Meter Swap k ` Request Number: 16175
Public Works Division
Service Request
Problem Address: 670 Ironton St Requested By: JeffAnderson
Department: WA1ER Address: No address�xovided
Problem/Issue: INSTALL AMR 14IETER Phone Number: 763-370-3431
Scheduled Date: 2 17-06- 0 � Schednled'Rme: 09:00:00
r
U M
ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-06-28
ACTTON TAKEN:
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Status: Tn Progress Snbmitter Has Been r
Contacted
Date Completed: Completed by:
Honrs
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City of Fridley ���' ��� ��D��
{ Water Department �� � ��� ^
6431 UniversityAvenue NE ��
�ridley,MN 55432
763-572-3566
�f"�e hereby authorize the City of Fridfey andior its employees to do what is necessary to
repiace the water meter. I unclerstand that the property owner is liable for the water line from the main to the premise and at4 irsterior
plumbing. (Per City code 402.06) i also hold the�ty of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or tfie curb stop box and service line. In understand I am atso requised
to obtain a permit peior to any wock,if necessary.
Ff1YAl METER READING(old meterj ��� � �4
Name- `� � Address ��� ��� �
Phone A�umber 6��"�` � Date ���'��
�Sig�=e � Witness Signature!��
OLD METER# � � �� ` � / �
OLD READlNG J[�kJ'� � �Q
RIEW METER# r�����J O
NEW READING�
�
ERT# ��� I U� � 3
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM Wi4TER 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 ar repair of any water of sewer line connecting the e�cisting municipal system and any house or building for whidi the
application is made,the owner or contractor shall be required ta obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Cade. After sucfi connection fias been made,the Water and Sewrer Department shat!be notif'ied. It shall be unlawfuf to cover
any connecting line untii an inspeckion has been made aed such coanection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAtPi'TENANCE TO COPINECTfON
After the initial connection has been made to the water service curb stap bax or the sewer lead at the property line or a water service iead has
been extended to the property line for connection,the applicant,owner,or occuparrt or user of such premises shall be tiable for ait repairs
required to any water tine and sewer lines necessary for connection of the premises from the main to the premises. if the property owner
requests mairrtenance service or repairs he performed by the�ty,the property owner shall be charged for the costs of the rnair�tenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative potiry. It shall be the responsibility af the appiicant,
owner,occupant or user to perform standard maintenance ot'the sewer senrice line from the premises to the main including debris clearing or
root cutCing and to maintain the water sen+ice curb stop box for operability and at such height as will enwre that it remains above the finished
grade of tfie land or property. (Ref 638,1156,1191)