Meter Swap � Request Number: 12221
Public Works Division
Service Request
Problem Address: 5875 Temrison Dr Requested By: Tom Dormelly
Department: WATER Address: No address provi�d
Problem/Issue: INSTALL AMR METER Phone Number: 612-722-4200
Scheduled Date: 2016-11-17 Sc6eduled'Ilme: 07:30:0(3
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AG7ION NEEDED:AMR
Createdby: WendyHiatt DateCreated: 2016-11-14
AC7TON TAI�N:
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Status: In Progress 5ubmitter Has Been �..
Contacted
Date Completed: Completed by:
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� City of Fridley
Water Department
� 6431 University Avenue NE
Fridley, MN 55432
763-572-3566
I/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 far the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) 1 also bold 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 service line. tn understand 1 am atso required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meterJ
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Name• Addreu �� V�� ���""'""'
Phone Number Date � ���"��
Signature '�� � WitnessSig�ature
OLD METER# � I �� V�" I
OLD READING �� �� ��v
NEW METER# �� �� ���
NEW READING �
ERT# � CJU � I� ��
FRIDLEY 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 construding or repair of any water of sewe�line connecting the existing municipal system and any house or buifding for which the
application is made,the owner or contractor shall be required to obtain a permit for such connedion,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connedion has been made,the Water and Sewer Department shall be not�ed. k shaii be unlawful to cover
any conneding 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 suitabie connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
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 li�e for connection,the applicant,owner,or occupant or user af such premises shafi be liabte for ali repairs
required to any water line and sewer lines necessary for connectian 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 wsts of the maintenance andjor
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shafl be the responsibil'ity of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service fine from tfie premises to the main inciuding debris clearing or
root cutting and to maintain the water service curb stop box for operabitity and at such height as will ensure tfiat it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
Request Number: 7677
Public Works Division
Service Request
Problem Address: 5875 Tennison Dr Requested By: Tom Donnelly
Department: WATER Address: No address provided
Problemllssue: STANDPIPE Phone Number: 763-22&7071
Scheduled Date: Scheduled Time: �r'`'S � ��a—'�aa'�{�-0�
ACTION NEEDED: Mark standpipe. Plumber is going to do repair work and would like the standpipe marked.
Created by: Wendy Hiatt Date Created: 2014-03-24
ACTION TAKEN:
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Status: In Progress Resident Contacted 0
Date Completed: Completed by:
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