Meter Swap Request Number: 12663
Public works Division
Service Recryest
Problem A�ddress: 7549 University Ave Requested By: Valerie Olson
Dep�rtmeM: WA1ER Addres:: 7549 Uni�ersity A�em�c NE
Fridley,MN 55432
ProblemiIssue: INSTALL AMR METER Phone Number: 763-784-6813
Sefkduled e: 2017- 1-11 � Seheduted 11�ee: 08:30:00
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AC'IION NEEDED:lnstall AMR
Created by: Beth Kondrick Date Cre�cd: 2016-12-29
ACIION TAI�N:
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Statua: In Pro�ess ��ner Haa Be�n �
Contacted
Date Completed: Completed by:
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_ . City of Fridley
' Water Department
6431 University Avenue NE �z, ��-�-�S�J�
Fridley,MN 55432 f��'
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763-572-3566 � v � �� '
�/We hereby authorize the City of Fridley and/or 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 ail interior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,fioors or the curb stop box and service line. In understand I am also required
to obtain a permit prior to any work,if necessary.
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FINAL METER READING(old meter)
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�r
Name: �i��`l�� ���<<7'���, Address � � � �`1 �� �
Phone Number�������'jL�� pate � "' I�
Signature���Q�e/ 7'F �—c—r� Witness Signature
OLD METER# I 1 � � � � 6 �
OLD READING a'� 3 a �z.,v
NEW METER# � 1� r� �✓���
NEW READING lJ
ERT# � 'V 1 �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,454,565,566,529,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to construding or repair of any water of sewer line connecting the existing municipal system and arry house or building for which the
application is made,the owner or coMractor shall be required to obtain a permit for such�nnection,and shall pay a permit fee as provided in�
Chapter 11 of this Code. After wch connection has been made,the Water and Sewer DepartmeM shall be notified. ft shall be unlawFul to cover
any connecting line until an inspection has been made and such connection and the work inciderit thereto has been approved by the City as a
proper and suitable wnnedion.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service wrb stop box or the sewer lead at the property line or a water senr�kad has
been extended to the property line for wnnection,the applicaM,owner,or accupaM or user of such premises shall be liable for all 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
requem maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative poliry. It shall be the responsibility of the appliqrit,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main induding debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiil ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)