Meter Swap , , Request Number: 12662
Public Works Division
Servlce Request �`
�
Problem Address: 7368 Symphorry St Requested By: Elw�nod Tar�gren
De�rtment: WA1ER Addreas: 7368 Sympho�}+St
Fridley,MN SS432
Problem/Isaue: INSTALL AMR METER Phone Numbers 763-784-057$
Scheduled Date: 2017-01-03 Schedaled 11me: 10:00:00
.'- � /D�,ti,
ACITON NEEDED:Install AMR
Created by: Beth Kondrick Date Created: 2016-12-29
ACITON TAI�N:
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Sts�tua: 1n Progess Sub�aitter H�s Bean r
Centacted
Date Compteted: � � � ..,� �`� Completed;by: l'���.�'�'1/`
Aours '�
1
City of Fridley (`� � ���
Water Department > L
„ 6431 University Avenue NE �
, � Fridley,MN 55432 � 5�v�� �l�(
T63-S72-3566 � ���'
�/We hereby authorize the City of Fridiey 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 City code d02.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to va{ves,piping,walis,f{oors or the curb stop box and service tine. tn understand 1 am aiso required
to obtain a permit prior to any work,if necessary.
FINAL METER REAQING(o!d meter) ��d l. � �'"
Name: E�.._.W O(�� ��Cll/lGT�,� Address �� l�� � � F'� s.�'`�
Phone Number ��✓'����^ d��v p� 1 r J '� �7
� �,
Signature � l,�ff/I�C�I/l Witness 5ignature
OLD METER# � � � 1 � `���
OLD READING � � � � (U
NEW METER# e� � 4 v�� I
NEW READING �
ERT# � �������
FRIDLEY CITY CODE
CHAPTER 402.WATER,STbRM WATER AND SANITARY SEWER
ADMINISTRA710N �
(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 munkipai system and arry house or lwildir�for whid�the
application is made,the owner or cocrtrador shail be required to obtain a permit for wcfi cormection,and shalf pay a permit fee as provided in�
Chapter 11 of this Code. After sucM connection has been made,the Water and Sewer Department shall be notified. it shall be unlawfiil to cover
any connecting line until an inspedion has been made and such connection and the work inddent thereto has bcen approved by the CFty as a
proper and suitable connection.
402.06 REPAIRS AND MAtNTEWANCE TO CONTIECTIOIN
After the initial connection has been made to the water service curb stop box or the searer lead at the propecty Ii�e or a waber service kad has
been extended to the property line for connection,the appiicant,owner,or occupant or user of such premises shall be liabk for ail 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 City,the property owner shall be charged for the costs of the maiMenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility vf the applicar�t,
owner,occupant or user to perform standard maintenance of the sewer senrice lir�e from the premises to the main including debris c{earing or
root cutting and to mairrtain the water service curb stop box fo�operability and at such height as wili ensure that it rernains abore the�nished
grade of the land or property. (Ref 638,1156,1191)