Meter Swap y Request Number: 16278
Public works Division
Service Request
Problem Address: 350 Ironton St Requested By: Maria St.Arnold
Department: WA1ER Address: No�dress�ovided
Problem/lssue: INSTAL,L AMR METER Phone Number: 763-670-4029
Schedul d Date: 2017-07-12 5chednled 1lme: 08:30:00
� � ��
A�ION NEEDED:
�.,
,,�
Created by: Beth Kondrick Date Created: 2017-07-10
ACIION TAI�N: r �
�� �('� .
.�.._.._..__ _....____._''�.'...1..._.:.'��...r.�,,.�___._.__._ _.... �...__.._..._�...._
�';�> ':.,,
�
Snbmitter Has Been ,._
Statas: 1n Progress Contacted r
Date Completed: ""7 _ �� _ �"� Completed by: �a��
`�
, ��
.- D�-- C� ��;�
�
City o#Fridley
. , � Watec Departrment S� � (JG��''`-'1
6431 University Avenue NE �
Fridiey,MN 55432
763-572-3566
��`"�e hereby authorize the City of Fridley and/or its employe�to do what is necgssary to
rep{ace tfie water meter. 1 understand that the property owner is liable for the water line from the main to the premise and ali interior
plumbing. (Per City code 402.06] 1 also hold the City of Fridley andjits empfoyees harmiess for arry damages that may occur while doing ffiis
operation. This to include,but not limited to valves,piping,walts,floors or the curb stop box and service line. in understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter �� � � ` �
�
e (' '"�C 1 -
Name: �C'l��G� �J�. r�101'��1cldre�s /J� ��OV�T(7h 5.��
PhonePiumber ��� vl�� ^�Up�-� pa� �"' 1�"' l�
'�I�Signature �� w �- witness Signature
r �
OLD METER# ����✓ ( � /
OLD READtNG � V� / ��
NEW METER# � ! �� �� U�
NEW READING
� 6
ERT# ��� I �� � � ..
FRIDLEY CITY CODE '°
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMIPIISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
4Q2.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or�ilding fo�which the
appiication is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Oepartme�shall be not�ed. It shali be unlawful to cover
any conneding line until an inspection has been made and such connection and the work incident thereto has been approved by the C�ty 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 seroioe lead has
been extended to the property line for connection,the appiicant,owner,or occupant or user of such premises shall be liabie for ait 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 service or repairs be perfarmed by the�ty,the property owner shall be charged for the costs of the maintenance and/or
repairs,inciuding necessary street repairs at a rate set annualty by an administrative poliry. !t shall be the responsibility of the applicant,
owner,occupant or user to perform standavd mair�tenance of the sewer service line from the premises to the main including debris clearing or
root cutting and#o maintain the water service curb stop hox for operability and at wch height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)