v �O
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SAN(TARY 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 ar�y house or building for vrhid�the
application is made,the owner or coritractor shall be required to obtain a permit for such connection,and shali pay a permk fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover
any connecting tine until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connedion.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service arb stop box or the sewer tead at the property(ine or a water service Iead has
been extended to the property line for wnnection,the applicant,owner,or occupant or user of such premises shall be liabie for ail repalrs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be pe�formed by the C'ity,the property owner shall be charged for the costs of the mairrtenance and/or
repairs.including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicaM,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main inclu�r�deb�is dearing or
root wtting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the la+zd or property. (Ref 638,1156,119!)