Meter Swap Request Number: 7014
Public Works Division
Service Request
ProblemAddress: 6746 Jefferson St Requested By: Daniel Granham
Department: WATER Auldress: No address provided
Problemllssue: INSTALL METER(WATER) Phone Number: 612-481-3814
Scheduled Date� 2013-09-24 Scheduled Time: 01:30:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-09-19
ACTION TAKEN:
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Status: In Progress Resident Contacted O
Date Completed: Completed by:
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. City of Fridiey
Water Department
6431 University Avenue NE
� Fridley,MN 55432
(T63)572-3566
��We hereby authorize the City of Fridley and/or its oWner
employees to do what is necessary to replace the water meter. I understand that thP prope�e
is liable for the water line from the main to the premees harmlesstfa rany damiages that may oc.cur
402.06) I aiso hoid the City of Fridley and/its employ
while doing this operation. This to include,but not limited toobtain a�perm t/p orsta any workef� �
stop box and service line. I understand I am also required to
necessary. -
Final meter reading(old meter) �
Address:�� �����
Name• � �
, Date: �Y����
Phone Number�
Slgnature�
Witness Signature:
FRIDLEY CITY CODE •
CHAPTER 402.WATER,STORM WATER,AND SANfTARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191) _
402.05. PERMIT FEE
Prio�to constructing or repair of any water ar sewe�line connectinB�thsn 11 be equ redtol b ain a pertn'�t for such
or building for which the appiication is made,the owner or contract
connection,and shall pay a permit fee as pro�be n t fied.tlt shali be u lawful to cover any con eicti g lineeuntil an
made,the Water and Sewer Department shat roved b the City as a
inspection has been made and such connection and the work incident thereto has been app Y
proper and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stoP ne forrconnect on'the appi cant owner,
line or a water service or sewer lead has been extended to the property li
or the occupant or user of such premises shali be fiable for all repairs required to any wate�rWli�n�e aedue�r lines
necessary for connection of the premises fro m the main to the premis o�ner hall be harged for t e costs o f t he
maintenance service or repairs be performed by the City,the property
maintenance and/or repairs, including any necessary�treet repairs,at a rate set annually by an administrative
lic . it shali be the responsibil'�ty of the appiicant,owner,occupant or user to perform standard maintenance of
Po Y
• the sewer service line from the premises to the main including debris clearing or root cutting and to maintain t e
water senrice curty stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
Request Number: 10651
Public Works Division
� 5ervice Request
Problem Address: 6746 Jefferson St. Requested By: Sandi-Utility Billing
Department: WATER Address: 6746 Jefferson St
Fridley,MN 55432
Problem/Lssue: INSTALL AMR METER P6one Number: 763-221-2588
Scheduled Date: 2015-10-27 Scheduled Time: 10:30:00
�U� l�:30�
ACTION NEEDED:Install AMR meter.Home is rental,may be meeting the renter
Created by: Beth Kondrick Date Created: 2015-10-22
ACTION TAI�N:
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..................................:.....� .�.... .�._�........:�.:..............__................_35�._`�._.`...��.�.....:....................__........................................................_._.:
Status: In Progress Resident Contacted �
Date Completed: Completed b
ln �� a�� � S _ _
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- City of Fridley
- . : -..., Wat�r Department
6431 UniversitV Avenue NE .� - - .~ .
Fridley,MN 55432
(763}57Z-3566
I/we hereby audwrize ihe��Y��diey and/ar its
employees to do what i�necessary to replace the water meter. ��e���at the property owner
�liable for e water line ftom the main ta the prem�e and a�int�r��plumbing. (Per Qi�►code
402.Q6) I.alsa hotd the Qty of Fridley andris emptoyees harmfess +'a�y amages ma ��"
while doing this operadon. This ta indude,but not limited to;vaW�P�Pf�B.���flOO�°r the cu�b
stap box and service line. 1 understand I am also required to uhtai��P��rt Prior ta any wark,if
nece5sary.
_ _ _ _ � � � . _ _
tlnal meter reading(old meter) "' .
-�t� �,_�-�.��
Name. Addre�:. - .
Phone Num6er. Date• 1�-� r C " '
� - � 1�-�-
Signature: �
Wltness Signature:
FRIDLEY CITY CODE
CHAP7ER 4{12.WATER,STORM WA'iER,AN�SANITAItY SEWER
ADMINISTRATIUN
(Ref Ord No 113,464,�65;566,629,638,662,922,988,1144,1156,1191)
4AZ.05.PERMIT FEE �
Prior to constructing or repair of arry water or sewer line connectingthe e�dsting municipal system and any house
or building for which the application is made,the owner or contractnr shall be required ta obtain a pem►ft for such
conrtection,and shall pay a permtt fee as provided in Cttapter il of th�Code. After such cannectian has been
made,the iNater and Sewer Depa�ennecCilon a d the work ncid�hiereta'h 6een app ove by the City a I a n
f n s p e c t i o n h a s b e e n m a d e a n d s u c
proper and s�itable tonnectian•
402.06.REPAIRS AND MAINTENANCE TO CONNECTIQN �
���p�� ___�_.,..+..,�,tl warPr s�rvice curh stou box or the sewer lead at the{xopert"
line or a water service or sewer lead has been extended to the property i�ne fur cannechan.the apptica�owner,
or the occiipant or user of such premLses shall be liable for alf�epa4�required to arry water line and sewe�lines
necessary for connection of the premi�es from the main to the premises. If the propg�ty+owner requests
maintenance service ar repairs 6e performed by the City,t�►e p�operty owner shall be charged far the costs af tf►e
. maintenance and/ar rePairs, induding any necessary�treet repairs,at a rate set annualty by an administrative
policy. it shall be the responsi6ifdl►of tf►e applicant,owner,occupant or user to perform 5tandard maintenance of
• the sewer service line from the premises to the main including del�is clearing or raot cutting and to maintain the
water servic�wr6 stap bax for,operability and at such height as wNl ensure that it remains above the finished .
,,. . 'ReF 638,-'��6,t���:� _. ._ . .. . . . . � . . . � -
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grad"e.'of'ti�e�lar+d orprop�rty.�� -.... ....._ . . _._.