Meter Swap ,
Request Number: 15886
'� Public Works Division
Service Request
Problem Address: 528 Ironton St Requested By: Timothy McCrrath
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME7ER Phone Number: 763-780-8?57
Scheduled Date: 2017-0 -13 � Schednled 11me: 10:34:00
�2 ��
.`�C.J
ACTION NEEDED:
Created by: Wendy Hiatt Date Creuted: 201?-06-08
ACTION T N:
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...__...�� h5._..._ �-__....�_.�_��_______. �.w....__._.._.........__.____.___---_
Status: In Progress Sqbmitter Has Been r
Contacted
Date Completed: Completed by:
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City of Fridley �Q�._T7",fC�'Q �!
Water Department
� b431 llniversityAvenue NE ��f� �'7(��
- Fridley,MAf 55432
763-572-356f
�✓`"�e hereby authorize tfie Gty ofi Fridley and/or its emptoyees to do what is necessary to
replace the water meter. 1 understand that the property owner is tiable for the water line from the main to the premise and aN irrterior
plumbing. {Per�ity code 402.06J l also hold the Crtyt of Fridiey and/its empfoyees harmiess for any damages that may ocwr while doing this
operation. This to include,but not fimited to valves,piping,walis,floors or the wrb sfiop box and service line. in understarn!i am also required
to abtain a permit prior to any work,if ssecessary.
FINAL METER READ[NG(oid meterj ���" —V v�
A{ame• Address ��� 'Y��� ��
Phone Numbe � ��T'�/ �j�e�1� � `�
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�Signatur ~ Witness Signature�� /�'�'�—��-'"�
OLD METER# ��� ( � �'I2�
OLD READtNG �� f�CJV �,�
NEW METER#��?���q "{ �
NEW READiNG �
E�# �l 222 � � ��
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SAMITARY SEWER
ADMIRIfSTRATION
(Ref Ord Ato 113,464,565,566,629,638,6b2,922,988,1144,1156,1191)
402.5 PERMiT FEE
Prior to constructing or repair of any water of s�wer line connecting the existing municipai system and any house or bulkling for which the
application is made,the owner or contractor shall be required to obtain a permit fvr such cnnaection,and sfiail pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. It shal{be untawful to cover
a�y connecting I�ne until a�inspection has been made and such connection and the wortc incident thereto has been appro�red by#he Crty as a
proper and suitable connecCion.
402.06 REPAIRS AND MAINTE1VAPtCE TO CONPIECT{ON
AfCer the initia(connection has been made to the water senrice curb stop box or the sewer lead at the properly line or a water service 4ead has
been eute�ded to fihe property line fior connection,the applicarit,ow�er,or occupant or user of such premises shall�I�aWe for aN repairs
required to arry water liae and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requests maietenance service or repairs be perfvrmed by the C"ity,the properh/awner shall be charged for the costs of the mairrtenance a�djo�
repairs,including necessary street repairs at a rate sei annualty by an administrative policy. It shalt be the responsibility of the applicant,
owner,occupant or user to perform standa�d mair�tenance of the sewer service line f�om the premises to the main including cJefms cfearing or
raot cutting and#o maintain the water service curb stop box for operability and at such height as witl ensure that it remains above the finished
grade af the land or property. (Ref 638,1156,1191j