Meter Swap E Request Number; 12566
Pubiic Works Division
�� Service Request
Problem Address: 7310 Tempo Terr Requested By: James Holmen
Department: WATER Address: 7310 Tempo Terr
Fridley,MN 55432
ProblemlIssue: INSTALL AMR METER Phone Number: 763-786-8981
Scheduled Date: 2016-12-30 Scheduled'13me: 10:3U:00
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ACIION NEEDED:Install AMR
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Created�: Beth Kondrick Date Created: 2016-12-23
ACTION TAI�N:
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Status: In Progress Subznitter Has Been �.
Contacted
Date Completed: '�-- 3(1 -- �� Completed by:
s
City of Fridley
Water Department
� 6431 University.Avenue NE �(.��5 �-` 0��'��
Fridiey,MN 55432 �
763-572-3566 c� ( �� �
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�IN+e hereby authorize the City of fridiey andJor 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 interior
plumbing. (Per City code 402.06) t also hold the City of Fridley and/its empioyees harmless for any damages that may occur while doing this
operation. This ta include,but not limited to va{ves,piping,walis,floors or the curb stop box and service�ine. tn understand 1 am alsfl required
to obtai�a permit prior to any work,if necessary.
FINAL METER READING(otd meterj ` J�.J ` �" �'°� �' �
Name: ��``� 5 l�l C1��� Address 7,3�� �°L4'vt.�t7(J �'�ii�'r.
Phone Number ���J� ���`� I � l Date 1 � � 3U � t �
' ..�.._.._
"�Signature � �li`--�-- Witness Signature
✓ �
OLD METER# '' � � ��� � �
OLD READiNG ✓� � �� '"'�`"�
NEW METER# �� I � � ! � l
NEW READiNG �
ERT# lS? �� -U J � 1 � �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANI'i'ARY SEWER
ADM{NISTRATtON
(Ref Ord Na 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERM17 FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipat system and any house or building tor which the
appiication is made,the owner or corrtractor shai!be required to obtain a pecmit far 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 DepartmeM shali be notified. it shail be uniawful to cover
any connecting line untii an inspection has been made and such connection and the work incident thereto has been approved by the Gry as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewe�lead at the properry line or a water s�nrice lead has
been extended to the propertyr line for connettion,the applicant,owner,or octupaM or user of such premises shali be liable fw aii repairs
required to any water tine and sewer iines necessary for connecCion af the premises from the main to the premises. If the property owner
requests maitrtenance service or repairs be performed by the�ty,the property owner shal!be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annua0y by an administrative poliry. It shaN be the respansibility of the appliant,
owner,occupant or user to perform standard mair�tenance of the sewer service tine from the premises to the main including debris dearing or
root cutting and to maintain the water senrice curb stop box for operability and at such height as wiil ensure that it remains above the finished
grade of the land ar property. (Ref 638,1156,1191J