Meter Swap �\ y •
Request Number. 12788
Public works Division �
Se�vice Request
Problem Address: 7399 Tempo Ten Requested By: Cindy Stro�ek
Department: WA'IER Addresa: 7399 Tempo Terr
Fridley,MN 55432
Problem/Isaue: INSTALL AMR METER Pho�Number: 612-3�8-7978 .
Sehcduled Date: 2017-01-21 Schednled 1lme: i I:30:00
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AC'IION NEEDED:I�tall AMR
Created by: Beth Kondrick Date Created: � 2017-01-09
ACTTON TA�•Ns ,
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City of Fridley � u � ' � �
' ` Water Department
6431 UniversityAvenue NE � �� —S�'11 �����`"
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 aii interior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to inciude,but not limited to valves,piping,walls,floors or the curb stop box and seroice line. !n understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER REA ING(old m er) � { ( �� �
Name: � Address
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Phone Number � � Date � 1 ��r s
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Signature Witness S�gnature
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,b38,662,922,988,1144, 1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or buikling for whkh the
application is made,the owner or cor�trador 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 such connection has been made,the Water and Sewer DepartmeM shall be notified. It shall be unlawful to cover
any connecting line until an inspedion has been made and such connectioa and the wor(c incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AiYD MAtiVTEiVANCE TO CORNECTION
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 property line for connection,the applicant,owner,or occuparit or user of wch 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 properly owner
requests maintenance service or repairs be performed by the City,the property owner shall 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 applipnt,
owner,occupant or user to perForm standard mairrtenance of the sewer service line from the premises to the main includir�g 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 finlshed
grade of the land or property. (Ref 638,1156,1191)