Meter Swap ` Request Number: 16090
Public Works Division
Service Request
Problem Addreas: 311 Ironton St Requested By: Kristy Remille
Department: WA'IER Addreas: No address provided
Problem/issue: INSTALL AMR METER Phone Number: 763-780-1747
Scheduled Dxte: 2017-06-23 Schednled'Iime: 01:OO:OU
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ACTION NEEDED:
Created by: Wendy Hiatt Date Cre�ted: 201?-06-21
ACTION TAI�N:
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Status: In Progress 5nbmitter Has Been r
Contacted
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Date Com eted: Com leted b :
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� City of Fridley
� water pepartrnent S� -� ���t7
6431 University Avenue NE
F�idley,MN 55432
763-572-3566
1/we here6y authorize the C�ty of Fridley and/or its employees to do what is necessary tu
replace the�rater meter. f understand that the property aarner is liable for ihe water tine from the main to the premise and ali interiar
plumbing. (Per City code 402.06) {also hold the C'rty of Fridley and/its employees harmless for any damages that may ocwr whtle do[ng this
operation. This to inc{ude,but not limited to vaives,piping,walts,floors or the curb stop box and senrice line. In understand l am aiso requtred
to obtain a permit prior to arry work,if necessary.
FfNAi.METER READING(old meter �� � � " `� ��
1
Name• l�-r �� �E NW`��� Address � �� ���/'� �•
Phane 9Yumb — ��� '— ��Date "' � ��""" � J
' ature Witness Signature �_
OLD METER# � � _""' � 2.
� . .,� � � 22 c�
OLD RfADfNG �� ��� �d
NEW METER# �'� � �.�� 5 3
NEW READtNG �
ERT#___ f ��� � pZ
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATIOIY
(Ref Ord No 113,46�4,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to construding or repais of any water of sewer iine connecti►�g the existing municipal system and any house or buiiding for which the
apptication is made,the owner or contrador shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter ii of this Code. After svch connection has been made,the Water and Sewer Department shaU be n�ed. It shaii be unlawful to cover
any connecting line urrtii an inspection has been made and such connection and the work incident thereto has been approved 6y the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTEIVANCE TO COPIPIEC7'IOfY
After the inittal connection has been rnade to the water senrice cur6 stop box or the sewer lead at the property tine or a water servke lead has
been extended to the property line for connection,the appticaM,owner,or occuparrt ar user of such premises shall be liable for all repairs
required to any water line and sewer lines necessary for connection of tfie premises from the main to the premises. ff th¢property owner
requests maintenance service or repairs be performed by the CFty,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annuaNy by an administrative poi�ry. It shall be the responsibility af the applicarrt,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premisesto the main including debris ciearing or
root cutting and to mainta9n the water service curb stop box for operability and at such height as wiil ensur�that it remains above the finished
grade ofi the tand or property. (Ref 638,1156,1191)