Meter Swap Request Number: 12�51
PubHc Works Division
Service Rec�uest
Problem Address: 7436 Stinson Blv�d Reqnested By: Sharon Miles
Dep=rtmeat: WA1ER ��.eSB; 7436 StinsonBlvd
Fri�ey,MN 55432
ProMem/Issae: INSTALL AMR ME'IER Phoue Nrmber: 763-786-3075
Sc6ed�led D�e: 2017-01-t2 Sc�edded 11me: 11:00:00
1 ► t,LiVS ' 1`` ✓�
ACIION NEEDED:tustall AMR
Created by: Beth Kondcick DAte Cre�ed: 201'7-01-05
AC'IION TAI�N:
_ ��.��,�1�� y��,�
Stataa: In Progress Sabmitter Hae See■ n
Coatscted
Date Completed: ��— (,2� �� Completed bq:
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Lot}/or rr�aoey
Water�epartrnent C"� /�
6431 University Avenue NE �� ��� � �
, � Fridley,MN 55432
763-572-3566 � ' S�� 3.p v��
���e hereby authorize the Ciiy of Fr�dley 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 all interior
plumbing. (Per C'�ty code 402.06) 1 also hold the C'oty of Fridiey and/its employees harmless#or any damages that may occur while doing this
operation. This to include,but not lirnited to valves,piping,walls,floors or the curb stop 6ox and service line. In understand I am also required
to obtain a permit prior to any work,if necessary.
FlNAL METER READING(old meter) v v�� rJ 4,C..o
Name• 54`�Fi�-�''�� ,��C"�� Address !� �� 7�0-�� Ir7�l?� .
PhoneNumber l �J' — `p� � C�Z� p� l�` �'�`V G
,
�Signature Witness Signature `�
OLD METER#_ I�CJ� � �� ��
OLD READtNG__�v����v
NEW METER#_ �� � I V� ��
NEW READING �
ERT# � U�v ���
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,4�64,565,5b6,629,638,662,922,988,1144,1156,1291j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sEwver line connecting the existing municipal system and arry house or building for which d�e
application is made,the owner or contractor shall be required to obtain a permit for wch connection,and shall pay a permit fee as provided in�
Chapter 11 of this Code. After wch connection has been made,the Water and Sewer Departmertt shall be notified. R shall be unla�aful to cover
any connecting line untii an inspection has been made and such connection and the worlc inaderrt thereto has been approved by the City as a
proper and suitab(e connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initiai connection has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been exte�ded to the property line for wnnection,the applicaM,owner,or accuparrt 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 mair�tenance service or repairs be pe�formed by the City,the properly owner shail be charged for the costs of the mairrtenar�e and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative policy, R shatl be the responstbility of the applicarrt,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main including debris dearing or
roofi cutting and to mairrtain the water service curb stap box for operability and at such height as wiil ensure that it remains above the finished
grade of xhe land or property. (Ref 638,1156,1191�