Meter Swap - Request Number: 12453
Pubtic Works Division
5ervice Request
Problem Address: 7440 Jackson St Requested By: Casey
Depsirtment: WATER Addreaa: No a&firess provided
Problem/Issue: INSTALI,AMR METER Phom Number: 612-363-6622
ScLedaled Date: 2016-12-19 . Sc�edalsd 1i�e: 1030:00
C� C_ �' �'
ACIION NEEDED:AMK
Created by: Wendy Hi�x Drte Cre�ed: 2016-12-15
ACTION TAI�N:
V._.�.��_ . �...�,�_._� __M_W__._
Stah�s: In Progress Submitter H�Beea r
Cont�ted
� � �.:, - a;,;
Date Conpletei: Completed by:
I 2- I `-- � �
� � �;�'`
� J
\
� � �
� ��
J� �{ � ih �-
�
City of Fridley r (
Water Department �, � t� ' �
6431 University Avenue NE
- Fridley, MN 55432 ����y� �t �✓v�
' 763-572-3566
I/we hereby authorize the City of Fridley and/or iu employees to do what is necessary to
replace Che water meter. f understand that the property owner is liable for the water line from the main to the premise and all Interior
plumbing. (Per City wde 402.06) i also hold the City of Fridley and/its employees harmless for any damages that may occur while doing t6is
operation. This to include,but not limited to valves,piping,walls,floors or the curh stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READfNG(oid meter� L� ��� �
Name: J'�, Address ��'"�"'[ Q ���� l �
Phone Number ` ���� �pa�e 1 G.'� t� ^ t �
�Signature Witness Signature
O�D METER#_I��L.-� ` I �O 3
OLD READING `'1�U �L�O
NEW METER# - 1�l�� � ��
NEW READING V
E�# c�7� i �
FRIDLEiI CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
�Ref Ord No 113,464,565,566,629,638,662,922,988,11A4,1156,1191j
402.5 PERMI7 FEE
Prior tu co�structing oc repair of any water of sewer line connecting the existing municipal system and arry house or building for which tf�e
application is made,the owner or contractor shail be required to obtain a permit for such connectton,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departme�shall be notif'�ed. !t shall be unlawfuf to cover
any connecting line until an inspedion has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connettion.
402.06 REPAIRS AWD MAIAITEWANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for connection,the applipM,owner,or accuparit or user aF wch premises shali be fiaWe for all repairs
required to any water line and sewer lines oecessary for connection of the premises from the main to the premises. If the pnoperty owner
requests maintenance service or repairs be performed by the City,the property owner shali be charged for the costs of the mairitenance and/or
repairs,incfuding necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises ta the main inctuding debris c{earing or
root cutting and to mairrtain the water service curb stop boK for operabifity and at such height as will ensure that it remains above the finished
grade af the land or property. (Ref 638,1156,1191)
U�..���1
Request Number: 12591
Pablic works Division
Service Request
Probiem Address: ?440 Jackson St R�quested By: Cindy
Department: WATER Address: No adchess provided
Problem/Issue: LEAKING ME1ER Phone Namber: 612-250-5600
Scheduled Ds�te: 2016-12 27 Scheduled Time: Ol:00:00
ACITON NEEDED:AMR inSStalled on Dec 19th and is�w lealdng.
Created by: Wendy Hiatt D�e Created: 2016-12-27
ACTION TAI�N:
i ; �h��.�� p ���`;� ,� ��-
Status: In Progress ���r Has Been �
Cont�ted
Date Completed: Completed by:
� a- ��- � b