Meter Swap , Request Number: 12614
Public Works Division
Service Request
Problem Address: 7501 Tempo Terr Requested By: Barbara
Depsrt�ent: WA1ER Address: 7501 Tempo Terr
Fridley,MN 55432
Problem/I:sue: INSTALL AMR METER Phone Number: 763-784-9229
Sc�edul Date• 2017-01-11 � Sc6ednled 1lme: 09:0(1:00
ACIION NEEDED:InstalI AMR
Created by: Beth Kondrick Date G�e�ed: 2016-12-28
ACITON TAI�N• t ,.1 x'��
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Status: In Progess ���er Ha�Been �.. i�
Contacted
Date Com�deted: Compieted by:
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City of Fridley
Water Department
� • 6431 University Avenue NE �������f���—� t
, Fridley,MN 55432
763-572-3566 �� ( Q �] (�
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�/We hereby authorize the City af Frrdley and/or its employees to do what is necessary to
repiace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all irrterior
plumbing. (Per City tode 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may occur while doi�this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand I am atso required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) �2� � ��
Name: � Address �,���� y`��1I��,tV � A �
Phone Number ! �T������� p� `� �����
�ig� ��Witness Signature L
OLD METER#� ��� ��i �
OLD READING _ �Z� J�� L-_.t�' [.Y"'Q "" ��
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NEW METER# � I � 1 ����
NEW READING C�
ERT# �f/�� ��, � I ,
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord Na 113,a64,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMiT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house ar building for which the
application is made,the owner or contractor shail be required to obtain a perntlt for such wnnection,and sha{I pay a permit fee�provided in•
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. it shail be unlawful to cover
any connecting tine until an inspection has been made and such connection and the work incident thereto has been approved by the Gty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initiel connection fias been made to the water senrice curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for connedion,the appiiqnt,owner,or occupant or user of such premises shall be liabk for all repairs
required to any water line and sewer lines necessary for cannection of the premises from tfie main to tfie premises. ff the�operty owner
requesu maintenance senrice or repairs be performed b�r the Cityr,the property owner shail be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responslbility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the maln inctuding debr'ss clearing or
root cutting and to maintain the water service curb stop box fo�operability and at such fieigfit as wili ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)