Meter Swap Request Number: 7106
Public Works Division
Service Request
Probiem Address: 5329 5th St Requested By: Richard Johnson
Department: WATER Address: Na address provided
Problemllssue: TURN WATER OWOFF(WATER) Phone Number: 763-22&5274
Scheduled Date: 2013-10-11 Scheduled Time: 08:00:00
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ACTION NEEDED: Turn off water for repair. Permit#2013-02239'"""BILL"'"`*"
Created by: Wendy Hiatt Date Created: 2013-10-07
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
fi431 University Avenue ME
- - Fridley,MN 55432
(T63�572-3566
��We hereby autharize the City oi Fridiey and/or its e owner
employees to do what is necessary to replace the water meter. i understand that thP prop �e
is liable for the water line from#he main to the premise and a�l in�a°an i damiages that may+nccur
402.06) I also hold the City of Fridley and/its employees harmless Y
while doing this operation. This fia include,6ut nat limited to;vatves,piping,wat�s,floorswr�ke f urb
stop box and service line. i understand 1 am a(so required to abtain a permit priar to any
. necessary. �^ �
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Ftnal meter read�ng(old meterj � �N
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Name: Address:____.__�-
Phane Number:
ate: i�"r�� '` , >
Signature:
Witness Signature:
FRtDLEY CITY CaDE
CHAPTER 402.WATER,STORM WATER,AND SANtTARY SEWER
' ADMINISTRATIOM
(Ref Ord No 113,454,565,566,629,638,662,922,988,1144,1156,1191) _
40Z.05. PERMIT FEE
Prio�to constructing or repatr of any water or sewer line connecting the eii ben em��edto obtain a permit for s ch
or building far which the application is ma d e,t h e o w n e r o r c o n t r a c t o r s h a Q
connection,and shall pay a permit fee as p�ovided in Chapter 7.1 of#his Code. After such connection has been
made,the Water and Sewer Department shall be n��he work ncid nt thereto'has been approved by the City as a n' �
inspection has been made and such cannection a .
proper and suitable connection.
� 4d2.06.REPAIRS AND MAINTENANCE Ta CONNECTION
After the initial connection has been made to the water service curb stop'ne for c nnection'the appl cant ow e��
line or a water service ar sewer lead has been extended to the proRe�V wred to any water line and sewer iines
or the occupant o�user of such premises shalt be liable for all repairs req ' �Wner r aests
necessary for connection of the premises from the main to the premise�s�ne 5hali be charged for he casts of the
maintenance service or repairs be performed by the City,the property
maintenance and/or repairs, including any necessa�W e(t o puPant or user ta perfo m standard ma ntenance of
paticy. It shail be the responsibitity of the applicant, .
• the 5ewer service line from the premises to the main inn�ud„ad wfll ensure hat it emai�s a�e the fi�shed he
water service curb stop box for operabiiity and at such g
grade of the land or praperty. (Ref 638,i156,1191)
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