Meter Swap .
Request Number: 12303
Public Works Division
Service Request
Problem Address: 7382 Memory Lane Requested By: Kay Larson
Department: WATER Address: 7382 Memory Lane
Fridley,MN 55432
Problem/Issue: INSTALL AMR METER Phone Number: 763-784-0524
Scheduled Date: 2016-12-08 Scheduled'15me: 10:00:00
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ACIION NEEDED:Install AMR meter
Created by: Beth Kondrick Date Created: 2016-12-01
ACTION TAKEN:
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Status: In Progress Submitter Has Been �
Contacted
Date Completed: Completed by: �
� C'���+ �t
I Z�- � ��,
� City of Fridley �`�, ��� C� ��
Water Department � U
6431 University Avenue NE � (�,� ��(�-��
Fridley, MN 55432
763-572-3566
I/we 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 iMerior
plumbing. (Per City code 402.06) 1 also hold the C'�ty of Fridley and/its employees harm{ess for any damages tfiat may otcur wfiile 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 neceuary.
FINAL METER READING(oW meter) ����� ��
Name• " �� 7G 1� Address ��� 1A�Z /�'1,�-11h�•r1 `� ' `
Phone Num ��� 7 v L'� �S•� Date ' �� `� � � �
�Signature Witness Signature / -�
OLD METER#_� ( � S � � � � �
..
OLD READING ?.D y� I� O
NEW METER# ��� � �� � �
NEW READING �
ERT# � (�v v �� 1 �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WA7ER 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 any house or building for whPch the
application is mada,the owner or contractor shall be required 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 Department shali be notified. It shall be unlawful to cover
any connecting line until an inspedion has been made and such connedion and the work incident 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 service curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for connection,the applicarrt,owner,or occupant or user of wch premises shall be IiaWe for all repalrs
required to any water line and sewer lines necessary for connedion of the premises from the main to the premises. If the property owner
requests maintenance service or�epairs 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 poliry. It shall be the responsibility of the appiicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will enwre that it remains above the�nished
grade of the land or property. (Ref 638,1156,1191)