Meter Swap �
- Request Number: 15820
Public works Division
Service Request
Problem Address: 630 Ironton St Requested By: Debbie Peterson
Department: WATER Adddress: No address p�ovi�d
Problem/Issne: INSTAL,L AMR METER Phone Number: 763-780-3553
Scheduled Date: 2017-06-09 � Sc6eduled Time: 08:00:00
.
ACTION NEEDED:
Created by: Beth Ko�xh ick Datc Created: 201�-06-06
ACTION TAI�N:
�,S�,l��� � m R
Status: In Progtess Snbmitter Has Been r
Contacted
Date Completed: Completed by:
�O � ( �(�nryG[ l
CI'�o�€Fr9Cllel/ �� / a ✓'//? /G/ `��/�
` 4i�ater Depaa"teraert� �� ,/tG<.//Q
' �431 tl�siversity Aerenue NE 7 �
r
F�atlley, MN 55432
��% 753-572-3566
L.�
1/we ✓�•
hereby authorize the�ty of Fridley and/or its employees to do what is necessary ta
repiace the w er meter. t understand that the pPoperty owner is liabte for the water line from#he main to#he premise and ali irtterior
plumbing. (Per�ity sode�OZ.06j I also hold the City of Fridiey and/its employees harmless for arry damages that may occur while doing thu
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. in understand!am also require
to abtain a permit�rio�to any work,if necessary.
FBNAL METER READING(oid meterj —1 sy T �7�
Piame• Address _V�� ,J'Vo�,� �
Pho�e 9Yumber p�
Sig�ature Witness Signature
o�.D n�ET�R# iC�999��0
OLD READlNG �5��I �d
fVEW METER# �`�a�0 S�
NEW READINC; �
- �s�r# 7a.3ssa �o
FRIDf.EY CITY CODE
CHA(�TER 402.WA�R,STORM WATER AND SANITARY SEWER
ADMINISTRATIOM �
(�ef Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMtT FEE
Prior#o constructing ar repair of any water of sewer line connecting the existing municipal system and any house ar building for which the
application is made,the owner or contractor shall!te required to obtain a permit for such connection,and sha(1 pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shali be notified !t shall be untawfa!to cover
any connecting line urrtil an inspection has been made and such connection and the work incident thereto has been approved by the City as a
groper and suitable connection.
4Q2.06 REPAIRS AMD MAINTEPIANCE TQ COAINECTIOAI
After the initiat connection has been made to the water senrice curb stop box or the sewer tead at the properly line or a water service lead has
heen extended to the property line for connection,the applicarrt,owner,or occupant or user of such premises shal{be liable for all repairs
requered to any wrater dFne and sewer lines necessary for connection of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the cosis af the maintenance and/or
repairs,i�cluding necessary street repairs at a rate set annually by an administrative poliry. It shali be the responsibility of the applicar�t,
owner,occuparrt or user to perform standard mairrtenance of the sewer seroice line from the premises to the main including�Jebris dearing or
root cutting and to maimain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade af the(and or property. (Ref 638,1156,1191)