Meter Swap . �_. .
, - Request Number: 12468
Public Works Division
Service Request
Problem Address: ?540 Tempo Terr Requested By: May Moua
DepartmeM: WA'IER ��.egs; 7540 Tempo Ten
Fridley,MN 55433
Probiem/fsane: INSTALL AMR METER Phone Nnmber: 651-343-0509
Scheduled DAte: 2016-12-23 , Sc6eduled'IIme: 10:0i3:00
., ...� �' �
AC'TION NEEDED:Install AMR
Created by: Beth Kondrick Date Crerted: 2016-12-1 S
ON T `�
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Status: 1n Progress ���er H�s Been r
Contscted
D�te Comgleted: Completed by: /��,�����""
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City of Fridley S � ' � ��j
Water Department
6431 University.Avenue NE � (S'-�5r a'�-�v ���
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Fridley, MN 55432
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. 1 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 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,walls,floon or the curb stop box and service line. fn understand i am atso required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) ��� f� � � �
Name: � Address � J- L� �V� �'C�`l `
Phone Number ' r V� Date � �v
� ,.
Signature Witness Signature
OLD METER# I � � p
OLD READING �(.�(.1 � J � V
NEW METER# "'7 � 1 I ��� �
NEW READING �
ERT# ��� v � (�
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to wnstructing or repair of any water of sewer line wnnecting the existing municipal system and any house or building for which the
application is made,the owner or corrtractor shall be required to obtain a permit for such connection,and shali pay a permit fee as provided in
Chapter ii of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. It shall be unlawful to cover
any connecting line untii an inspedion has been made and such connection and the work incidem thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECi70N
After the initial connection has been made to the water service curb stop box or the sewer lead at the properry 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 fines necessary for connection of the premises from the main to the premises. If the property owner
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 responsibility of the applicant,
owner,occupant or user to perform standard mainte�ance of the sewer service line from the premises to the main including detxis ciearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiil ensure that it remains above the finished
grede of the land or property. (Ref 638,1156,1191)