Meter Swap � Request Number: 12575
— -,� -.- -- -- — — . _ —
Pubtic works Division
Service Request
Problem Address: 7301 Tea�o Terr Requested By: Har�y Benson
Department: WATER �.ei�: '7301 Tempo Terr
Fridley,MN 5543Z
Probleml�sane: INSTALL AMR METER Phone N�ber: 763-784-b778
ScAeduled Date: 2017-01-OS Sclkdded'Ilme: 09:OO:QO
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AG"IION 1�iEEDED:Install AMR
Created by: Beth Kond��ick Date Cre�ed: 2016-12-27
AaC"IION TAI�N:
�.5�-�,,C��-� 6���-
Statw: In Progress �el�itter Has Been �.,
Contseted
Date Comptetcd: Completed by:
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City of Fridley
Water Department �� l �p �,
, . 6431 University Avenue NE S�,��J ��
, Fridley, MN 55432 � l,�'
763-5723566
� �/We hereby authorize the City af Pridley andJor its empioyees to do what is necessary to
replace the water meter. 1 understand that the property ow�er is liable for the water line from the main to the premise and ali interior
ptumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harm{ess for any damages tfiat may ocwr while doing this
operation. This to include,but not limited to vatves,piping,wal{s,floors or the curb stop box and service line. In understand 1 am aiso required
to obtain a permit prior to any Nrortc,if necessary.
FINAL METER READtNG(old meter) � ��� ,��
Name: `ti^V"-C:v+ `� ' Address �V `�1, � ��
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''' r
Phone Num �� Date � �
Signature Witness Signature
OLD METER# ����CQ � �v
OLD READINCa � �� � ���
NEW METER# ��'�\ ���°�
NEW READfNG `-'
ERT# �� !)� ��lV`'
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINfSTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to construding ar repair of any water of sewe�line connecting the existing municipal system and a�ry►house or iwiWing for which the
application is made,the owner or coMracto�shall be required to obtain a permit for wch connection,and shalf pay a permit fee as provided in�
Chapter 11 of this Code. Afte�such connection has been made,the Water and Sewer Departmerit shatl be�otified. It shall be unlawful to cover
aml conaecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPP►fR5 AND MAfNTENANCE 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 senrice lead has
been extended to the property line for connection,the app�icaM,owner,or occuparit or user of such premises shali 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 owae�
requests maintenance senrice or repairs be performed by the City,the property owner shall be charged for the costs of the mai�tena�ce and/or
repairs,including necessary street repairs at a rate set annually by an adminisCrative poliry, k shall be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to maintain the water service curb stop box for operahility and at such height as wi41 ensure that it remains above the finished
grade af the land or property. (Ref 638,1156,1191)
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