Meter Swap , , �� �_ �'�� ���JC� �- Dl
Request Number: 12327
Public works Division
Service Request
Probtem Address: I68 Talmadge Way Requested By: Kenneth Lehr
Department: WATER Address: 168 Talmadge Way
Fridley,MN 55432
Problem/Issue: INSTALLAMRME'IER P6oneNumber: 763-57I-5253
Scheduled Date: 2016-12-06 Scheduled 15me: 10:30:00
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ACIYON NEEDED:Install AMR for stopped meter
Created by: Beth Kondrick Date Created: 2016-12-02
ACTION AI�N:
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Status: In Progress Submitter Has Been �
Contacted
Date Completed: � Completed by:
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Kondrick, Beth
Subject: Kenneth Lehr 763-571-5153 Install AMR for stopped meter
Location: 168 Talmadge Way NE
Start: Tue 12/6/2016 10:30 AM
End: Tue 12/6/2016 11:00 AM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: Hara, Sandra
Required Attende�: Kondrick, Beth
1
City of Fridtey � �
Water Department S�' � r �
6431 University Avenue NE
Fridley,MN 55432 � ��_ 5���3��\
763-572-3566
I/we hereby authorize the City of Fridley and/or its employees 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 ail interior
plumbing. (Per City code 402.06) 1 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 valves,piping,walls,floors or the curb stop box and seroice line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � �
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Name• Address
n' �•
Phone Number "" �� Date � r �
Signature -�"t �--. Witness Signature
OlD METER# 4� Z t ^'1�� ��Z �"�'� �2�� `���2
OLD READING � �� I 10 1 O
NEW METER# y�� r ► � ��2�t P
NEW READING O
f RT# iCJ 6 0�� ,
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 construding or repair of any water of sewer line connecting the existing muntcipal system and any house or building for which the
application is made,the owner or contrador shali be required to obtain a permit for such connection,and shal!pay a permit fee as provided in
Chapter li 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 until an inspection 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 MAINTENANCE TO CONNECTION
After the init�al connection has been made to the water service curb stop box or the sewer lead at the property line or a water servke lead has
been extended to the property line for connection,the appiicant,owner,or occupant or user of wch premises shall be liabie for all repain
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property ovrner
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 of the appiicarrt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing or
root cutting 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 638,3156,1191)