Meter Swap Request Number: 15838
Public Works Division
Setvice Request
Problem Address: 576 Ironton St Requested By: Darrell Wilsh
Department: WATER Address: No ad�ess provided
Problem/Issue: INSTALL AMR METER Phone Number: 952-239-0434
Scheduled Date: 201?-06-08 Schednied 1lme: 11:00:00
�
ACTTON PiEEDED:
Created by: Beth Kondrick Date Created: 2017-06-07
AGTION TAI�N:
1.�..�.��...._�...�:� ..____.__._...
Status: In Progress Snbmitter Aas Been r
Contacted
Date Completed: Completed by:
�—$_�,`� � C�1(�"
�
� �'�,����a'e� �jD�f - S�(6 7� -6 s
- ������e����e�� �,� c��� �
fs431 l�niversity A�rer�ue NE
Fratl4ey,MP1 55432
763-572-3SS6
d fwe herebX authorize the C�ty of Fridfey and/or its emp[qyees to do what is necessary to
replace the water me#er. t understand chat the pro�oerty�w�er is tiable for the water 4ine from tthe a�nain to the premise and a!1 inter6or
pfumbing. (Per C'rty code 402.06j t a4so hold the C'ity of Fridley andrts employees harmtess for arry damages that may occur while doing tF�is
operation. This to indude,but not limited to va[ves,piping,walls,floors or the curb stop box and ser+rice line. In understand t am also requirE
to abtain a permit priar to any work,if necessary.
Ft9YAL 11AEi'ER REApiNG(old meter) ���� ��Q
Name: ��V�K'/V� W�YE7� Address � ` {� �����^ ��
Phane Numbe " � '�0 13�{Date �� � !
SignaWre J w Witness5ignature��
OLD METER#� 3� 1 �� ��
OLD READlNG Dq,� J ���
ti��M,�E�� �°I2Z��� �
sv�w REAuf�G _�
��# �l.`L3� �-{`b2�1
FR(DLEY CITY CODE
CHAP'tER 402.WATER,51'ORM WATER AND SANfTARY SEWER
ADMINtSTRAI'ION �
(Ref Ord No 113,4�,565,566,629,638,662,922,988,1144,1156,i141j
402.5 PERAA{T FEE
Prior to constructing ar repair of any water of sewer line connecting the exisCing municipai system and arty house or buildtng for which the
appiication is made,the owner or contrackor shaif be required to abtain a permit for such connection,and shati pay a permit fee as provided in
Chapter 11 of Yhis Code. After such connection has been made,the Water and Sewer DepartmeM shalt be notfied. ft shai(be urataarfui to cover
any co�necting line urrtit an inspection has been made and such connection and the wortc incident fihereto has been approved by the C�ty as a
proper and suitable connectivn.
402.06 RERAiRS AND MAl1YTENANCE TO COPlPIECTIOAI
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line ar a urater servic�(ead has
been extended to the prvperty line for connection,the applicarrt,owner,or occupar�t or�ser of such premises shali!�C'aiable for all repairs
required to any water line and sewer tines necQssary for connection af the premises from the main to the premises. tf tfie property owner
requests ma�ntenance service or repairs be performed by the City,the property owner shall be charged for the cosks of the maisrtenance andJor
repairs,including necessary street repairs at a rate sei annually by a�admtnistrat+de policy. 1t shaN be the responsibifity of the applicacrt,
owner,occupant or user to perform standard mairrtenance of the sewer seroice line from the premises ta the main including debris dearing or
root cutting end�o maimain the water service curb stop box for operabitity and at such height as wil!ensure that it remains above the finished
grade af the fand or properCy. {Ref 638,1156,2191j