Meter Swap Request Number: 7250
Public Works Division
Service Request
Problem Address: 7640 Lakeside Rd Requested By: Joseph F�mer
Department: WATER Address: No address provided
Problemllssue: TURN WAlER OI�VOFF(WATER) Pfione Number: 612-201-0381 ,
Scheduled Date: 2013-11-20 Scheduled Time: 02:00:00
ACTION NEEDED: Turn off water and leave key. Permit#2013-02557""""BILL***"'
Created by: Wendy Hiatt Date Created: 2013-11-20
ACTION TAKEN:
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Status: In Progress Resident Contacted �
Date Completed: Completed by:
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Request Number: 9816
Public Works Division
Service Request
Problem Address: 7640 Lakeside Rd Requested By: Joe&Latisha Exner
Department: WATER Address: No address provided
Problem/Issue: TURN WATER ON/OFF Phone Number: 612-201-0231
Scheduled Date: 2015-02-27 SchedWed Time:
ACTION NEEDED:Turn off water
Created by: Wendy Hiatt Date Crested: 2015-03-02
ACTION TAI�N:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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. �C'�� -1.,7�%P� City of Fridtey �`c��'� ��j �
�� r� Water Department
� � ��v' � � 6431 University Avenue NE �
Fridley,MN 55432 `� � ( � i'� ��
� �763)572-3566
i/we hereby authorize the CitY of Frid�eY and�o�rts
emplayees to do what is necessary to replace the water meter. t understand that the property owner
• • water line from the main to the premise and att interior plumbing. (Per C'ity cvcle
402,06) i also hold the Gty of Fridtey andjits employees harmfess or any amages a maY o�
wh91e doing this operation. This to include,but nat limited to;valves,piping,wafls,floors or the curb
stop box and service fine. 1 understand f am also required to obtain a permit priur M any'W'ork►�
necessary.
�� � �� ��Q
ftnaf ineter reading(old meter}
Name:�,,.
(� ��1�l.� Address• yv ��`,���
Phone Number. L�����1��" �/�5' Date: � ��� ��
. . , 4.... �.
Signature• �
Witness Signature:
FRiDLEY CITY C�DE
CHAPTER 402.WA7ER,STORM WATER,AND SANITARY SEWER
ADMINISTRATIQN
(Ref Ord No 113,464,565,566,629,538,662,92�,988.1144,1156,1191)
4�2.05.PERMIT FEE
Prioc to constructing or repair af any vuater or sewer tine connecting the existing rnunicipal system and any house
or building for which the application is made,the owner or contractor shall be required to obtain a permit for such
connection,and shatl pay a permit fee as pravided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Departrnennecti'on and the work ncident there ol has been approved by h City as an
inspection has been made and such co
proper and suitabie connectian.
4U2,06.REPAIRS AND MAlNTENANCE TO CONNECffON
���p� r service curb sto box or the sewer lead a#the prapert'
line or a water service or sewer lead has been extended to the property line for connect9an,the applicant,owner,,
or the occupant or user of such premises shait be liable for aff repairs required to any wate��ner requests r��nes
necessary for connection of the premises from the main to the premises, ff the prop�[iy
maintenance service ar repairs be performed by the City,the properly owner shalf be charged for the cnsts of Che
maintenance and/or repairs, including any necessary street repairs,at a rate set annuaily by.an administrative
policy. tt shall be the responsibiiity of the applicant,awner,occupant or use�to perform sCandard maintenance of
the sewer service line from the premises ta the main i�cluding debcis clearing or root cutti�g and to maintain the
� ._ .. . ..-- _. .._
water service curb stop box for operabifity and at such height as will ensuse that it remains above the finishe
. . _
. .
Ref 633,-11;5,.11�1�:) ... .
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� —� '``grade of tire land ar-�rop�r�y