Meter Swap Request Number: 12396
' Public Works Division
Service Request
Problem Address: 7380 Memory Ln Requested By: Howard Oison
Departmertt: WATER Address: No addzess provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-961-5466
Schednled Date: 2016-12-14 ` - ,_ Schednled'Rme: � ��Q GL�1
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ACIION NEEDED:AMR
Created by: Wendy Hiatt Date Cre�ed: 2016-12-0$
ACTION TAKEI�i:
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Statvs: In Progress Sabmitter H�Hc�a r.,
Co�acted
Date Comptsted: Completed by:
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City of Fridley ��.' � ���
Water Department
6431 University.Avenue NE �� (��jJ'� �
Fridley,MN 55432 ��aJ
.,
763-572-3566
�/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 fo�the water line from the main to the premise and a41 isKerior
plumbing. (Per City code 402.06) 1 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,walis,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit priar to any work,if necessary.
FINAL METER READING(old meter) 1 ��� "� O V
Name: 1�1������ Address �� 6/L/ �� ' I ��
Phone humber �� `� I IfJ1�=5�fa� Date l2-""' �`1� � �
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�Signature _ � �-� �_�„� Witness Si�nature
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OL�METER� V 1/
OLD READING
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NEW METER# `I� �, � L—��� �
NEW READING l J
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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 wnnecting the existing municipai system and any house or building for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shali pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departme►rt shall be not�ed. It shall be unlaMrful to cover
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 suitable wnnedion.
402.06 REPAIRS AND MAINTENANCE TO CONNEC770N
After the initiai wnnection has been made to the water seroice curb stop box or the sewer lead at the properry line or a water servke lead has
been extended to the property line for connection,the applipnt,owner,or occuparit or user af such premises shali be liabie f�ail repairs
required to any water line and sewer lines necessary for connection of the premtses 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 mairrtenance and/or
repairs,incfuding necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of N�e applipnt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris dearing or
root cutting 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 land or property. (Ref 638,1156,1191)