Meter Swap 1
� Request Number: 16372
Pub�c Works Division
� ' ' Service Request
Problem Address: 5221 Fillmore St Requested By: lheodore Rains
Department: WATER A�ddress: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-834-0084
SchedWed 2017-07-21 SchedWedl3me: 10:30:00
, Z � sT ,��
,ACTIUN NEEDED:
K
Created by: Beth Kondrick Date Created: 2017-07-18
ACTION T.�I�N:
. _..____..................._........_.1.�,�__.__....__._.__._.._...._..__...__......__._._._��_.__..�-�-�-._..__......_.._._......__
Status: In Progress Submitter Has Been �..
Contacted
Date Completed: Completed by: � ��
�1- � I �l�
}�
��. .
;
��
�i����riclley ��� � `� ������ � �
; Water Departre�erat
` 6431 University a4vensae NE s�� �'��j l L,C�
Frisil�y,MN 55432 `7
7(i3-572-3566
�I`A/e hereby authorize the City af Fridley and/or its employees to do what is necessary to
rep(ace Lhe water meter. t understand that the property owner is liable for the water line from the main to the premise and ell ir�terior
plumbing. (Per�'ity cocie 402.06j t also hold the City of Fridley and�ts employees harenfess for arty damages that may occur white doing this
operation. This to include,but not limited to vatves,piping,walis,floors or the turb stop box and senrice line. In understand i am also require
to airtai�a permit pr6or to any wortc,if necessary.
FBNAL fYlETER READItYG(old meterj _ ���C��� D
Name: � •�� � �v, ` ��5 Address ��` �� ����rL° �'�
Pho�e Number Vd �Z"' �� `�Q�� / �� �'� o�,� —" ��
S�gnature Witness Signature
OLD METER# � �'v����
�
OtD READtNG _ � �V�� � �•/
NEW ME7'ER# _ � ��,� ����
AIEW READING �
ERT#_ �0�.�� 1 t � � l
FRIDLEY CITY CODE
CHAP1'ER 402.WATER,STORM WATER AND SANITARY SEWER
ADMIRIISTRAT{ON
(Ref Ord IYo 113,46�€,565,566,624,638,662,922,988,11�4,1156,1191j
402.5 PERMIT FEE
� Prior to constructing or repair of any water of sewer line connecting the existing municipal system and arry house or building for which the
appiication is made,the owner or coritractor shall be required to obtain a permit for such connection,and shalt pay a perm�t fee as provided in
Chapter il of this Code. After such connection has been made,the Water and Sewer Departmerrt shait be notified. It shail be unlawful to cover
any connecting line until an inspection has been made and wch connection and the work inciderrt thereto has l�en approved by#he City as a
proper and suitable connection.
402.06 REPAIRS APID MAINTEPIANCE TO COPINECTION
After the initiai connection has been made fio the water service curb stop box or the sewer tead at the property line or a water service lead has
been extended to the property line for connection,the applicant,owrter,or occuparrt or user of such premises shatl be iiable frn ali repairs
required to any water line and sewer lines necessary for connection of the premises from the main ta the premises, if the property owner
requests mai�tenance service or repairs be performed!ry the Cityr,the property owner shall be charged for the c�of the mairitenance and/ar
repairs,including necessary street repa+rs at a rate set artnualty by an administrative poiicy. It shatl be tf�e responsibitity o�f the appficarrt,
owrner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main inctuding debris ciearing or
root cutting and to rnairrtain the water senrice curb stop 6ox fo�operabil'ity and at such height as will ensure that it remains above the�nished
grade of the land or property. {Ref 638,1156,a�s'
Request Number: 7901
Public Works Division
Service Request
Problem Address: 5221 Fillmore St Requested By:
Department: WATER Address: No address provided
Problemlissue: OTHER Phone Number: 612-834-0084
Scheduled Date: 2014-05-19 Scheduled Time: 07:30:00
ACTION NEEDED: RestricfioN"gunk"in main vaMe
Created by: Kelly Kraus Date Created: 201405-16
ACTION TAKEN:
�,�...._�...`.:.�........................�:�.....................��.v�..................�t'`-•[,,,,,v�'�_. J`/�'.�...�....�_�...�'..�:��...�....�.....................................
_..............................:.._.......,........................ .......... ........... ........
.................................._................................,................................................................................................................................................_......................................_.._.................................
_................................._................................................................................................................_............................._.........................................................................................___......__..........................._._.......
.................................._............................................................................................................................................................................................................................................................._........................... _._
_...............................__..............................................................................................................................................................................................................................._........................................._
................................__............................................,...............................................................................................................,........................................................_................,.....................................
Status: In Progress Resident Contacted O
Date Completed: Completed by:
�� ��G�