Meter Swap ' Request Number: 12738
Public works I)ivicion
Service Request
Problem Address: 7545 Tempo Terr Reqnested By: Y�cent Grit�ith
Depu�tment: WA1ER Address: 7545 Tea�o Terr
Fridley,MN 55433
Problem/Iasue: INSTALL AMR METER Pl�ne Nambers 763-?86-5159
Schednled Date: 2017-01-10 ScAedaled 11me: 01:00:00 �
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ACIION NEEDED:Install AMR ',
Crented by: Beth Kondrick Date Created: 2017-01-OS
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ACIION TAI�N: ,
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A Statna: tn Progess Coetacted � '
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Date Completed: Completed by: I
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�.4��s rrsaoey
Water�epartenent 3� r.J'� �'a I �� �� ��
6431 University Avenue NE
Fridley,MN 55432 �o � �^ � �
. ' 753-5723566 S
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1/we hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace#he water meter. !understand that the property owner is liable for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) i also hold the C'ity of Fridiey and/its employees harmless#or any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,waiis,tloors or the curb stop box and service line. in understand�am also required
to obtain a permit prior to any woric,if necessary.
FIAIAL METER READING(o meter) �� �� �� �
Name: V� � �� dress �� `� `C�1•� �
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PhoneNumber� r J� r4V^�t� 1 Date � � V" �,�
XSignature_J�6� �� N!'rtness Signature '
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OLD METER#�,� ` � Q� O 3 !,
OLD READtNG,�,� ����
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NEW METER#����!� 1� �,
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NEW READtNG �
E�# � �� � OZC�O ' ,
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, FRIDLEY CITY CODE �I
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER '
ADMtNISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,9$8,1144,1156,1191] '
402.5 PERMIT FEE '
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and arry house or building for which thle
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 has been made,the Water and Sewer Oepartment shall be notified. It shall be uniawful to cover
any connecting line untii an inspection has been made and such connection and the work inciderrt thereto has been approved by the City as a
proper and suitable connection. '
402.06 REPAIRS AND MAINTENANCE TO CONNEC770N
After the initial connection has been made to the water service curb stop boK or the sewe�lead at the property I�ne or a water service lea�l has
been extended to the property line for connection,the appiicant,owner,or accuparrt or user of such premises sfiaii be liabte for all repai�
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property owne�
�equests mairrtenance service or repairs be pe�formed by the City,the property owner shaN be charged for the casts of the mai�tenance andior
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shali be the responsibility of the applicant,
owner,occuparrt 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 operabifity and at such height as wili ensure that it remains above the finished
grede of the land or property. (Ref 638,1156,1191)
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