Meter Swap . �
�� � Request Number: 12752
Pubtic works Division
Service Request
Problem Address: 7503 Tempo Terr Requested By: Julie Inouye
Deptrtment: , WA1ER ��5; 7503 Tempo Terr
. Fridlcy,MN 5543T
Problem/Issue: INSTALL AMR ME'IER Phone Number: 763-245-1287
Schednted 2Q17-02-15 Sc6edaledllme: 01:00:00
� �
AC1�N NEEDED:�tall AMR
Crerted by: Beth Kondrick D�e Created: 2017-01-OS
A�'1ION TAI�N:
� � r�s�,..C e�� 6�-b�(,(Z�
� sta�m: 1n Progr�ss � suba�taer I�a Bes. � �
Coetaeted
Drte Co�pleted: �—��-- 1� Completed by: �
J�� �
.�. -�
�o�vr rriaoey
Wate�De�arta�r�ent �-{� 2•.���
6431 Universit'/Avenue Pl� -�� J
. � Fridley,MN 55432
• 763-572-3566 '� �� � 3 3 c' .� (
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�1We hereby authorize the C�ty of Fridley andior its employees to s!o what is necessary to
replace the wafier meter. !understand that the property owner is liabte for the water line from the main to the premise and all iMerior
plurrtbing. {Per City code 402.06) i also hold the C'rty of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,bufi 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 ta any worlc,if aecessary.
FIMAL METER READlNG(old meter) ��� v ��O
Name: v t�l,�1'e- I n d�--� Address � J O � �t.�l� �'�1 � .
PhoneNumber �`-��^v'�� '�U ` p� �— l� "' ��
Signature Witness Signature �
OLD METER#_I�C/ ! ��S�
OLD READING � � DD
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NEW METER# �� 1 O �� � �
NEW READtNG �
ERT# � I � I JQ �
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+�..
FRIDLEY C1TY CODE `
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER ,'���
ADMINISTRATION
(Ref Ord Plo 113,464,565,566,629,638,662,922,988,1144,1I56,1191)
402.5 PERMIT FEE
Prior to wnstructing or�-epair of any water of sewer line connecting the existing municipai system and any house or building for whicfi the
application is made,the owner or corrtractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in�
Chapter 11 of this Code. After wch connection hes been made,the Water and Sewer Departmerrt shatl be�otfied. it shail be untawful to cover
any connecting fine u�til an inspection has been made and such connectio�and the work inciderrt thereto has been approred by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initiai connection has been made ta the water senrice curb stop box or the sewer lead at the property line or a water service Iead has
been extended to the property line for wnnedion,the applicant,owner,or accupant or user of such premises shall be IiaMe 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 mairrtenance service or repairs be performed by the C'rty,the property owner shail be charged for the costs of the maiMenance and/w
repairs,including necessary street repairs at a rate set annuaily by an administrative poliry. It shali be the responsibility of the appliprrt,
owner,occupant or user to perform standard mair�tenance of the sewer service iine from the premises to the main includir�debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiil ensure that it remai�above the finished
grade of the land or property. (Ref 638,1156,1191J