Meter Swap - " . Request Number: 11527
Public Works Division
Service Request
Problem Address: 6371 Squire Dr Requested By: Jim Richardson
Department: WATER Address: No address provided
Problem/Issue: 'NRN WATER ON/OFF Phone Number: 763-226-9996
Scheduled Date: 2016-06-14 Scheduled'I3me: 08:30:00
�U.� I�(`` � � ;
ACTION NEEDED:Shut off water for repair.Leave key.Advised homeowner to obtain pernut.*'�**BIL,L****
Created by: Wendy Hiatt Date Created: 2016-06-06
ACTION TAI�N:
_............................_......_..._..................................._..........................................................................................._...........:.........._._......................................_............_............................_._......._..._._...................................................__...__................................_.
�;_a�:..._w.._c��_-..:��...........:... .... ........_.�--........_...�.I.......��.._�.�.._�.. ...._._
............................................................................................
�
� �s��-� p��,�Z
............................................................................................................................................................._....._........................................................ ............................................._...................................................._.__._....._._..____......................................�
........G��n�'z"��-........._......�...._� �'3�v�........_......._.. .._�.��=��........�.��._�4.`I._�......
� . G.. .... ..�.... ............. . ._ c� ......._
......_�.....,2�-�,�sv..............(�.._�_`�..._`�.............�...._............................... . �aU.._...._... ..............................................................._.
................................................................................................................................................................................................................................. ..................��.._`�'...........�..`..��..._C�...�v..�.........
Status: InProgress ResidentContacted C'"
Date Completed: Completed by:
� -��-��
i
r � - City of Fridley
- . : -... 1Matpr Department
.... - -� _, �..._
6431 University Avenue NE
Fridley,MN 55432
(763)5723566
1/we here6y authorize tf�e�tY��dley and/or its
empbyees to do what is r�ecessary tv replace the water meter.t�����d��e p�°�o��
is liahle fi�r tf�e water(ine from the main ta the premise and a�int�rior plum6ing. (Per City c.ode _
402.0fi) I.alsa hold the t�ty of Fridley and/iis employees harmless ar any amages �
while doing this operation. This to iadude,but not timited ta;uali►es,Pip��B.��►�0°�°����
stop box and service(ine. 1 understand t am alsa required to ohta�n a Permit Ario��'any work,if
necessary.
er din old meter Y✓ � � �� a
�in�l met rea �( } .
(n�`l � 5����'' .
Name• Address• — — .
Phone Number: aate: ,� '" � —�`-' � .
5ignature: y �
iNitness 5ignature: ��
FRIDLEY qTY CaDE
CHtriiPTER 4CI�.WATER,STORM WATF1t,AWD 5141VCI'ARY SEWER
AQMINiSTRA1'ION
(Ref Ord No 113,464,555;566,fiZ9,638,56Z,9Z2,988,1144,1156,1191}
402.05.PERMIT FEE �
Prior to canstructing ar repair of any water or sewer tine connectinethe existing municipai system and any house
ar building for which the appiicatian is made,the awner or cnntractar shall be required tu obtain a permit for such
conrrecdan,and shai)pay a permi�fee as provided in Chapte�11 of this Cbde. After such cannectian has 6een
made,the iNater and Sewer Departmept shatl be not'tfled. !t shall he unlawful to caver any connecting line until an
inspection has 6een made and such cannecCion and the work incid�►t thereto has 6een appruved by the City as a :
properand sa�table connectian.
402.06.REPAIRS AND MAINTENANCE Tn C�NMECTIOW '
efi�nr t.p�;p;�;a����.. , __�___�....,a+„�e water service cur6 stop box ar the sewer lead at the prapert'�
lin€or a water service ar sewer lead has been extended ta the propertyline for cannecfion,the appiicant,owner,
ar the occupant or user of such premises shall be liabte for a(t�epahs required to atry water line and sewerlines
neces5ary for connectian of the premises from the main ta the premises, if the prop�tty owner requests
rnainfienance service�r repairs 6e performed by the City,the prop�ty 4wner shall be tharged for the cost�of the
. maintenance and/or repairs, inciuding any necessary street repairs,at a rate set annually by.an administrative
policy. It shali be the responsi6ility afthe applisant,uwner,accup�t or user ta perf'orm standard maintenance of
• the sewer service line from the premises to the main including de6ris clearing flr raot cutting and to mair�ain the
water servic�cur6 stap hox for operability and afi such height as r�11 ensure that it remains abave the finished _
- � �--
,.•gracfe'of�i�ta�d vr�ro��ity.-tRet 63�,-��.5�,-1�`��� _. .� . . . _._ .