Meter Swap Request Number: 11353
Public Works Division
Service Request
Problem Address: 6580 Cha�mel Rd Requested By: A1 Feeney
Department; WATER Address: No address provided
Problem/Issue: OTI-�R Phone Number: 651-343-8868
Scheduled Date: 2016-04-15 c�, Scheduled'Iime: 02:30:00
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ACITON NEEDED:Reseal meter.
Created by: Wendy Hiatt Date Created: 2016-04-13
ACTION TAKEN:
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Status: In Progress Resident Contacted C�
Date Completed: Completed by:
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- City of Fridley
- . ._ :.... Wat,�r Department
.....
6431 University Avenue NE �
Fridle�,MN 55432
(7fi3�572-�566
)/we hereby authari�e the�tY of Fridfey andf or its
employe+as to do what is necessary to repiace the water meter, l����nd that i�e praperh(owner
c liahl fnr the water tme from the main to the premise and ad�����'P�Um�ing. (Per Gql code
402,Q6) I.atso huid the[�iy of Fridley andJits empioyees harml�ss'�r any damages tnaz may�+��
while doing this aperation. This to indudet but not limited to;vaHres�P�pi�,����flOOn or the curb
�tap box and service line. I understand 1 am also required to�t��n�P��rt P�o��any worl�if
necessary. �
. Fnat meter reading(old meter) � ��. .
Name: Address:_ !�J W �� `�"�— `'��
Phone Number• ---,�,�Date� • \�
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Signature:�`"" '�� -
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Witness 5ignature�
FRIDLEY UTY CaDE
CHAP7ER 4�Z.WATEFC,STORM WATER,AND�NlTARY SEWER
AD�MINIS'fRA170N
{Ref Ord�l0113,464,565;556,6Z9,538,662,422,988,1144,1156,1191}
402.05.PfRMIT FEE �
Prinr to canstructing or repair of any water or sewer line connectingthe existing municipal system and any house
ar buifding for which the appGcation is made,the owner or cnntrac�r 3hatl be required to obtain a permi�for such
conrrectian�and shall pay a permit fee as provided in Chapter 11 ofthis Cbde. After such cannectian ha�been
made,the 1Alater and Se�rer Departrne�t shaU be notified. It shali he unlawful tn cover any conneeting line until an
inspection has been made and such canne�Cion and the work incide�thereto has heen approved by the City as a
proper and suittable connection.
40�.06.REPAtRS AND MAtNTENANCE TO tONNECTIUN
����A� . � �- �.+a+�the water service curhstao bnx nr the sewer lead at the propert��
line or a water service or sewer lead has been extended to the proper[yline for cnnnection,the appliant�owner,
or the occupant or user afi such premises shali be liable for al(�epa�s required in arry water line and sewer Nnes
necessary for connection of the premises from the main to the premises. If the propetty owner requests
maintenance service�or repairs be performed by the C1ty,the pmpertty owner shali be charged far the�osts af the
. maintenar►ce andJor repairs, induding any neces5ary street repairs,at a rate set annuallyby.an administrative
policy. It shali be the responsi6ility of the applicant,uwner,occupantor usQr ta pecfarnt Standard maintenance of
- the sewer service fine fram the premises ta the main inctud9ng dehris ctearing or raat cutting and to maintain the
water service cur6�top 6oxfar operability and at such height as w�l ensure that it remains abave the finished .
<,.gra�e of t���ta�rd orprcrp�riy.�{R�535,�.�55,t��s�:� _. . __ _. ..._ ._..- � .. _ _..._. . -.. .. --_. .:. � .:=.-