Meter Swap w
Request Number: 12563
Public Works Division
Service Request
Problem Address: 7381 Tempo Terr Requested By: Jeff Lee
Department: WATER Address: 7381 Tempo Terr
Fridley,MN 55432
ProblemJissue: INSTALL AMR METER Phone Number:
Scheduled Date: 2017-01- 3 Scheduled Time: 07:30:00
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ACTTON NEEDED:Install AMIL
Created by: Beth Kondrick Date Created: 2016-12-23
ACTION TAI�N:
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5t�tus: In Progress Su6mitter Has Been �
Contacted
Date ComQleted: �;-�3— i� Completed by:
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City of Fridley
Water Department
6431 University Avenue NE ��� "'����S�� t
Fridley,MN 55432 (� � �
763-572-3566 ��� ��
Iiwe hereby autfiorize the City of Pridiey andjor its empioyees to do what is necessary to
replace the water meter. t understand that the property owner is liabie for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) I also hold the City of Fridiey and/its employees harmtess for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,wafis,floors or the curb stop box and service line. In understand i am also required
ta obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � � V �(/ ���
Name• ��`� �'"�E'� Address �� " ' ��-O ��`f'�.,
Phone Number �+ Oate � � �~ ��
'�f Signature �� Witness Signature �--
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OLD METE # ��� a c� �v�
OLD READING �3 �� �3�
NEW METER# � t �� �" ��
NEW READING �
ERT# �V�V �� ��
FRIDtEY CfTY 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 con�eding the existtng municipal system and any house or buiiding for whicf►the
applisation is made,the owner or contractor shali be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter il of this Code. After such connection has been made,the Water and Sewer Department shalf be not�ed. It shall be unlawfut to cover
any connecting line until an inspection has been made and such connection and the work inciderrt thereto has been approved by the City as a
proper and suitable connectio�.
402.06 REPAIRS AND MAINTENAMCE TO CONNERION
After the initial cannection has been made to the water service curb stop box or the sewer lead at the property line or a water service lead fias
bee�extended to the property line for connection,tfie appikant,owner,or occupant ar user of such premises shail be liable for ail repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. if the property owner
requests maintenance service or repairs be performed by the City,the property owner shali be charged fior the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. ft shall be the responsibility of the applicar�i,
owner,occupant or user to perform standard maintenance of the sewer service line from the premisQs to the main incfuding debris ciearing or
root cuttir�g and to maintain the water service curb stop box fo�operability and at such height as wiii ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)