Meter Swap Request Number: 5839
Public Works Division
Service Request .�___�_._
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Problem Address: 177 Riv�er Edge Way Requested By:
Department: WATER A�ddress: No address provided
Problemllssue: INSTALL ME7ER(WA7ER) Phone Number: 571-5764
ACTION NEEDED: Change stopped meter.
Created by: Wendy Hiatt Date Created: 2013-03-11
ACTION TAKEN:
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Status: In Progress Hours:
Date Completed: Completed by:
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City of Fridtey
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763j 572-3566
t/we hereby authorize the City of Fridtey and/or its
empioyees to do what is necessary to repface the water meter. I understand that the property owner
is fiable for the water tine from the main to the premise and all+nterior plurnbing. (Per City code
4UZ.06) t also hotd the City af�ridiey and/its employees harmless far any damages that may occur
while doing this operation. This to include,but not limited to;valves,piping,walis,fioors or the curb
stop box and service line. I understand I am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter)_ ���,���
Name: Address: '� ������
Phone Numb : Date:���v�� '
Signature:
Witness Signature: �
FRID CiTI(CODE �
CHAPTER 402.WATER,ST M WATER,AND SANITARY SEWER
A INISTEtATION
(Ref Ord No 113,464,565,5 �629,638,662,922,988, 1144, 1156,1191)
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewe�line connecting the existing municipal system and any house
ar building for which the application is made,the owner or cantractor 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 Department shall be notified. It shali be uniawful to cover any connecting line until an
inspection has been made and such connection and the wo�k incident thereto has been approved by the City as a
proper and suitable connection.
402.06.REPAIRS AND MAtNTENANCE 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 or sewer lead has been extended to the property line for connection,the applicant,uwner,
or the occupant or user of such premises shaii be fiable for all repairs required to any water line and sewer lines
necessary far 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 the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
poticy. It shall be the responsibility of the applicant,owner,occupant or user to perform standard maintenance af
• the sewer service iine from the premises to the main including debris clearing or root cutting and to maintain the
water service curb stop bax for operabilitaj and at such height as wili ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
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, , .�; 5762 of
� J 5762
• Service Details
• Date Created 2013-03-08 Request#(auto-assign) 5837
, y,�i�i,�,,, u i �.
• Department �'��� , � ;
• Problem/Issue
• Requested By Resident Contacted ❑
• Address
• Ciiy��State ZIP�
• Phone 612-209-5169 —�
Change stopped meter
• Action Needed
• Urgent p
• Owner Name Stacy ScarceAa
.
oc ti n �
• ProblemAddress 8090 Broad
• Fridley MN 1:00
• LaULong 45.114686 ! -93.286962
.
Tracking Information
. ,,,�, � ,�,;,��
• status
• Scheduled Date 2013 Scheduled Time
• Bill ❑ Billing Complete ❑
• Action Taken �
��• Created By i�,�,, � .�.� ,y..i.�� ,,�.�...,.�,�. .. �
• Photos/Docs''
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City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 5S43Z
(763)572-3566
tiwe hereby authorize the City of Fridley and/or its
employees to do what is necessary to replace the water meter. i 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 empioyees harmless for any damages that may occur
while doing this operation. This to include,but not limited to;vatves,piping,waUs,ftoors or tfie curb
stop box and service line. 1 understand I am also required to obtain a permit prior ta any work,if
necessary.
Final meter reading(old meterj �� � ��
Name• Address'_��-= '���'"'''
Phane Number: D te• �� 1�~ ��
,
Signature:
Witness Signature:
�RIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANiTARY SEWER
ADMINISTRA710N
(Ref Ord No 113,454,565,566,629,638,662,922,988, 1144,1156,1141)
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer fine connecting the existing municipa{syster►�and any hause
or buiiding 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 Department sha!!be notified. lt shail be uniawful 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.
aa2.06.REPAIRS AND MAINTENANCE 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 or sewer lead has been extended to the property line for connection,the applicant,owner,
or the occupant or user of such premises shall be f+able 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 awner requests
maintenance service or repairs be performed by the City,the property owner shafl be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
policy. !t sha11 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 inc{uding debris clearing or root cutting and to maintain the
water senrice curb stop box fo�operability and at such height as wifi ensure that it remains above the flnished
grade of the land or properry. (Ref 638,1156, 1191j
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