Meter Swap ry Request Number: 16106
� Pubfic works Division
Service Request
Problem Address: 275 Ironton St Requested By: Matthew
Department: WA'IER Address: No address�ovi�d
Problem/issue: 1NSTALL AMR ME'IER Phone Number: 612-518-4381
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5ched�ed t � 2017-06- 8 � Schednied 1ime: 01:00:00
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ACTTON NEEDED:
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Created by: Wendy Hiatt Date Created: 201?-06-22
ACTION TAI�N:
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Status: 1n Progress Snbmitter Has Been �..
Contacted
Dxte Completed: /' _ �� �� Completed by:
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� Ciiy of Fridley �� � ���-�
Water Departrnent
- 6431 University Avenue AIE
Fridley,MN 55432
763-572-3566
1/we hereby authorize the Gity of Fridley and/or its employees ta do wfiat is necessary to
replace the water meter. t understand that the property owner is{iable for the water line from the main to the premise and all iMerior
plumbing. (Per City code 402.06) i aiso hold the City of Fridley andJits employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stap box and service line. In understand i am also required
to obtain a permit prior to any work,if necessary.
FINAI METER READfN6(oid meterj � �� �'�� �
Name: �.�A,\ t�°`�,� Addreu i ! V�`�- � JT.
Pho�e Number �.S/�(�'v"� �� � °�� ✓ly� Date � ,'" �V� ��
Si nature _ `�"'` —�—
YV'rtness Signature
OLD METER# ! � ���� G"-4
OLD READING ` " ` � '�'"� "
NEW METER# 1 1 <J � � "' � ►
NEW READING "
ERT# � � � 1�-J � l�
FRtDLEY CITY CODE
CHAPTER 4t32.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,488,1144, 1156,1191}
402.5 PERMIT FEE
Prior to cor�structing or repair of any water of sewer line connecking the existing municipal system and any house or building for which the
application is made,the owner or cor�trador shail be required to obtain a pe�mit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connecCion has been made,the uVater and Sewer Department shall be notified. it shail be u�lawfut to cover
any connecting line untii an inspection has been made and such connection and the work incident thereto has been approved by the C�ty as a
proper and suitabie connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop 6ox or the sewer lead at tfie property line or a water senrice lead bas
been extended to the property llne for cannecCion,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 mainte�ance service or repairs be performed by the City,the property ourner shail be charged for the costs of the mairrtenance and/or
repairs,including necessary street repatrs at a rate set annua8y by an administrative policy. ft sfiall be the responsibility of the applicarrt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the water service curb stop box for operability and a#such height as will ensure that it remains above ihe finished
grade of the land or proparty. (Ref 638,1156,1191)