Meter Swap ��
Y Request Number: 12622
Pubhc wo�s Division
Service Req�st
Problem Address: 7312 Sympho�+St Itequested By: M�ian H�charek
Department: WATER �.�s; 7312 Syt�hoay St
Fridley,MN 55432
Problem/Iss�: INSTAL,L AMR METER P6one Numbcr: 763-786-2656
3eLeduled Date: 2017-01-03 Sc6e�ed 1lme: 11:30:00
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ACIIQN NEEDED:I�tall AMR
Created by: Beth Kondrick Date Created: 2016-12-29
ACTION TAi�N:
I h����� �M �--
Strtua: In Progress C��ted H�Been � �.
Date Completed: � ^ � —'�7 Completed by: f /"' •
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7.� .
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City of Fridley � � � � �
Water Department � ,�
�' 6431 University Avenue NE
' Fridley, MN 55432 3(5 -5 ����� `��
763-572-3566
�/we hereby authorize the City of Fridley 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 all interior
plumbing. (Per City code 402.06) I also hoid the 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,walls,floors or the curb stop box and service line. In understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) ��� � LI ��
Name: �,���n;i►1 Y'lf���'1CA1/��k'' Address �J�� �^-j(n�1 ��dN�f 7��
Phone Number /�a � � �� -�tL'J 1F� p�e � � � — ��
�Si nature���� "��
B Witness Signature
OLD METER# �� �—V U� �I
OLD READlNG � J� ` I (�J�
NEW METER# �� � 1 � ���
NEW READING �
ERT# Vl � v� �� � �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SAN{TARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMiT FEE
Prior to�nstructing or repair of any water ofi sewer line connecting the existing municipai system and arry house or buifding for whid�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 Department shall be nati�ed. It shail be unlawful to cover
any connecting line until an inspection has been made and wch wnnection and the work incident thereto has bee�approved by the City as a
proper and witable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water senrice curb 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 shail 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 properly owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the�sts of the maiMenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsbility of the applicant,
owner,occupant or user to perform standard maiMenance of the sewer service line from the premises to the main including debris cieari�g or
root cutting a�d to maintain the water service curb stop box for operability and at such height as wili ensure that it remains above the flnished
grade of the land or property. (Ref 638,1156,1191)