Meter Swap - Request Number: 12527
Public Works Division
Service Request
Problem Address: 1547 Tempo Terr Requested By: Dean Thonnes
Department: WATER Address: No a�ress�xovi�d
Problem/Issne: INSTALL AMR METER Phone Number: 612-499-6154
Scheduled Date i 201 - -30 C ,` 5chednled 7ime: 02:00:00
._t� �
ACTION NEEDED:AMIt
crcutea by: we�y Hiatt n4te cres�$d: ao 16-12-ao
ACIION TAI�N: � ,q � ..
�V1 �-�,� ��' �� � �2.�.., ��:
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Statua: `;.ti� Ttt Progress SIIbmitter Has Been �
Contacted
D�te Completed: �� -- 3�} _- �� Completed by:
City of Fridley
Water Department
� 6431 University Avenue NE
• Fridiey,MN 55432 �j I � 'S �f� ��`�
763-572-3566 �� � �� �
�I�+e hereby authorize the City of fridley and/or its emptoyees to do what is necessary to
replace the water rrieter. 1 understand that the property owner is liable for the water line from the main to the premise and a{i iMerior
plumbing. (Per City code 402.06) i also hold the City of Fridiey andjits 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 t am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READN4G(otd meterj �� C� � ���`
Name: _�F'��"� ��.`►'�V�`� Address �� �� �'�"y�,�6� . ''r�+��l'ci' �
Phone Number � �Z-_„�, � ( 1 ' Ul ����ly, Date ' �^-'�� — l �
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, ,�.--�-��.,,�""'""_`_'..-
�ijgnatu "'��,/ ��- iNiLness Signature �''��.
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OI.D METER#_ 1� I �� ��
OLD READtNG f � 1 � ��U
NEW METER# � l �,� � �� "'
NfW READING �
ERT# � � � � � �� w
FRI�LEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANI7'ARY SEIA/ER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE �
Prior to cortstructing or repair of any water of sewer tine connecting the existing munictpai system and any house or building for which the
application is made,the owner or contrador shali be required to obtai�a permit for such connectio�,and shall pay a permit fee as provided irr
Chapter ii of this Code. After such connection has been made,the Water and Sewer Qepartment shaii be notified. It shail he untawfui to cover
any connecting line until an inspectio�has been made and such connection and the work inciderrt thereto has been approved by the C'ily as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO COWNECTION
After the initial connection has been made to the water sesvice curb stop box or the sewer lead at the property line or a water service lead has
been eztended to the property line for connection,the appiicar�t,owner,or occupant or user af such premises shaii be tiaWe for afi repairs
required to any water line and sewer lines necessary for connection of the premises from the main ta the premises. tf the property owner
requests maintenance service or repairs be performed by the City,the property owner shaii be charged for the costs of the mai�rtenance andJor
repairs,including necessary street repairs at a rate set annuaily by an administrative policy. It shali be the responsibility of the applicarrt,
owner,occupant or user to perform standard mair�tenance of the sewer servtce line from the premises to the main incfuding debris dea�ing or
root c.utting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the tinished
grade of the land or property. {Refi 638,1156,1191J