Utility 1
� Request Number: 15835
Public Works Division
Service Request
Problem Address: 212 Ely St Requested By: Barb Bishop
Department: WATER Addreas: No address provicied
Problem/Lesue: INSTALL AMR METER Phone Number: 763-786-5119
Scheduled Date: 20 7-06-09 Schednled 1lme: 11:3U:00
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ACITON NEEDED:
Created by: Wendy Hiatt Date Created: 2017-06-07
ACTION TAI�N:
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Status: In Pro�ess Submitter Has Been r,
Contacted
Date Completed: Completed by:
� -�i- I"1 / �or
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�ity o�Fr�dley �/�� �✓��2�`-��
i Wa�er Depaa�tera�n�
` 6431 l�niversity Averoue NE �� �/�
F�ad9ey,MN 55432 �� 7
7C3-572-3556
1/we hereby authorize the Gty of Fridley and/or its emplayees to do wfiat is necessary to
replace the water meter. 6 understa�d that the property owner is liable for the water line from the main to the premise and ali iMerior
plumbing. {Per�ity code 402.06j 1 also hold the Gty of Fridley and/'�ts employees harmless for arry damages that may occur arhiie doing this
operation. '!'his to indude,but not limited to vahres,pipin�walis,floors or the curb sfiop boK and senrice line. In understaod H am also require
to obtain a permit prior to arry worh,if necessary.
FBNAL METER READIWG{old meter) _ —L � ' J��O
Name• ��11�v �v `c����1� qddress '� V� �� ��
Phone lYum r �� `�� �J'�� (��.`� p� ������
' ignatur A� Witness Signature
OLD METER# 1��v�(O`�l `�1�
OLD REA,DING � ' � ����
NEW METER# -1 {��� l.� V�
NEW READlNG �
E�# "12�� �� Z 1
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SAMlTARY SEWER
ADMINISTRATION �
(Ref Ord R/o 113,4�,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipa(system and arry house ar bui(ding for which the
appliption is made,the owner or co�tractar shall be required to obtain a permit for such connection,and shaif pay a permit fee as providec!in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. It shal(be unlawful to cover
any connecting li�e urrti!an inspection has been made and such connection and the work incident thereto has ixen approved by the C�ty as a
groper and suitable connection.
402.06 REPla1RS AND MAIPITENANCE TO CONPIECTIOtV
After the initiat connection has been made to the water service curb stop boK or the sewer iead at the property line or a water service lead has
been extended to the property line for connection,the applicant,owner,or occupaM or user of sucFi premises shall be liable for alt repairs
required to any water line and sewer(ines necessary#or connection af the premises from the main to the premises. ff the property owner
requests maintenance senrice or repairs be performed by the�ty,the property owner shali be charged for the costs aF the maicttenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shail be the responsibility of the applicant,
owner,occupa�rt or user to perform standard mairrtenance of the sewer service line from the premises to the main including debris dearing or
root cutting end to maintain the water service curb stop box for aperability and at such height as wiU ensure that it remains above the finished
grade of the land or property. (Ref 638,1155,1191)