Meter Swap Request Number: 12325
Public Works Division
Service Request
Problem Address: 7369 Memory Lane Requested By: Nancy Burkle
Department: WATER Address: 7369 Memory Lane
Fridley,MN 55432
Problem/Issue: INSTALL AMR METER Phone Number:
Scheduled Date: 2016-12-14 Schednled Time: 10:30:00
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ACIION NEEDED:Install AMR
Created by: Beth Kondrick D�te Created: 2016-12-02
ACTION TAI�N:
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Status: In Progress Submitter Has Been �
Contacted
Date Completed: 1 2� �� _ �('„ Completed by: ��
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City of Fridley S �? I � > �
Water Department
6431 University Avenue NE
Fridley, MN 55432 � � �Js�S������"
763-572-3566
1/we 1�1� hereby authorize the City of Pridley and/or its empioyees 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 ail interior
plumbing. (Per City code 402.06) I aiso hold the City of Fridley and/its employees harmless for any damages that may oaur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and seroice line. In understand I am also required
to obtain a permit prior to any work,ff necessary.
FINAL METER READING(old meter) � v� � �v
Name: f"(�K1Ll� ��✓��1'�"e Address �3 �� 1"4"e'b✓Ltt7� L�1°
Phone Nurp er '"�' Date 12- 1�-i � ` "'
X Signatur Witness Signature � C w
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OLD METER# 55� 7 3 3�5
OLD READING 1 �� ��V
NEW METER# ���t � � � �
NEW READING �
ERT# l�l ���/ 1 � � ✓
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 any house or lwildi�for which the
application is made,the owner or contractor shail be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter il 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 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 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 senrice lead has
been extended to the property IFne for connection,the applicant,owner,or occupant or user of such premises shall be IiaWe for afl repairs
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 performed by the City,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 responsibil'rty of the applicant,
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 ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)