Meter Swap Request Number: 12334
Pubfic Works Division
Service Request
Problem Address: 7389 Memory Lane Requested By: C Skejerwld
Department: WATER Address: 7389 Memory Lane
Fridley,MN 55432
Problem/Issue: INSTALL AMR METER Phone Number: 763-786-2427
Scheduled Date: 2016-12-14 Sc6eduled'Rme: 01:30:00
(�O,P�T ►
ACITON NEEDED:Tnstall AMR
Created by: Beth Kondrick Date Created: 2016-12-02
ACTION TAI�N:
,
.�—
...........................�-:��..��`�:_�.........._.__.............._____-�� __._.
Status: In Progress Submitter Has Been �
Contacted
DateCompleted: 12— 1�� I� Completedby:
�� �!
�
,;;
' � /
City of Fridley � � �"��
Water Department
6431 University Avenue NE � � �_�f���j--v'�
Fridley,MN 55432
763-572-3566
I/we �k-P.�� '�: �'V C � � hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water�meter understand that the property owner is liable for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) f atso hold tfie City of Fridley andjits 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 I am aiso required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) ������� � �
Name: C , �ti Q�i (?ir'il��O Address �3 a � �"��'�'�-/ �rvv`�
Phone Number ��D� 1���''�.� d�� Date 1,Z'" ��� l �
ignature--���� ��� � Witness Signature �G`'y'�d� �
�
OLD METER# �� v �� L'��� 4� r
____���, ,�,,,, ,�,,.,����,,.,�.�--� I� ��I��yo�
OL�READING �� ClI d`' / _t U
NEW METER#__ e� �� � � � �
NEW READING U
ERT#_�y�� � � � 9 �
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 municipai system and any house or building for which the
application is made,the owner or contractor sfiall 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 shall be notified. It shall be unlawful to cover
any connecting line untii an inspedion has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable wnnection.
402.06 REPAIRS AND MAINTEMANCE TO CONNECT{ON
After the initiai connection has been made to the water service wrb 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 applicant,owner,or occupant or user of such premises shall 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 C'�ty,the property owner shall be charged for the wsts of the maintenance and/or
repairs,including necessary street repairs at a rate set annualiy by an administrative poliry. It shall be the responsibtlity of the applicarrt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing 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 land or property. (Ref 638,1156,1191)