Meter Swap 9
Request Number: 15501
Public Works Di�vision
Service Request
Problem Addreas: 181 Talmadge Way Requested By: Nola Gilbertson
Department: WA'IER Address: No address�ovided
ProMem/Issue: INSTALL AMR METER Phone Number: 571-6831
Scheduled Date: 2017-OS- Sc6eduled 11me: 11:00:00
..�J�
ACIION NEEDED:
GYeated lry: Werldy Hiatt Dnte Created: 201�-OS-22
ACIION TAKEN:
����.�,�
Status: �pro�� �� S�bmitter Has Been �..,
Coutacted
D�te Completed: Completed by:
��� 1 � � W'
�
. r< �.
;�:
:�►. � ._,
Y City of Fridley /� ���/�/f�����
Water Departrnent �� �� `
6431 University Avenue NE ��� 'r ,/ n (
Fridley, MN 55432 ������V (
763-572-3566
��We fiereby authorize the C'ity af Fridley and/or its employees to do what is�ecessary to
replace the water meter, f understand that the propercy owner is liable fo�the water line from the main to the premise and all iMeriar
plumbing. (Per City code 402.06) i also hoid the City of Fridley and/its employees harmfess for any damages that may ocwr while doing this
operation. This to include,but not limited to valves,piping,walls.floors or the curb stop box and service line. in understand 1 am aiso required
to abtain a permit prior to any work,if necessary.
FtNAL METER READING(oid meter) �� `� ���
VN�me: �!��^._l�:j � v �� Address� �' 1 Q,V V�� "�
t". �� ����,, �,� �
Phone Number Date_
:�:
Signature Witness Signature V
;;�,v '-
OLD METER# �� �"� � �� �
OLD READING � 1"t� Z� v
NEW METER# `�r -{ ���`"�� Y
NEW READING�
ERT# .� 2�J '"'� �c.>�
FRIDLEY CITY CODE `
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,562,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line conneding the existing municipal system and arry house or building for which the
application is made,the owner ar contractor shal!be required to obtain a permit for such connedion,and shall pay a permit fee as provided in
Chapter 11 of this Code. After sucfi connection has been made,the Water and Sewer Department shall be notfied. R shall be untawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAIPITEMANCE TO COPINECI'tO1V
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 Ilne for connection,the applicarrt,owner,or occupant or user of wch premises sha41 be{iabie for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for fihe costs of the mair�tenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicarit,
owner,occupant or user to perForm standard maintenance of the sewer seroice line from the premises to the main inciuding debris dearing or
roo#cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains aban+e tfie finished
grade of the land or property. (Ref 638,1156,1191j
Request Number: 8928
Public Works Division
Service Request
Problem Address: 181 Talmadge Way Requested By: Arnold Gilbertson
Department: WATER Address: No address provided
Problem/Issue: STANDPIPE Phone Number: 571-6831
Scheduled Date: Scheduled Time:
ACTION NEEDED:Mazk standpipe with paint&flag
Created by: Wendy Hiatt Date Created: 2014-09-17
ACTION TAI�N: �
?
F� �`��� ��.................._......................._........_.........__........................._
........................................................................................................................... .......................... ............................................................................................................................... .....
�
...................................................................................................................................................................................................._.....,................._...............................:.........._....................................................................._................................................................._..
.........................................................................................................................................................................................................:................................................................_...................._............._........._................._.._._._........................................._..........._.
'Y��'y,i;:
>�, '
.....................................................................................................................................................................................:.::::.....:............................................................:.........................................___.__....:__..._.............._..........._.........._____....._._..__..._._.__
.................................:......................................................................................................W:_....:.....:................................................................................................................................................................................._..._................_....__..............._.......................
Status: Tn Progress Resident Contacted ❑
Date Completed: Completed by:
_ �� 1y
\