Meter Swap , ` ' Request Number: 12576
Pablic Works Division
Service Request
Problem Address: 7350 Tempo Terr Requested By: Lisa Erpelding
Departme�: WA'IER Addresa: 7350 Ternpo Ten
Fridlcy,MN 55432
Problemlissne: INSTALL AMR ME1ER PLone Nnmber: 763-780-2945
Sclieduled 20 2-28 � Sc6cdul�d 11me: 02:00:00
�
ACTION NEEDED:Install AMR
.
Created by: Bath Kon�ick Date Cres�ed: 2016-12-27
= _ .
A(,ZION TAKEN: 't'"
i..--�, s�:�l�� C�- ��
,
Stx�: In Progress �b�itter Has Eeen �
Contuted
Date Completed: �p�, ' �� � �lY Completed by:
Hours -�-
City of Fridley
Water Department ; �� �
,r.� 6431 University Avenue NE �� � � � � -�
j Fridley,MN 55432 ''� /5�
5�. I��'c»
` 763-572-3566
I/we hereby authorize the City of Fridley and/or its employees to do what is necessary to
repiace the water meter. I understand that the property owner is liable for the water line from the main to the premise and ati iMerior
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,floo�s or the curb stop box and service line. {n understand 1 am also required
to obtain a permit prior to any work,if necessary.
°a;
FINAL METER READING(old meter) � L �� � l � �'"°yy,�,
Name: ��'J C" G'�_p� ��� Address l ��d �`��'�Q� ��'��
Phone Number � J ^ � 0 M �� � p� ��` �v"�� �
�-�[Signature Witness Signature �
✓�
OLD METER# 1 l � (�'�V �
OLD READiNG Q ��� `�' � U
NEW METER# �� �� �� � �
NEW READING �
ERT# � � � v � � � 3 ,
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 constructing or repair of any water of sewer line connecting the existing municipal system and any house o�building for whid�the
application is made,the owner or cor�tractor sfiafl be required to obtain a perm'rt for such connection,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 shall be uniawful to cover
any connecting line untif an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitabie 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 service lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of wch premises shali be liabie for all repairs
required to any water line and sewer lines s�ecessary for connection of tfie premises from the main to the premises. ff the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative poliry. It shali be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing or
root cutfing and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the ftnished
grade of the land or property. (Ref 638,1156,1191)
!�1;