Meter Swap . Request Number: 12827
Public Works Division
Service Request
Problem Addresa: 7331 Teznpo Terr Requeated By: Donna Reed
7331 Te�o Terr
Uepartment: WA1ER �'t8i� Fridley,MN SS432
Pro�em/lsaue: INSTAL.L,AMR METER Pbo�Nweber: 612-442-3844
Sc6edaled Date: 2017-01-23 Schedated 11nne: 02:f)0:00
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AC'IION NEEDED:Install AMR -
C�eated by: r Beth Kondrick Date Creaitea: 2017-01-i I `
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ACTION TAKEN:
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�: ���s sabmitter Has Bee. �, -
Ceutscted
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Date Completed: �,^a�--` Compicted by: . �
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City of Fridley S� � � ��� � �
Water Department f
6431 UniversityAvenue NE � '�� c7`�����
' Fridley, MN 55432
� 763-572-3566
�/We hereby authorize the City of Fridley 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 ail interior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for a�y damages that may occur while doing this
operation. This to include,but not limited to vaives,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) ""o � V ��
Name: �(�`1� l��� Address ��� � ���� ���%
Pho�e Number UZ l Z' �����U d�pate �— ���+ � 1
Signature Witness Signature �
OLD METER# ! t�� �� � � L �
OLD READING
e�C� C ���o _ .._�__
NEW METER# �� �1 � 1,��
NEW READING O
ERT# `/ " V� 1� �/V ._
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRAT{ON
(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 municipai system and arry house or building for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter li of this Code. After such connection has been made,the Water and Sewer Departmerrt 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�ty as a
proper and suitable connection.
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402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial 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 extended to the p�operty line for connection,the applicant,owner,or occupant 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 maintenance service or repairs be pe�formed by the City,the property owner shali be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the appiicant,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main including debris cleari�g or
root cutting and to maintain the water service curb stop box for operability and at such height as wili ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)