Meter Swap t
� Request Number: 12784
Pubhc Works Division
Service Request
,
Problem Address: 7351 Tempo Ten Requested By: Gloria Schultz
Department: WATER Addreaa: 7351 Tempo Terr
Fridley,MN 55432
Probiem/Issue: 1NSTALL AMR ME1ER �ho�Nwnber: 763-784-0899
Scheduled D�e: 2017-01-12 Schedaled 11me: 07:00:00
�
ACTION NEEDED:In4tall AMR
': , ,
Created by: �th Ko�rick Date Created: 2017-01-09
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AC'IION TAI�N:
�,��,�i�e� ���U2--
St�tus: In Progress Sn6mitter H�ss Been r,
Co�ncted
Dxte Com�eted: ' -- i �— [ � Com�eted by:
,
, - City of Fridley � J�
�- Water Department �1�� ��Il�`�V
6431 University Avenue NE
Fridley, MN 55432 �O I /�� �
763-572-3566 '
I/we hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. I understand that the property owner is liable for the water line from the main to the premise and all i�terior
plumbing. (Per City code 402.06) 1 also hold the C'ity of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) ���� ��"
Name: V����- ���"`� Address �� �1 ��^'"W� �� V '
Phone Numb G��7 ~�� �"�( Date �� '� � I�
i
'�i Signature Witness Signature
�/ —
OLD METER# �� �7 � �"6�--
OLD READING � v ` �/ �a'V
NEW METER# " 6� � � v��o
NEW READING �
ERT#����� ` �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMIN ISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to construding or repair of any water of sewer line connecting the existing municipal system and any 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 permR fee as provided in
Chapter ii of this Code. After such connection has been made,the Water and Sewer DepartmeM shall be noti�ed. It shall be unlawful to cover
any connecting line until an inspection has been made and wch connection and the work inciderrt thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial conneccion 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 appiicant,ow�er,or occupant or user of such premises shall be liable for all repairs
required to a�y water li�e and sewer lines necessary for wnnediorti of the premises from tfie main to the premises. ff the property w�rner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maiMenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibil'rty of the applicant,
owner,occupant 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 operability and at such height as will ensure that it remains above the fnished
grade of the land or property. (Ref 638,1156,1191)