Meter Swap ,
y
Request Number: 13043
` Publ�c Works Division
Service Request
Problem Address: I525 N Timber Ridge Requested By: Janice Lin�aist
Department: WA'IER Address: 1525 N Timber Ridge
Fridley,MN 5543Z
Problem/Issne: INSTALL AMR METER Phone Nnmber: 763-571-2329
Scheduled Date: 2017-01-31 Schednled'Ijme: 11:00:00
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ACTION NEEDED:Install AMR
CreAted by: Beth Kondrick Date Cre�ed: 2017-01-24
At�'fiON TAKEN:
�.Sa-�,�� v�w
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Statna: Ia Pmgress Submitter Aas Been r,
Cont�ted
Dxte Completed: �, �3 , —� '� Completed by:
Jak�
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Water�e�sarta�ent ( � ,'�� '
6431 ilniversity a4veroue 6VE �
Fridley,MN 55432 � ' � ^�-1��,�� ��
753-572-3566
� �/�e hereby authorize the�iiy of Fridley and/or its empioyees to do what is necessary to
replace#he water meter. 1 understand that�he property owner is liabie for the water line from the main to the premise and all i�rterior
ptumbing. (Per City code 402.06) i also hold the C'oty of Fridley and/ifis employees harmless for eny slamages that may occur while doing this
operation. This to include,but not limrted to valves,piping,walls,floors or the surb stop box and service line. On understand 1 am also require�
to obtain a permit prior to any�ror6c,if necessary.
FIMAL METER READING(old meter) � � � �v (% "�.�
Name•�G.v�b�e �..r(�I,��I f�l.(1`Sd— Address 1�� J �• l �D� IL.�`C!Ci�'
Phone Number /�3" J I Z Je�' 1 p� t" � 1 �' ��,
�.Sign re • « iM�tness Sig�ature �
o�o nnEr�R#_�� �3 v�' � .
OLD READtNG d� � C�V O�
NEW METER# � � F� �� � I
NEW READtR/G � I
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ERT# � 1 � � �o` � � ��
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITAEtY 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 arry house oc building for which the
application is made,the awner or cor�tractor shall be required to obtain a permit for such wnnection,and shall pay a permit fee as provided irr
Chapter 11 of this�ode. After such connection has been made,the Water and Sewer Departmerrt shall be nottfied. tt shail be untawfui to cover
any connecting line urrtil an irispection has been made and such connediun and the wor8c inciderrt thereto has been appro�ed by the City as a
proper and suitable connection.
402.06 REPAfRS AND MAINTEWANCE TO COPINECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property tine or a wate�service tead has
been extended to the properry line for wnnection,the applica�rt,owner,or accupar�t or user oF such premises shaq be liable for all repairs
required#o any water line and sewer lines necessary#or connection of the premises from the main to the premises. if the property owner
requests mairrtenance senrice or repairs be perFormed by the C'rty,the properilyy owner shad be charged for the�af ifie mairttenance and/or
repairs,inciuding necessary street repairs at a rate set annually by an admPnistra#ive pol9cy. It shall be ti�e responsibility of the applicarrt,
owner,occuparn ar user to perform standard maintenance af the sewer service IFne from the premises to the main including debris dearing or
root cutting and to mairrtain the water service curb stop box for operability and at such fieight as wi(1 ensure that it remains above the finished
grade of#he land or property. (Ref 638,1156,1191�