Meter Swap Request Number: 10162
Public Works Division
Service Request
Problem Address: 503 Mississippi St Requested By: Sue-Utility Billing
Department: WATER Address: No adc�ress provided
Problem/Issue: FINAL METER READING Phone Number:
5cheduled Date: Scheduled Time:
,
ACTION NEEDED:Final reading. osing 5/13/15 RT#35171590
Created by: Wendy Hiatt Date Created: 2015-06-OS
ACTION TAI�N:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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Request Number: 8129
Public Works Division
Service Request
Probkm A�ddress: 503 Mississippi St Requested By: Van Polowchak
Department: WATER Address: No address provided
Problemllssue: INSTALLAMR ME'TER Phone Number: 571-2411
Sch d Date: 2014-06-24 Scheduled Time: 11:00:00
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ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 201406-18
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Compfeted by:
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` - City of fridfey
._ Water Department _ _
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��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 for the water line from the main to the premise and ali interior plumbing. (Per City code
402.06) !also hold the Gty of Eridley andjits employees harmless for any damages that may occur
white doing this cperation. This to include,but not limited to;valves,piping,walls,floors or the curb
stap box and service line. I understand I am also required to obtain a permit prior to any work,4f
necessary.
Final meter reading(old meter) � ��� ��O
Name: Address: �� � " '�'�`
A �-a�-��
Phone Number• �� e'
Signature•
INltness Signature:
FRIDLEY CITY CODE
CHAPTER A02.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 cannecting the existing municipal 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 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
propec and suitable connection.
402.06. REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has 6een made to the water service cu�b stop box or the sewer lead at the property
line ar a water service or sewer lead has been extended to the property line for connection,the applicant,owner,
or the occupant or user of such premises shall be liable for all�epairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. If the property owner requests
maintenance service o��epairs be performed by the City,the property owner shall be charged for the costs of the
maintenance and/or�epairs, including any necessary street repairs,at a rate set annually by an administrative
policy. It shall be the�esponsibility of the appiicant,owne►',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
g�ade of the land or property. (Ref 638,1156,1191)