Meter Swap . � Request Number: 11029
Public Works Division
Service Request
Probl em Address: 5565 E Bavarian Pass Requested By: Gary Hakala
Department: WA1ER Address: No address provided
Problem/Issue: INSTALLAMRMETER PhoneNumber: 57]-4909
Scheduled Date: 2015-12-15 � Scheduled'ISme: 08:00:00
�-�
ACTION NEEDED:AMR
l
Created by: Wendy Hiatt Date Created: 2015-12-14
ACTION TAI�N: �
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Status: InProgress ResidentContacted ❑
Date Completed: Completed by:
1�� J 5 - J�,- ���c.�-�ti
- City of Fridley
- :_ -.... V4/ater Department
6431 University Avenue NE �
Fridley,MN 55432
(763)572-356fi
1/we hereby authorize tha C"rtY of fr�d�eY andior its
employees to da what't5 necessary to replace the water meten��������e pn°perty owne�'
ic liabie far e water tine from the main to the premisE and a�ir�r�ar plarobing. (Per Ct�i cade
402.Q6) I.alsa hold the City of Fridley and j'�empl�yees harndess f aoY amages a ma "
while doing this aperadon. This tv include,but not I�mited to;uah►+e�P�p��g���►�oors or the curb
stop bax and service line. 1 underrtand 1 am also required to d��n�P���p���t°any work,i�
necessary.
. �inal m�ter r�ding{o!d meter� .
Name• Address: .
Phone Number� Da#e� �----�—�--
Signature:
1Nitness 5ignature:
RtiDif'Y CITY C�DE
CHAP7ER�0�..WATER,STORM WATER,AND SANC3'ARY SEW�R
ADMINiSTRAI'IQN
(Ref Ord No 113,464,565;566,6�9,538,56Z,92Z,988,1144,1156,1191}
4t1Z.8S.PERMfT FEE �
Priar to canstructing or repaic af any water or sewer tine connectingthe existing municipal sys�em and arry house
ar building fc►r which the application is made,the owner ur contractat shall be required ta abtain e petmi�for such
conne�tion,and s6atl pay a Fermit fee as provided in{�+aptec il of this Cude. After sucl�cannectian has been
made,the 1Nater a�d Sewer Depa�meat shall be nntified. It shafl6e unlawful to cwer any�onne�ting iine�ntit an
inspection has besn made and such connecCion and the work incidert theretu has 6een approved by ttte t�ty a�a
prnperand s�itable connectfon.
402.06.fiEPA1RS AND MAINTENANCE TU CONNECTfON
e#��-ia�la . �__�___M..a�.+„+�,e water service cur6stao box or the sewer fead at the propert'
line or a water servlce nr sewer lead has been extended ta the prn{�rty4ine for cannectton,the apptsar�,owner,
or the accupant nr user af�uch premis�s shatl be Habfe far a{I repaks required to any water tine and sewer lines
necessary for connectian of the premises from the main ta the pre►nise� tf the propgcty awner requests
maintenance service or repairs he performed by the City,the prop�tty awner shal4 be charged for the c4sts af the
maintenance and/or repairs, induding any necessary straet repairs,at a rate set annually by an adminfstrative
paticy. It sha{i b�the respnnsihility af the applicant,owner,occupant or usQr to perfflrm standard ma9ntenance of
• the sewer service tine from the premises to the main inciuding de6ris clearing or roat cutting and to mair�airi the
water servic�curh stap box for operabi{ity and at such height as w�ensure that it remains abave the finished _
, . _
.:.gcact"e ofit�i�tar�d or�r���ty.��R�63o,�.�55,-t�9�:� .. ,_ . � - -
` Request Number: 11699
Public Works Division
Service Request
Problem Address: 5565 E Bavarian Pass Requested By: Gary Hakala
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 571-4909
Schedul d Date: 2016-07-27 Scheduled Time: 08:00:00
�'?� c�
ACTION NEEDED:AMR
Created by: Wendy Hiatt Date Created: 2016-07-11
ACTION TAI�N:
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Status: In Progress 5ubmitter Has Been �
Contacted
Date Completed: Completed by:
_ �� ) �
� � �
;�.
.��
,�:
,�.:
' - City nf Fridley
- . -... U�ater Department
_
6431 Universifit Avenue NE �
�ridley,MN 55432
(753�572-356b
t/we 6ereby authorize the�t11�f Fridtey andjar i�.s
empl4yees to do what is necessanF to reptace the water meter. �understand that the property owaer
—Is tiable for the water ti�e fram the main to the premise and ail int�rior plurobing. (Per Ciry cade
d02,�6) f.also fiold the C�ty+nf Fr3dtey and/it�empioyees harmle�sfar any amages - may Qcc�-
whife doing this operation. This to includet but not limited to;uahres►P�A��,���s,floars or the cur6
stap 6ax and servtce line. 1 underrsttand 1 am als�required to a6t�n a permit prior to anY w�nr44�f
necessary.
. � � `�� I�'�IC�arJ
. Final meter reading(old meter� .
� ���-� ,�,A--SS
Name• Address: �� .
Phane Num6er• Date� � ` . "�
Signaivre•
Viiitness 5ignatnre:
fRIDLEV CITY CODE
CHpiPTER 402.WATER,ST�RM WATER,AND SANlTARY SEWER
ADMINlSTRATIUN
(Ref Ord No 113,454,565;556,��9,538,562,922,988,1144,1156,1191) �
44�.05.P£RMIT FEE �
Pnor t�canstructing or repair of any wa�ter or sewer 1➢ne connectingthe existing municipal�ystem and any house
or building far which the application is made,the awner or cnrrtractor�ha1{be required ta ob#ain a petmi�far such
conrrectian,and shall pay a permi�fee as prauided in�hapter 11 of this tbde. After such cnnnectian bas been
made,the iNater and Sewec Departrneat shall be nntif�ed. lt shail 6e unlawful ta caver any�onnecting tine until an
inspection has 6een made and such connection and the work incide�rt thereto has been approved by the City as a
properand suitable connection.
4a2.�5.fiEPAIRS t4tI1D MAINTENANCE TO CdN�lECT10N
�p��R�;,.nn,,,�a5i--�,;,acL-ta the Water senrice curh staa bax ar the sewer lead at the prapert'�
line or a water serv�ce or sewer lead has been e�tended to the propertyline for c�nnection,the apptsc�nt�owner,
or the occupant or user af such premises shall be fi�ble for alI�epair�required to�any water line and sewer line$
necessary for connection uf the premises from the main ta the Premise3. lfi the propetty owner i�quests
mainfienance service dr repairs 6e perfarmed by the�ty,the prapqfij owner shall be charged farthe casts of the
. maintenance and/or r�pairs, including any necessary street repair�at a rate set annuallyby.an administrative
policy. !t shal{6e the respor�ihilitY of the applicantf awner,accupant or user tn perfflrm standard maintenance af
� the sewer servic�line f�om the premises to the main including de6r�clearing flr roat cutting and to maintairi the
� water sarvice cur6 stap 6ox for operability and afi such height as will ensure that it remains abave the finished
<:: ade of t���tand vr- rn � {Re+63�5,�.�5,.�n�:� _. . . .. . .. �. .._ � . - -
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