Meter Swap Request Number: 12551
Public Works Division
Service Request
Problem Address: 7340 Tempo Terr Requested By: Joe Dorsey
Department: WATER Address: 7340 Tempo Terr
Fridley,MN 55432
ProblemlIssue: INSTALL AMR ME1ER Phone Number: 763-229-9297
Scheduled Date: 2016-12-28 Scheduled 13me: 11:00:00
ACTION NEEDED:Install AMR
Created by: Beth Kondrick Date Created: 2016-12-22
ACTTON TAI�N:
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Status: 1n Progess Submitter Has Been C �
Contacted II
Date Completed: ��.— �� .._. � � Completed by:
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City of Fridley { t,(ci
" � Water Department � �' f � �> !
6431 University Avenue NE
Fridley,MN 55432 � t 5�-� ,-�� �v��
763-572-3566
_ "�we hereby authorize the City of Frrdiey and/or its employees to do what is necessary io
rep{ace the water meter. I understand that the property owner is liab{e for the waier tine from the main to the premise and ail iMerior
plumbing. (Per City code 402.06) i also ho{d the City of Fridley and/its employees harmless for any damages that may occur while doing this
� operation. This to include,buC not limited to valves,piping,waiis,floors or the curb stop box and service fine. In understand 1 am aiso required
t�obtain a permit prior to any work,if necessary.
FIWAL METER READfNG(ofd meCerj_ � � � V c7`- / t✓
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Name: V iCl��J�� Acfdress '�� }
Phone Number���J"�'��2— l"�' L0. 1. / Date �nC'��J "��� �
Signature��'"'l � Witness Signature .�\ I
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OLD METER# "i� � 1 � � � I
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Ol.D READING ��� � ��� �
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NEW METER# �� � � �� �� ��
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NEW READfNG � �I
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� FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER II
ADMlNISTRATION �I
(Ref Ord No 113,464,565,566,629,638,�2,922,988,1144,i156,1191) I
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4�2.5 PERMIT FEE I
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Prior to constructing or repair of anY water of sewer line connecting the existing munidpai system and any house or buiiding for whicW the
application is made,the owner or contractor sha{(be required to obtain a permit for such connection,and shatt pay a permit fee as prajvided in�
Chapter 11 of this Code. Afte�such connection has been made,the Water and Sewer Department shall be notified. it shatt be unlawfu�to co�r
any cannecting line unti!an inspection has been made and such cflnnection and the work inctdent thereto fias been approved by the City as a
proper and suitabie connection. �
4U2.06 REPAIRS AND MAINTENANCE TO C�NNECTION I
After the initial connection has been made to the water service wrb stop box or the sewer lead aC the property iine or a water servke le�d has
been extended to the property line for connection,the appiicant,owner,or atcuparrt or user of such premises shatt be liable for ail repaij�s
required to any water line and sewer tines necessary for connection of the premises from the main to the premises. ff the pro�rty owr�$r
requests maintenance service or repairs be perfosmed by the City,the property ow�e�shali be charged for the costs of the mairrtena��nd/or
repairs,includtng necessary stree#repairs at a rate set annually by an administrative policy. it shail be the responsibility of the applicarrt,'
. owner,occupant ar user to perform standard maintenance of the sewer service line from the premis2s to the main iacluding debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the fln�hed
grade of the land or property, (Ref 638,1156,1191j �
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