Meter Swap n
�' Request Number: 15201
Public Works Division
Service Request
Problem Address: 4924 Roman Rd Requested By: Melannie Parrish
Depsrtment: WA'IER Address: No address pcovided
Problem/Issne: INSTALL AMR ME1ER Phone Nwaber: 651-�428-6629
Scluduled Dat�_ 2017-OS-09 � 5c d�ded 1lme: I 1:�:00
� �
ACIION NEEDED:
CYeated by: Wendy Hiatt Date Cre�ed: 2fl 17-OS-08
ACIION TAI�EN:
V�__'�._.. �
St�ua: In Progress Sabmitter H�s Been �,
� Coutactcd
D�te Compt�ted: Compieted by:
�C�_ �---1 ''�'�CO�'
�, • (0�1- 4 SSC�zD-�5
City of Fridley
Water Department ���, i/��G
6431 University Avenue NE �� �
Fridley, MN 55432
763-572-3566
�/We hereby authorize the City of Fridley and/or its employees to do what is necessary to
�rep�e the water meter. I understand that the property owner is liable for the water line from the main to the premise and all irKe�ior
plumbing. (Per City code 402.06) I aiso hold the City of Fridiey and/its employees harmless for arry damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and senrice line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FIN M ���� � �`
AI. ETER READING(old meter) �
Name:_ U Li.�CJ\ ��"•�v� ����Address � 1�� ��L�rr�1/'1, �
Phone Number `���^ " I 1��✓`EJE(Jv�ate � 1� 1�
Signature ` � Witness Signature '
OLD METER#_ l ��Li�l.1" � �
OLD READING _ O 1.���- I � V
NEW METER# � � 1 � � � "1�
NEW READING o
ERT# � j d1 1 � '"���
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 FEE
Prior to constructing or repair of arry water aF sewer iine connecti�g the existing municipal system and any house or�iWPng for which the
application is made,the owner or contractor shali be required to obtain a permit for wch wnnedion,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. ft shall 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 Clty as a
proper and suitable connection.
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 appficant,owner,or occupant 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
requests maintenance senrice or repairs be performed by the City,the property owner sfiaif be charged for the costs of the malr�tenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main induding debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
Req uest N u m ber: 6199
Public Works Division
Service Request
Problem Address: 4924 Roman Rd Requested By: Mike Dorff
Department: WATER Address: No address provided
Problemlissue: LEAKING METER(WATER) Phone Number: 763-360-7611
Scheduled Date: 2013-05-29 Scheduled Time: 01:00:00
�� S�- c� ��G� ✓Y1
ACTION NEEDED: Leaky meter. May be packing nut.
Created by: Wendy Hiatt Date Created: 2013=05-28
ACTION TAKEN:
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Status: In Progress Resident Contacted O
Date Completed: Completed by: