Meter Swap Request Number: 16239
' ' Public Works Division
Service Rec�uest
Problem Address: 539 Ironton St Requested By: John Miller
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-787-5307
Scheduled Date: 2017-07-07 Scheduled Tfine: 11:00:00
- � �
ACTION NEEDED:
Created by: Beth Kondrick D�te Created: 2017-07-OS
ACTION TAI�N:
.............Y..�!�..1"`�.Y.�.......:...._�_�............:.-T.-.......:..........._._.....____....._.....�____._�_.._.._................:....._._.__...___._...............__......._....__.........._........__w_�.._._._._........._.__.._......_._............._
Status: In Progress Submitter Has Been C
Contacted
Date Completed: Completed by:
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City of Fridley
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Water Department
� � - 6431 University Avenue NE
Fridiey,MN 55432
763-572-3566
I/we 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 liable for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) i also hold the City of Fridley and/its empioyees harmless for arry damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand I am also required
to obtain a permit prior to any work,if necessary.
FlMAL METER READIAIG(old m er)_ � ��0�
Name: �d I�ff� 1'`�1�'�— Address ��q �(bY'1-"�� ��`
Pho�e Number ��^� 7 "'"� � ` 1
�� � �/Date � 1
Signature v Witness Signature
OLD METER# J� W EJ ���
OLD READING '"�- L ��11
NEW METER# - 1 t��-c� �CJ��
NEW READING (_J
ERT# 1� Z`"1,1 - 1��J
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AIVD SANITARY SEWER
ADMlNISTRATION
(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 connecting the existing municipa(system and any house or buildiryj for which the
application is made,the owner or contractor shali be required to obtain a permit for such connection,and shali pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shail be notified. It shail be unlawful to cover
any connecting line u�til 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 connectioR.
402.06 REPAIRS AND MAINTEPIANCE 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 servke iead has
been extended to the property line for connection,the applicant,owner,or ocwpant or user of such premises shall be liable for a!I repairs
required to any water line and sewer lines necessary for connection af the premises from the main to the premises. If the property owner
requests meintenance service or repairs be performed by the City,the property owner shali be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative policy. It shall be the responsibility of the applicant,
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 at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)