Meter Swap .
t Request Number: 15761
Public works Division
Service Request
Problem Address: 120 Talmadge Way Requested By: Molly 5wenson
Departme�rt: WA1ER Address: No address�ovi�d
ProMem/Issue: INSTALL AMR METER Phone Number: i-860-268-6689
Scheduled Date: 20 7-06-13 Schedaled 11me: 09:00:00
� ,
ACTION NEEDED:
Cre�ted by: Wendy Hiatt Date Created: 2017-06-OS
ACTION TAKEN:
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5tatus: In Progress Submitter Has Been r,
Co�acted
Date Coe�pleted: (_ ,., �'2 ` I`, Completed by:
w J ��
���,����dreY �l s- S2D��a �-a !
• wa����e�a��,e�,t
, 6431 l�niversit�Avenue NE �� ///_(�,/
F�rodley,MN 55432 (,�it�0 (
763-572-356�
Ijwe hereby aufiharize the CFty ot Pridley and/or its employees to do what is necessary to
repPace the water meter. (understand that the�roperty owner is liabte for the water line from the main to the premise and all irrterior
plumbing. {Per�'rty code 402.06) i also hold the City of Fridiey and/'rts employees harmless for any damages that may occur whiie doin�this
operation. This to indude,but not limited to valves,piping,waNs,t1oors or the wrb stop box and senrice line. in understand l am aiso require
to otrtain a permit prior to any work,if necessary,
FUVAL METER READING{old meter) � �� �`� 'U
Name:�1��.�� JU1�,'i1�1ti Address �� �Lc�'i'�l•t.�y� �J�.�t
Phorre N l" "o�,(d "(p(p�� Date _ V2 "' ��-- � 1
�Signatur Witness Signature
OLD METER#
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d �1�3 3 : � � ��� `����rn�
OLD READING `� � �jVI,�W� 1
NEW METER# 4 , 0�� � �� y
NEW READING v
E�# � a355� gy .
FltIDLEY CITY CODE
CHQPTER 402.W�1TER,STORM WATER AND SANITARY SEWER
ADMINISTRATION �
(Ref Ord No 113,464,565,566,fi29,638,662,922,988,i144,1156,1191j
402.5 PERf1AiT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipa(system and arry house or�iiding for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall 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
any connetting line urrtil an inspection has been made and such connection and the work incident thereto has been approved by t6e City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO COPfPlECT10N
After the initiat connection has bee»made to the water service curb stap pox or the sewer lead at the prope�i.y dine or a water senrice tead has
been extended to the property line for connection,the applicant,owner,or occuparrt or user of such premises shall be liable 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 6y the�ty,the property owner shali be charged for the cosFs of the mainitenan�and/or
repairs,inctuding necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibil'�ty of the applicarrt,
owner,occupan#or user to perform standard mairrtenance of the sewer service line from the premises to the main including debris clearing or
root cutting and�o mairitain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade af the fand or property. (Ref 638,1156,1191j
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FCSi��Cy
Request Number: 17811
Publ�c Works I�vision
Service Request
ProWem Addresa: 120 Talmadge Way Requested By: John w/Dtmus Const.
Depstrtmeut: WA1ER Address: No address provided
Proble�nllsaue: LEAKING ME1ER P6one Number:
Scheduled Date: Sc6ednled Time:
AG7ION NEEDED:Leaking meter. �t-� ��m��.��
Crexted by: Wendy Hiatt Date Created: 2018-02-26
ACIYON TA1�N:
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..... .. �. . .. .
Status: In Progress Snbmitter Has Been r
Contncted
Date Completed: Completed by:
a-��-l�
. ��,�
. S��
City of Fridley
Water Department 2 �� �S'��'.-2�d .-�t
6431 University Avenue NE �
Fridiey,MN 55432
763-572-3566
1/we hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 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) 1 also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and sen+ice line. In understand I am also required
to obtain a permit prior to any work,ff necessary.
FINAL METER READING(old meter) w�8� ��cO ' �` "�
Name: Address � �� � ���A i.ti-C.� ��
Phone Number Date����� ���
Signature Witness Signature -
�`��� �� � ����� ��
•L� METER� SIZE 8� STYLE(Circle
OLD READING �C���� ����, �. 5j8" HEX
NEW METER# � � 1� �� �� � 1" HEX
NEW READING C�t3�� ��� I � 1�" ELIPTICAL or HEX
c���,,-,�,r 1.�'z-`�
ERT# ���� �� 1 � 2 ELIPTfCAI or HEX
FRIDIEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line wnnecting the existing municipal system and any house or building for which the
application is made,the owner or contractor shalf be required to obtain a permit for such connection,and shali pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawfui to cover
any connecting line until an inspection has been made and such wnnection and the work incident thereto has been approved by the City as a
proper and suitabie connection.
402.06 REPAIRS AND MAINTENAIVCE TO COAINECTION
After the initial connedion 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 connectlon,the applicant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water line 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 costs of the maintenance and/or
repairs,includi�g necessary street repairs at a rate set annuaily 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 to the main including debris clearing or
root cutting and to maintain the water service cur6 stop box for operab'slity and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,3191)
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