Meter Swap � Request Number: 15855
PuMic Works Division
Service Request
Problem Address: 664 Ironton St Re�t}ested By: Tom
Department: WATER A�ddress: No ad�iress provided
Problem/Issue: INSTALL AMR ME'F�R Phone Number: 763-784-6053
Sc6ednled Datte: 2011-06-12 Scaednled 13me: 09:00:00
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ACIION NEEDED:
Created by: Wendy Hiatt Dntc Created: 201�-06-07
ACl'ION TAI�N:
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Status: In Progress Snbmitter Has Been �.,
Contacted
Date Completed: � � I�� �"� Completed by: �a �
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v Ci#y of Fridley :/�� � ✓l�U � � �1
. wa�er Departrne�t � � ��1�
6431 l�n9versity Aerenue NE
F�idley,MN 55432
763-572-3566
lfwe hereby authorize the C�ty of Fridley and/or its employees to do what is necessary ta
replace the water meter. (aanderstand chat the p�operCy owner is{iable for the wrater line from ihe main to#he premise and aN interior
plumbing. (Per�ity code 402A6) 0 also hold the City of Fridtey andrts employees harmless for arry damages that may occur whife doing this
operatiam. This to include,but not limited to vaives,pipin�walis,floors or the curb stop box and senrice line. in understand 1 am also requi�e
to obtain a permit prior to arry wark,if necessary.
FINAL METER READING(oid mete�) _ �;� � "� t��
Name: �n�� Actdress VL lJ�� �1 v � �� ��"
Phone 9Yum ' Q� _ � r— ,� -- ( �
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Si nature Witness Si�nature
OLD METER# _ ���� �
o� R�D��G �D�c�`��
NfW METER#__ 4��O� � a�'J
NEW READING D
E�#_ ��3 � 51v �
FRIDLEY C{TY CODE
CHAPTER 402.WATER,STORAIE WATER AND SANITARY SEWER
ADMINISTRATIOM �
(Itef Ord No 113,464,555,566,629,638,662.922,988,1144,1156,I191j
402.5 PERMiT FEE
Prior to constructing o�repair of any water af sewer iine connecting the existing municipa!system and any house or building for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shail pay a permit fee as pro+rided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer pepartmerrt shall be notfied. tt shail be un{aw{ut to cover
any connecting line urrti!an inspection has been mede and such connection and the work incident thereto has been approved by the City as a
groper end suitable connection.
4Q2.06 REPAIRS AND MAINTENANCE TO COPIIVECTIiDAI
After the initiai connection has been made to the arater service cur6 stop boK or the sewer lead at the property line or a water seroice tead has
been extended to the property fine for connectio�,the applicant,owner,or occupar�t a�user of such premises shall be Itable for ali repairs
required to any water line and sewer(ines necessary#or connection of tfie premises from the main to the premises. tF the property owner
requests maintenance senrice ar repairs be performed by the City,the property owner shalt be charged for the casts of the mair►tenance and/or
repairs,including necessary street repairs at a rate set annualiy by an administrative poliry. It shali be the responsibility of the appiicar�t,
owner,occupant or user to perForm standard maintenance of the sewer service line frvm the premises to the main including debris dearing or
root cutting and Xo maintain the water service curb stop box for operability and at such height as wili ensure that it remains above the finished
grade af the land or property. (Ref 638,1156,1191j