Meter Swap � Request Number: 12378
PuWic works Division
Service Request
Problem Address: 7311 Concerto Curve Requested By: W�Stillman
Dep�rtmeM: WA1ER Address: No ad�ess provided
Problem/Iss�: INSTAI.L.AMR METER Phone Nnmber: 763-780-3?14
Schednled 016-12-14 � � Schednled 1ime: OS:00:�
ACTiON NEEDED:AMR
Created by: We�y Hi�t Date C�e�cd: 2U16-12-07
ACTION TAI�N:
�Y�s-a-�LC�� � �-��'�.�
��: ���3 Snbmitter Has Been r,
Cont�ted
Date Completed: Completed by:
12- ������ �
.�
City of Fridley /�
Water Department �� �>�`I V
� 6431 Universiiy Avenue NE
� Fridley, MN 55432 �j��/-��lS�j��a--
763-572-3566
1/we l.J^�V�('�4� 7�"l�����'v�.. hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. I understand that the property owner is liabfe for the water line from the main to the premise and all iMerior
plumbing. (Per City code 402.06) I also hold the C'ity of Fridley and/its employees harmiess for any damages that may occur while doing this
operation. This to include,but not limited to valves,pipi�g,walls,floors or the curh stop box and service line. In undesstand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(otd meter) �� +�L� � � `�
Name: �(l�'Vl�c4 S°�-i l< <`N�ow� Address �3� � �.�N C�f`�CJ Cit�Y�'1/"+P
Phone Number ��3 � <V °`� � Date 1 L� ��� � '�+'
Signature Witness Signature ����
OLD METER# J �� �� � ��
O�D READING �� ��� � U
NEW METER# �7�� U°` ��
NEW READING �
ERT# f��8� i � f 5
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEINER
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 any water of sewer line connecttng the existing municipal system and amf house or building for vrhich d�e
application is made,the owner or coMractor shall be required to obtain a permit for such rnnnectton,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connedion has been made,the Water and Sewer Department shall be notified. it shail 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 suitable 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 serWce lead has
been extended to the property line for connection,the applica�,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 properly owner
requests mairitenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative poliry. {t shall be the responsibility of the appliprrt,
owner,occupant or user to perform standard maintenance of the sewer senrice line from the premises to the main inciuding debris clea�ing 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 fnished
grade of the land or property. (Ref 638,1156,1191)
- � �3-��f
�
/p�3ys-�s'
City of Fridley
Water Department
Address /�,, ���� �� �u2�
Name�A'1-�� �l.�(W"�'.!
Date � "�CJ� ���� .
Old Meter Number I� ���4
Old Meter Reading l �
Replacement No. Q �I
Replacement Reading _
Replacement Make �
, �f�t'�--
Remarks: ���
Signed
._---_
Y
'�
1'
.:
• ' Request Number: 12017
Public Works Division
Service Request
Problem Address: 7311 Concerto Curve Requested By: TJ w/TJ's Plutnbing
Department: WATER Address: No address�xovided
Problem/Lssue: 'ITJRN WA1ER ON/OFF Phone Number: 651-216-1318
Scheduled Date: 2016-09-26 Schednled 13me: 11:00:00
1'`
ACTION NEEDED:Turn offwater for repair.***BILL*#**Contractor will pull permit.
Created by: Wendy Hiatt Date Created: 2016-09-22
ACTION TAI�N:
_. _._.._..�.._...��Ci`7.,C� .�._.___t,�:._..............��._��_.._..1__!�_�� C v�//�Plr"
... 7� .__________...
_..._.___....................._.��'j_...____�i/,/'t/j `cc�'���J __..._..._....___ __.__..._.___..._�.
,
Status: In Progress �Submitter Has Been r
Contacted
Date Completed: Completed by:
9-�� - 1�