Meter Swap Request Number: 12528
Public works Division
Service Request
Problem Addreas: 7513 Tempo Ten Requested By: Linda Hyde
DepArtme�: WA'IER Address: No addre�s provided
Problem/tssue: INSTALL AMR METER Phoue Number: 763-784-6842
Schednle�!I�te: 2017-01 � Sc6eduled'Iiete: 02:00:00
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AC'IION NEEDED:AMR
Created by: Wendy Hiatt Date Created: 2016-12-20
ACIION T �� �
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St�tua: In Progress �i�mitter Has Been r,
Coutacted
Date Compteted: Completed by:
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City of Fridley ,� ( (� ���
� . Water Department � � ��
' 6431 University Avenue NE (�
Fridiey,MN 55432 � (��� ��3 ID -��
763-572-3566
�/We hereby authorize the City of Fritliey and/or its emptoyees 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) 1 also hold the City of Fridiey and/its employees harmless for any damages that may occur while doing this
operation. This to incle�de,but not limited to valves,piping,walls,floors or the curb stop box and senrice line. In understand I am also required
to obtain a permit prior to any work,if necessary.
FINAt METER REAOING(old eterj ��`����
Name: ` Address � ` J `� (� ,��'�
Phone Number — �Date l��� �
E \ P
Signature _�3�"YlA tn : �. ��1�� Witness Signature
OLD METER#1'T.�� � L � i
OLD READING �l�� ��'�;�
NEW METER# ������L�
NEW READING �✓
ERT# ������v1 J
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADM(NISTRATtON
(Ref Ord No 213,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and ar�y house or buildtng for which the
application is made,the owner or contrador shall be required to obtain a permit for such connection,and shall pay a�xrmit fee as provided in�
Chapter 17.of this Code. After such connection has been made,the Water and Sewer Department shall be notitied. It shall be unlawful to�ver
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the C'iiy 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 servioe lead has
been extended to the property line for wnnection,the applicant,owner,or occupant or user of wch premises shall be lia�e for ali rcpairs
required to any water line and sewer lines necessary for cortnection of the premises from the main to the premises. If the property owrner
requests maintenance service or repairs be performed by the City,the properly 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. k shall be the responsibility of the applicarrt,
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 mairrtain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the iand or property. (Ref 638,1156,1191)