Meter Swap ' Request Number: 1234fi
Pubtic Works Division
Service Request
Problem Address: 7360 Tempo Ten Requested By: Wilbert Tozer
Department: WATER Addceas: No adc�ess provitied
ProMem/Isa�: INSTALL AMR METER Aho�c Namber: 763-784•6263
Scheduis�'�late: 2016-12 S��edalsd 1lme: 11;30:(Hf
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Status: In Progi�ess Snbmitter H��een �.,
Cout�ttd
Date Com�lsteiz Completed lry:
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Hi�tt, Wendy
Subject: Wilbert Tozer 763-784-6263 AMR install for stopped lold meter
Location: 7360 Tempo Ter
Start: Mon 1215/201611:30 AM
End: Mon 12/5/201612:00 PM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: Hara, Sandra
Required Attendees: Hiatt,Wendy
1
City of Fridley
,
� Water Department �j �S�� '3')l�� ��
6431 University Avenue NE
Fridley,MN 55432 � �!'' � �, ��
763-572-3566 �'�
1/we �9 1 +J'z�� f (;Z'�,� hereby authorize the City of Fr9dley 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 a�d all interior
plumbing. (Per City code 402.06) I also 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,walis,floors or the curb stop box and service line. In understand 1 am aiso required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � � � l�4� ��,
Name: �i�b���' t (�Z� � Address ���LS r�YM n �'2,tr�.
Phone Number . � �L ' 2 Date �� �`r l�
,-,� �,� /��
�, .� ''. J-�`~ � 1/i�L►X✓�'O''F/l_.
Signature Witness Signature da.,
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,
OLD METER# ��''� �' � � I
OLD READING �'! 1 � Cj � �4�'
NEW METER# � � � � � a � q �
NEW READING �
��RT# � �U �� � � �
FRIDLEY CITY CODE
CHAPTER 402.WA7ER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1155,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer Iine connecting the existing municipaf system and arry house or building for which the
application is made,the awner or contractor shalt be required to obtain a pe�mit far such wnnectiosi,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shatl be unlawful to cover
any connecting line until an inspection has been made and wch connection and the work incident thereto has been approved 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 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 connection,the applicant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water line and sewer lines necessary for connection of the preroises from the main io the premises. If the properry owner
�equests maintenance service or repairs be performed by the City,the property ow�er shall be charged for the costs of the mairitenance and/or
repairs.including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applitarrt,
owner,occupant or user to perForm standard maintenance of the sewer service fine 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 wch height as wi4{ensure that it remains above the finished
grade of the land or p�operty. (Ref 638,1156,1191)