Meter Swap ' Request Number: 12595
Pubtic Works Division
Serv�ce Request
Problem Address: 7320 Te�o Terr Requested By: E�elyn Bergerson
De�rtmevt: WATER Addresa: 7320 Tempo Ten
Fri�ey,MN 55432
Probtem/Isaae: INSTAi.L AMR METER Plaee Nm�ber: 763-464-85?3
ScLeduledD�e: 2017-01-03 n Sc�ed�ledllme: 01:30:00
C� t
AC'1ION NEEDID:I�tall AMR
Cre#ed by: Betl�Kondrick Date Crea�ed: 2016-12-2T
ACIiON TAI�T:
�--V'�s�,�,��°� ��,�
Status: In Progress S�bmitter Hu Been �..
Contaeted
Ihte Completed: ' ^ 7j -- � � Completed by:
�
` City of Fridley � (�j�(�
, Water Department � 1 d �
, 6431 University.Avenue NE
Fridley,MN 55432 ��� ��.,.Iv�J�� �
763-572-3566
�/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 interior
plumbing. (Per City code 402.06) I aiso hold the City 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 I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(ctd meter) "l 1 � � � "
Name: ��i C' (;'ri► �'J[' v`C��.r'`irV\ address / J��, G��'b/1tl (" `�Ji�!'
� +
Phone Number �� — [�'-( ����e�� p� � 'r � � � �
,�Signature Witness Signature �
O!D METER# ���� " � � �
OLD READING � � + "�v
NEW METER# ���I v S��
NEW READiNG C�
ERT# �=/��� ���"� �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITAR1l SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,529,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
P�ior to constructing or repair of any water of sewer line connecting the existing municipal system and arry house or building for whtch the
application is made,the owner or contractor shall Ise�equired to obtain a permit for such connection,and shalt pay a permit fee as provided in
Chapter 11 of this Code. After such co�nection has been made,the Water and Sewer Departmerrt shatl be notified. It shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been appr�ed by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE 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 senrke tead has
been extended to the property line for connection,the applicant,owner,or occupant or user of wch premises shaii be liable for all repairs
required to any water line and sewer lines necessary for wnnection of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the Ctiy,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 appliant,
awner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main inciuding debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wili ensure that it remains above the finished
grade of the land or propesty. (Ref 638,1156,1191)