Meter Swap , � Request Number: 16259
Public Works Division
5ervice Request
Problem Address: 511 Ironton St Requested By: Gene Harstad
Department: WATF.R A,ddress: No ad�ress provi�d
ProblemJIssue: INSTALL AMR METER Phoae Number: 763-717-1230
Scheduled ate• 2017-07-0'1 ,_,� Schednled 13me: 11:30:00
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ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-07-06
ACTION TAI�N:
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Status: Tn Progress Submitter Has Been �.,
Coutacted
Date Completed: Completed by:
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City of Fridiey
Water Departrnent
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�IWe 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 trom the main to the prremise and all interior
plumbing. (Per Ctty code 402.06) 1 afso hold the City of Fridley andrts employees ha�mless for any damages that may occur wfiile doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and servfce line. In understand I am also requiced
to abtain a permit prior ta any worlc,if necessary.
FINAL METER READING(oid meter) ���� ��
Name• Address ��� • �
Phone Number�YJ�v�1�r �/�� �f � � �,' �
Date�
� Signature Witness Signature
----�_�
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OLD METER# L
OLD READIIVG �- �/��� �
NEW METER# �� ������
NEW READING �J
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or(suilding for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided i�
Chapter 11 of this Code. After such connedion has been made,the Water and Sewer Department shall be notified. It shail be uniawful to cover
any connecting line until an inspection has been rnade and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AIYD MAINTENANCE TO CONNEC'i'ION
After the ioitial connection has been made to the water service curb stop box or the sewer lead aC the property line or a water service lead has
been extended to the property line for connection�the applicant,owner,or occupant or user of such premises sha{i be liabte for all repairs
required to any water(ine and sewer lines necessary for connection of the premises from the main to the premises. tf the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mairitenance and/or
repairs,including necessary street repairs at a rate set annua�ly by an administrative poliry. It shall be the responsibifity of the applicaM,
owner,occupant or user to perform standa�d mai�tenance of tfie 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 hetght as will ensure that it remains abore the finished
grade of the land or property. (Ref 638,1156,1191)