Meter Swap .,
� Request Number: 15356
Public works Division
Service Request
Problem Address: 4507 2 1/2 St Requested By: Tocn Rogers
Department: WATER Address: No address�ovi�d
Problem/Issue: INSTALL AMIt METER Phoae Num6er: 763-571-5079
Sehedule�Dat • 2017-OS-19 Scheduled Tlme: 01:30:OU
� � �
ACTTON NEEDED:
Created by: Beth Kondrick Date Crexted: 2017-OS-15
,
AC'IiON TAI�N:
_�____.�:���..... _� _. �.._______�___._......._..............___._._w
Status: In Progress Snbmitter Has Been r
Contacted
Date Completed: Completed by:
� ��_� -�-' ��r
�
� � � � - ���/��o-��
City of Fridley �
y Water Departrnent �� //_/�O
6431 University Avenue NE �� a
Fridley,MN 55432
763-572-3566
�/We hereby authorize the City of Fridley andjor its emptoyees to do what is necessary to
replace the water meter. I understand that the property owner is liable for the water line from the main to the premise and all interior
plumbing. (Per C'ity 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 inctude,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(ald meter)_ (�����
Name: � ' r Address � (� v� � `� ��
Phone Number���� ��L`� " ' 1 Date �� � `� ��
Signature � __� Witness Signature
(� 7 o t� t�� $$gq I 3D�
OLD METER# ��� �� +
OLD READING � J�� ���
NEW METER — 1 ►�v���V
—
NEW READING �
ERT# �����I��
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT PEE
Prior to constructing or repair of any water of sewer line wnnecting the existing municipal system and any house or building for which the
application is made,the owner or contractor shait be required to obtain a permit for such connection,and shaff pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. It shali be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitabfe wnnection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be IiaWe for all repairs
required to any water{ine 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 shall be charged for the costs of the maintenance and/or
repairs,inc�uding necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the app{itar►t,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main inciuding debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wili ensure that it remains above the finished
grade of the land or propevty. (Ref 638,1156,1191)
r
' Request Number: 11626
Public Works Division
Service Request
Problem Address: 4507 2 1/2 St Requested By:
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number:
Scheduled Date: 2016-Ob-24 Scheduled Time:
ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2016-06-23
ACTION TAKEN: �-'
'
.........::::...................................................................................................................... .:.........�?�........_��...................................................._........._. ........._...................._._..........._.
................._............................_...............__.
......_....��.-�_(�1.�T�-f�,._�........................................:.................................................................................._.
_......._0�.-�.......�....�........�..�*�.....-............................................................................_.
. ....................................................._.._._................................................._._._.................._..................................__.._.............
..............1�.�..._�n.--T�--�.�......................................................._............,.................................................................................................._........................................_.......__.._._..._..____....._........................ �_._
.................�.�..._��_i►��....:......�:�
............................................_......................................................................................................_................._......_....................................._._..__._...__._._._.. �.
��� �
.......................................................................................................................................................................................................................................................................................................................................................�................................................
Status: InProgress Submitter Has Been �,
Contacted
Date Completed: Completed by:
�-��1--�b
" • - Cityy af Fridfey
- Us/a#p�'I�epaPtonent _ _ _. �.._
�4�1 Universiiy Avanue NE
Fr6dley,MN 55432
[7f,3)572-356fr
d/w� hereby authariae t1���lt of Frid6ey and jor its
employees to do what'is n,ecessaey to replace i�he uvater meter, l���nd tt►at the praperh(ownec
i�1ia61e for tfie ineater{ine from the mair�tQ the prem�se and a��riar plum6ing. (Per C�f cade
402.�+6) I.alsa hc�id the�Lity of Fridtey and jit�s employees har�n�sssfur a�y�amages ina�may accur+
while doing this operati�n. 3his tv itticlude!bu�nat timited to;++a��RiP���+alls��loots ar the curb
stap 6ux and service linea 1 unders#and i am afso required to ahtain a penmit priar to any arork,if
n+�essary.
Fnal met�r�eading�old meter} j �
Name•
Address: ,"� s D�7 0� ��' � T .
P�nne Numher; aate�
Signa#ttre.
Witn�ss 5ignat�re;
�RtDlEY CITY CODE
C#ipiPlfER 4i7Z.Wi4TE�t,51'�RM WATER,Afdfl�ANiTARY SEWER
A�f3MINlSTRA71llt�
(Ref C3rd No 1�.3,464,555;556,5�.9,638,�6�,922,9&8,1�.A�,�156,1191}
4�2.05.PfRMIT F�E -
Prior to canstructing or repair af any water or sewer line cc�nnectingthe enisting municipal sys�em and any house
ar huilding f�r which the appiication is made,#he awner o�-contrac�r shall be reqai�ed to abtain a petmi�for such
canrrectior�,and shal!pay a permi�fiee as pro�ided in Cfiapter�3 af this Code. After such connectian has heen
made,the 1Nater and Sewer Departmeat shall be notified. ►t shaif he unlawful to caver any connecting fine until an
inspection has 6een made and such cannection and the work incident�hereta has been appr�ved by�ite�rty as a
praperar�d s�'�table cannection.
402,06.REPAIRS AltittD MAlN1'ENA�l�E TO CONN�CTIQ{N
-A#�.�r��aiai�ia��n��pri�aah��."�pn rn'ad+"''he water service curhstop bnx nrthe sewer lead at the propert�.
line or a water�ervice or sewer lead has been ex�eaded to the propertyline for cannectinn,the appf�cant,aumer,
ar the occupant ar user of such premises 5hail be liable for al1 repairs required to erry water iine and sewer lines
neces�ary for connectian of the prernise5 from the nnain ta the premises, lf the propetty owner requests
maintenance service ar repairs 6e performed by the City,the properly uwner shali be charged far the costs of the
. maintenance and/�r repairs, inciuding any necessary street repair�,at a rate s�t annuatiy by.an adm9riutrative
palicy. It shall be the responsihility ofthe aPP���antr owner,occupantor user to perFflrm standard maintenance af
• the sewer service fine from the premises ta tt►e main inciuding detniis clearing or raot cutting and to mamtain�e
water�ervice cur6 s�op 6ox for operability and at such height as w�i ensure that it remains above the finished
,.,gracf"e of�ti��#and ar-pr�,���.y.��R�63�S,��.55,.t�91} _. ._ ._ .._ ._- - - - .- . . � --
___� ..,�. .,