Meter Swap � ` Request Number: 13482
Public works Division
Service Request
Problem Address: 4579 2nd St Requested Bys Isra
Depart�e�: WATER Address: No address provi�d
Problem/Issue: INSTALL AMR METF,R P�one Number: 612-224-S452
Sched�iled Date: 2Q17-02-2 Sc�daled'Ilme; 10:04:00
(�.�.d �� 22"� �C� a,�
ACIION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-02-1 S
AC7ION TAI�N:
i S ` �n
Strtu�: In Pro ss 5abmitter Has Beee �
� CoM�ted
Date Completed: Completed by:
o�- �� ' �1
--•--- --r�...........d � �
�431 l9niv��sity Aver�ue Pl� (J � � �
Fridley, MAi 554�2
753-572-35fi6 � �I ,��1„����, � �� �
I
• �°a`°Pe hereby authorize#he£iiy af Fritiley and/or its empioyees to do what es necessary to
replace the water rneter. t understand that the property owner is liable for the+erater line from the main to the premise and all irrterior
plumbing. (Per City sode 402.06) i also itold the C'ity of Fridley andJFts employees harmless#or any damages that may occur while doing this
operation. This to incfude,but not limited�o valves,piping,wails,floors or the curh stop box and service line. In understand 9 am also requir
to obtain a perm'rt prior to arry worlc,�f necessary.
FIP(AL METER READ811G(akt mefier) � '� �� � �O
Name: Atidress�`� � I—'1��� 5 �
Phone Number Date (�a�`,�
Signattire --�'^ "�j� Witness 5ignatttre ,_,
�
o�o��-�R#_ ���a��y
OLD READtNG ����� IQ
lIiEW METER# y U i��d � �
N�W READING SCJ
ERT# � � g 1 `��S p�,
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM i1VATER AND SANiTARY SEWER
ADMlNISTRATION
(Ref Ord f110 113,464,565,566,629,538,662,922,988,I144,i156,1191}
4Q2.5 PERAAl7 FEE
Prior to constructing or repair of arry water oF sewer line wnnecting the existing municipat system and arry(wuse or building for+v6ich the
appiication is made,the owner or corri:ractor sha(1 be required to obtain a permifi for such connection,and shali pay a permitfee as proaided'm•
Cha�ter 11 of this tode. After such connection has been rnade,the Water and Sewer Department shall be not�ed. it shail be untairful to cove
any connecting line umal an irtspection has been made and such connection and the worlc inaderrt thereto h�bee�approred by the Crty as a
proper and wita6le connectSon.
402.05 REPAIRS AND�I1AtNTEINpdyCE TO COMNECi70N
After the initia!cortnectivn has been made to the water serv�ce curb stop box or the sewer fead at the property tine or a water senrice Iead f�as
been extended to the property line for connection,the applicarrt,owner,or occuparrt or user of such premises st�aA be liable{rn�1 repairs
required to any water line and sewer lines aecessary for connection of the premises from the main to the premises. If tfie property urrner
requests mairrtenance service or repairs be peeFormed by the City,the proper#y owner shall be charged for the costs af the mairrtenanae andjor
repairs,including r�ecessary sireet repairs at a rate set annualty by an administrative poliry. It shaii be t�e responsbility aFthe applicarr�,
owner,occuparrt ar user to perform standard mairrtenance of the sewer service line from the premises to the main induding debris dearing or
root cutting and to mairrtain the water service curb sfiop box for operability and at such height as will ensure that it remair�above#�e finished
grade of#he land o�property. {Ref 638,1156,1191)
�
Request Number: 11604
Public Works Division
Service Request
Problem Address: 4579 2nd 5t Requested By:
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Namber:
Scheduled Date: 2016-06-24 5cheduled'Iime:
ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2016-06-23
ACTION TAI�N:
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Status: In Progress Submitter Has Been t..,
Contacted
Date Completed: Completed by:
������
� - Ci��#Fridl�y
- . . _ � 1Ala��'�epattment :. . .�._
64�1 Univ�rsit�Avenue NE
frid{ey,fVt'N 55432
�'f63)5�2-3566
IJwe hereby authQr�ze#he City af frid9ey and�crr rts
empivyees#ce do what�necessaey to replace the w�t�r meter. t understand that the property awner
�liable far the water line from the main ta th�pe�mise and al!int�riQr plumbing. (Per CltY cade
402,Q&) d.als�hc�ld fihe+C�ty�f�r3dtey�nd jits employ�es harmt�ss ar any amages a may+xcu"
r�ile doing t�is�pera�vn. '[his�r indude,6ut n�t timited to�uala�s,piping,walls,flaurs or the carb
�tap box and service line. t�nder�s�tas�d t am also required to aht�in a permit pr9ar tv any work,if
necessary,
. �nai m�#er e�eading(old meterj .
H�Q: Aa�«Ss: �5� `� ��d S �
P1�one Number� [tate:
Signa�ure.
iN'rtness 5ignature•
FRIDLEY CtTY CflDE
�H��'ER 4���WATE�t,5�'�3RM WATER,AN�3ANtTARY SEWER
p�MIN1S'i'RAT9tJt�1
(Ref Ord�l0113,4�4,565;56fi,6Z9,638,56�,922,988,1�.44,1156,�.19I�
4pZ.05.PERM6�'FEE �
Priac to canstructing or repair�f any water or sewer lina cflnnecting the existing municipaf system and any house
or buitding for which the applicafian is made,fihe awner or co�rtractor shall be reqaire�to obtain a petmi�for such
conrrectian,and sha�l pay a parm�t fee as P�puided in Cfiapter 11 of this C4de. After such connectian bas been
made,#he V�later and Sewer Department�ha11 be natified. It shalf 6e vnlawfu!ta caver any connecting iine until an
inspectian has beer�made and su�h cannection and the work incide�t thereto has t�een approved by the City as a
properand s�ita�te connection.
402,06.iiEPA1RS AN�MAi1VTENANCE i'0 C�N�4�CS1�M
-A�-�r���iaitia�ca�nnerzinn� "�n^^'���g the water seruice curhstoo bax orthe sewec lead at the prapert�
(ine nr a water service nr sewer lead has been exte�rded to the propertyline for cannechun,the appticant,owner,
or the�ccu�ant ac user afi such premises shai!be liabie far ali�epaks required i�arry water line and sewer Gnes
r�eces�ary fc�r co�r►nection af the premise5 from th�main ta the premises, lf the propecty owner requests
rnaintenance serv�ce or repairs he p�r�formed by the City,the prop�tl}+awner shall be�harged for the cosk�af the
. maintenance and/ar repairs, inciuding any ne��ssary s�re�t repairs,ak a rate set annaal(y 6y�n administrative
poli�y. It shall be the responsihil'rry of the app4isantr flwner,occupantor user ta pe�'4mt�tandard rnaintenance of
• the sewer service fine from the premises t�the rnain inciuding de�is clearing or raot cutting and to maintain the
water�ervice cur6 stop box fiar aperability and afi such height as w�f ensure that it remains a6ove t�e finished .
_.,gracte of����`tar�d arpro��i�.y,-t�t�6�0,��5�,_t:1��:� _. .. _ ._._ ... -. .. _ .:.._ .-. . .._. .:.." -..