Meter Swap � t
Request Number: 12574
Public Works Division
Service Request
Problem Address: ?361 Tempo Terr Reqaested By: Kalsang
Department: WA'IER Addre�: No address provided
Pro�emllssue: INSTALL AMR METER P�o�Number: 61 Z-222-0248
Sche ��ate: 2016-12-28 �` Scheialcdli�e: 08:00:00
C ZO � �c�
ACTION NEEDED:AMR
Created by; Wendy Hi�t Date Created: 2016-1 Z-27
ACIION TAI�N:
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Snbmitter Hu Been
`� Strtua: In Progress Contacted r
Date Completed: �ja � a U—`� � Completed by:
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City of Fridley
. �- � Water Department � �`j- rj�.� // Q � �oZ.
6431 University Avenue NE
Fridley, MN 55432
763-5�2-3566 S �,� � � � �
�/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 iMesior
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,floors or the curb stop box and service line. In understand i am also required
to obtain a permit prior to any wortc,if necessary.
FINAL METER READING(old meterJ ` `� �� �
Name: �^'���'� Address ��� ' /�� ���
PhoneNumber ��2-' 222 —�� / p� ���a,U' l�
Si nature ' Witness Signature �~�
OLD METER# I � I � � ���
OLD READING 1�5�17�
NEW METER# - 1� � 1 � / I �`
NEW READING �
ERT# �tJ � �v � O I � ,
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRA'TION
(Ref Ord No 113,464,565,566.629,638,662,922,988,1144,1156,1191)
402.5 PERMiT FEE
Prior to construding or repair of any water of sewer line connecting the existing municipal system and arry house or building for which the
application is made,the owner or corrtrador shall be required to obtain a permit for wch connection,and shall pay a permit fee as pravided in�
Chapter 11 of this Code. After such con�ection has been made,the Water and Sewer Department shall be notified. It shali be unlawful to cover
any connecting line until an inspection has been made and such connection and the work inciderrt thereto has been approved by the C'rty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connectio�has been made to the water service curb stop box or the sewer lead at the property line or a water senrice lead has
been extended to the property line for connection,the applicaM,owner,or occuparrt or user of such premises shall be liabie for ali repairs
required to any water line and sewer liaes necessary for connection of the premises from the main to the premises. tf the properly owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mairitenance a�d/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibifity of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to maintain the water service curb stop box for operabllity and at such height as will ensure that it remains above the finished
grade of the land or properly. (Re�F 638,1156,1191)