Meter Swap Request Number: 12312
Public Works Division
Service Request
Problem Address: 7388 Memory Lane Requested By: Zach Hall
Department: WATER Address: 7388 Memory Lane
Fridley,MN 55432
Probiem/Lssue: INSTALL AMR ME1ER Phone Number: 612-220-8922
Scheduled Date: 2016-12-12 Schednled Tlme: 01:00:00
D n�
ACTTON NEEDED:Install AMR meter
Created by: Beth Kondrick Date Created: 2016-12-01
ACIION TAI�N:
......................................�!--��..�....�:�:�.�._��._�._....._.._..................���.._.R—_......_......___..____..._.............________...._._._..........__._.....___. _.
Status: In Progress Submitter Has Been �
Contacted
Date Completed: i� � 1� I/ ,� Completed by:
I ' Ly
� � � � ,
City of Fridley �j(.� i � �
Water Department
6431 University Avenue NE � ( -�. —��(ol/C��J�
Fridley,MN 55432
763-572-3566
I/we Z�c_��- �''�� (( hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and ali interior
plumbing. (Per City code 402.06) I also hold the City of Fridiey and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not�imited to valves,piping,walis,f{oors 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 meterj �(.J L � � l�
Name: �G e� }'��1 l� Address � 3 g�j I�,'e'w`cJ�,/ L-h
Phone Number�„t 2 � 2C�^ g �-2. pate 1 �"- �2- ` [ �
Signature Witness5ignature 'fG��,��`�'�
OLD METER# ��'1 b 5 c�c� a �
OLD READiNG ��v���t"L �
NEW METER# �I��I �� �7
NEW READING �
ERT# � �� �0 LI �v
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord Pio 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 which the
application is made,the owner or corrtractor shall be required to obtain a permit for such wnnection,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 notified. it shall be unlawful to cover
any connecting line untif an i�pection has been made and such wnnection and the work inddent 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 wate�service lead has
been extended to the property line for connection,the appiicaM,owner,or occupant or user of such premises shali be liable for all 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 or repairs be performed by the City,the property owner shall be charged for the costs of the mair�tenance andJor
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applitant,
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 operebility and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)