Meter Swap ,
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Req u est N u m ber: 8079
Public Works Division
Service Request
Problem Address: 6721 -4th Street NE Requested By: Donald and Joann Johnson
Department: WATER Address: No address provided
Problemllssue: INSTALLAMR METER Phone Number: Horr�only 763-571-2298 �
Scheduled Date: 20140&17 Scheduled Time: 08:00:00
veS � u� l � � �`�a
ACTiON NEEDED: lnstall AMR
Created by: Cheryl Pellegrin Date Created: 201406-12
ACTION TAKEN:
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Status: In Progress Resident Contacted O
Date Completed: Completed by:
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. - City of Fridley
• Water Department
6431 University Avenue NE
Fridiey,MN 55432
(7&3)572-3566
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��We hereby authorize the City of Fridley and/or its
' employees to do what is necessary to replace the water meter. I understand that the property owner
is liable for the water line from the main to the premise and ali interior plumbing. (Per City wde
402.06) I aiso hold the City of Fridley and/its employees harmless for any damages that may occur
while daing this operation. This to include,but not limited to;valves,piping,walis,ffoors or the curb
stop box and service line. I understand t am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter) �� �� �v
2 `��
Name: Address: �7 � �`'
Phone Number: Date• � 7���
Signature•
Witness Signature:
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)
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipai system and any house
or buildin�for which the application is made,the owner or contrador shall be required to obtain a permit fo�such
cnnnection,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shall be notified. It shall be unlawful to cover any connecting 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 connection has been made to the water service curb stop box or the sewer lead at the property
line or a water service or sewer fead has been extended to the property line for connection,the applicant,owner,
or the occupant or user of such premises shatl be liable for all repairs required to any water line and sewer lines
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 City,the property owner shall be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annuaHy by an administrative
po{icy. it shall be the responsibifity of the applicant,ows�er,occupant or user to perForm standard maintenance of
° the sewer service line from the premises to the main including debris clearing or root cutting and to maintain the
water service curb 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,�.156,1191)
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.
Request Number: 8333
Public Works Division
Service Request
Problem Address: 6720 4th St NE Requested By: Chris Daas
Department: WATER Address: No address provided
Problem/Issue: INSTALLAMR METER Phone Number: 612-799-3370
Scheduled Date: 2014-07-17 Scheduled,Time: 01:00:00 � �
�.1
ACTION NEEDED: AMR Install
Created by: Cheryl Pellegrin Date Created: 201407-02
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
�f � �
l � I
.
__ - _._. . . City of Fridiey
� --- Water Department .. _... .
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
IJwe hereby authorize the City of Fridley and/or its
employees to do what is necessary to replace the water meter. I understand that the property owner
is 1ia61e for the water line from the rr�aln to the premise and all interior plumbing. (Per City code
402.06) I also hold the CSty of Fridley and/it5 employees fiarmless for any damages that maq accur
while doing this operation. This to include,but not limited to;valves,piping,walls,floors or the curb
stap box and servtce line. 1 understand 1 am also required to obtain a permit pNor to any work,if
necessary.
Fina(meter reading(old meterj �`� �� ��o
Name• Address• ��� `��� ,
Phone Number: Date• 6 ` L�( l
Signature•
Witness Signature:
FRIDLEY CITY C�DE
CHAPT 4 WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,&29,638,662,922,988,1144,1156,1191)
402.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipat system and any hous.e
or building for which the application is made,the owner or contracto�shall be required to obtain a permit for such
connection,and shall pay a permit fee as provided in Chapter 11 of this Code. Afte�such cannection has been
made,the Water and Sewer Department shall be notified. It shall be unlawful to cover any cannecting 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 suitable connection.
402.Ob.REPAIRS ANO MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property
line or a water service or sewer lead has been extended to the propertyline for connection,the applicant,owner,
or the occupant or user of such premises shall be liabfe for all�epairs required to any water line and sewer lines
necessary for connectton of the premises from the main to the premises. if the prope�ty owner requests
maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
policy. it shall be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
• the sewer service line frorn the premises to the main including debris ciearing or root cutting and to maintain the
water service curb stop box far operability and at such height as wi(f ensure that it remains abave the flnished
grade of the land or property. (Ref 638,1156,1191)