Meter Swap ti
, Request Number: 12458
Public Works Division
Service Req�st
Problem Address: 7518 Tempo Terr Requeated By: Tom Zim�rn�an
Depart�ent: WATER �.eSB. 7518 Tempo Ten
Fridley,MN 55432
ProblemlIasue: INSTALL AMR METER P6one Nnmber: 763-784-6574
3cl�duled Date: 2016-12-28 Sc6edtiled 1lme: 08:30:00
W � '
ACIION NEEDED:Install AMR
Created by: Beth Kondrick D�te Cre�ed: 2016-12-15
ACTTON TAKEN: .
�-�15����� ��--_
Stah�s: In Progress ���er Haa Been �
Cout�ted
Date Completed: ��_� ���� Completed by: �`
Hours
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City of Fridley ��S� ��a� �'-��� `" O �
Water Department
' 6431 University Avenue NE � � �� �
' Fridley,MN 55432 � �
753-572-3566
1/we hereby authorize the City of Fridley and/or its empioyees 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 ail irrterior
plumbing. (Per City code 402.06) I aiso hold the City of Fridley and/'rts employees harmless for any damages that may occur while doiog tfiis
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box aod service line. In understand 1 am also required
to obtain a permit prior to any work,if aecessary.
FINAL METER READING(old meter) (� � � � � �
Name• �G�'h �i�'v�.un.G��-- Address �S�l V �e�v iZ°�ir'r=
Phone Number ��� '� ���� �5� Date 12- — � '��
� Signature Witness Signature ��
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� ��� G� � ��j
OLD METER# _ �
OLD READING � � � t ��
NEW METER# �� � I��� 1
NEW READING v
ERT# Ly �J V� �� 1 " I
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,fi38,662,922,988,1144,],156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the exlsting municipal system and arry house or building for which the
appi3cation is made,the owner or contractor shall be required to obtain a permit for such connection,and shail pay a permit fee as provided in
Chapter 11 of this Code. After such connedion has been made,the Water and Sewer Department shali be notified. It shall be unlawful to�ver
any connecting line untii an inspection has been made and such wnnection and Che work incider�t thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO COAINECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the p�operly line or a water senrice lead has
been eutended to the property line for co�nect[on,the aqplicartt,owner,or occuparrt or user of wch premises shaU be liable for atl repaics
reguired to any water line and sewer lines necessary for con�ection of the premises from the main to the premises. ff the property orvner
requests maintenance service o�repairs be performed by the C'rty,the property owner shall be chasged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shali 6e the responsibility o#the applicarit,
owner,occuparit or user to perform standard mai�tenance of the sewer service line from the premises to the main induding debris clearing or
root cutt+ng and to maintain the water service curb stop box fo�operability a�d at such height as wiff ensure that it remairis above the finished
grade of the(and or property. (Ref 638,1156,1191)