Meter Swap Req uest N u m ber: 6498
Public Works Division
Service Request
Problem Address: 6821 Madison St Requested By: Phillip Allison
Department: WATER l�ldress: No address provided
Problemllssue: INSTALL METER(WATER) Phone Number: 763-502-1680
Scheduled Date: 013-07-31 � Scheduled Time: 01:30:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-07-24
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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Hiatt, Wendy
Subject: Phillip Allison, 763-502-1680, AMR @ 1:30 PM
Location: 6821 Madison St NE
Start: Wed 7/31/2013 1:30 PM
End: Wed 7/31/2013 2:00 PM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: White, Karen
Required Attendees: Hiatt,Wendy
1
� . .
- City of Fridley
Water Department
_
6431 University Avenue NE
Fridiey,MN 55432
(?63)572-3566
I/we hereby authorize the City of Fridley andior its
emptoyees ta do wfiat 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 alf interior p{urnbing. (Per City code
402.06) 1 a{so ho{d the City of Fridley and/its employees harmless for any damages that may occur
white doing this operation. This to inctude,but not limited to;valves,piping,walis,ftoors or the curb
stop box and service line. 1 understand!am also required to obtain a permit prior to any work,if
necessary. � � �� � � ,�
Finaf ineter reading(old meter)
Name� Address• ���� j"r�'�
Phone Number. Date: �� ,��4`�
R
Signature:
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WA7ER,STORM WATER.AND SANfTARY SEWER
ADMINISTRATtaN
(Ref Ord No 113,464,565,55fi,629,638,552,9Z2,988, 1144, 1156,1191)
. A02,05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipaf system and any house
or buifding for which the application is made,the owner or contractor shall be required to obtain a percnit 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 untii an
inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitabie cannection.
402.06.R�PAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead aC the property
line or a water service or sewer lead has been extended to Che property line for connectian,the applicant,owner,
or the occupant or user of such premises shail be liable for all repairs required to any water iine and sewer lines
necessary for connection of the premises from the main to the premises. If the property awner requests
maintenance service or repairs be perfarmed 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 shali be the responsibility of the applicant,awner,occupant or user to perform standard maintenance of
• the sewer service line from the premises to the main including debris clearing ar root cutting and to maintain the
water service curb stop box for operability and at such height as wiil ensure that it remains a6ove the finished
grade of the land or property. (Ref 638,1156,1191}