Meter Swap � ,
Request Number: 12543
Public Works Division
Service Request
Problem Address: 7390 Tempo Terrace Requested By: Mary
Department: WATER Address: 7390 Tempo Terrace
Fridley,MN 55432
ProblemlIssue: INSTALLAMRME'TER PhoneNuraber: 651-SQ1-0470
Scheduled Date: _ 016-12-28 �Q�` Scheduled Time: 10:3Q:00
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ACTION NEEDED: Install AMR
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Created by: Beth Kondrick Date Created: 2016-12-21 ��
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ACTION TAI�N: -:� -_ '�
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Status• In Progress Submitter Has Been r..
' Contacted
Date Completed: 1 a— a Ij ��l� Completed by:
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y City of Fridiey f ( �,�
Water Department �C`� �
6431 University.Avenue NE �����,_��
Fridley,MN 55432 �(5 �-�
763-572-3566
1/we hereby authorize the City of F�idley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is iiable for the water line from the main to the premise and ali interior
pfumbing. (Per City code 402.06) I aiso fiold the City of Fridley and/its employees harmless for any damages that may occur whife doing this
operation. This to include,but not limited to valves,pip'sng,walls,floors or the curb stop box and service line. fn understand 1 am also required
to obtain a permit prior to aay work,if necessary.
FiNAI METER READlNG(old meterj " "� `�� ��D
Name: �'"Y'�1 Address ��-l� v� � �`�� '
Phone Number '— J� � — � 1�� Date t� ��U +��
`` Signature Witness Signature `��
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OLD READING �v ���v �
NEW METER# �� �� �� � o�-
NEW READING �
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANI7ARY SEWER
ADMINlSTRATION
(Ref Ord Na 113,464,565,566,629,638,662,922,988,11d4,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line conneding the existing municipal system and any house or building for which the
application is made,the owner or contractor shall be required to obtain a pe�mit for such cannecCion,and shall pay a permft fee as provided+n
Chapter 11 of this Code. After sucfi connection has been made,the Water and Sewer Departmerit shati be ootified. it shall be unlawful to cover
any connecting line unti{an inspection has been made and wch connection and the wo�lc incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAITI7ENANCE TO CONNECTION
After the initial connection fias been made W 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 appiicant,owner,or occupaM or user of such premises shall be I'�able for all repairs
required to any water line and sewer iines necessary for co�nection of the premises from the main to the premises. If the property owner
requests mairrtenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mainter�arscs and/or
repairs,inciuding necessary street repairs at a rate set annualty by an administrative poliry. It shail be the cesponsibility of the applicant,
owner,oc�upant or user to perForm standard maintenance of tfie sewer service line from the premises to the main including debris clearing or
root cutting and to mai�tain the water service curb stop box for operability and at such height as will ensure that it remains al�ve the finished
grade of the land or property. (Ref 638,1156,1191)
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