Meter Swap � �y1`'1 �'�'i `i�'- ��� ���%
'� ,_ � _ _ INSTALLATION
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G7YOE _ �
FRIDLEY
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Address O� � �� � ` '� � �� � ��
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Name � � V�- r� � l� 11.�
Date � ��" �� _
Old Meter Nurnber '"f ' ! �`
Old Meter Reading � g�
Replacement No. � �
Replacement Reading �
Replacement Make I.�A��1�
Remarks: �
Signed; � __
Request Number: 6499
Public Works Division
Service Request
Problem Address: 6751 Madison St Requested By: Richard Darling
Department: WATER Address: No address provided
Problemllssue: INSTALL METER(WATER) Phone Number: 763-5740849
Scheduled Date: 2013-07-25 � Scheduled Time: 02:30:00
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:
�� � �
�Z�- 3
Hi�tt, Wendy
Subject: Richard Darling, 763-574-0849, AMR @ 2:30 PM
Location: 6751 Madison St NE
Start: Thu 7/25/2013 2:30 PM
End: Thu 7/25/2013 3:00 PM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: White, Karen
Required Attendees: Hiatt, Wendy
1
t • , - City of Fridley
Water Department
______
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
1/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 all interior plumbing. (Per City wde
402.06) I also hold the City of Fridley and/its employees harmless far any damages that may occur
while doing this operation. Tfiis to include,but not limited to;valves,piping,walls,floors or the curb
stop box and service iine. i understand i am atso required to obtain a per�►it prior to any wark,if
necessary. � � �"� �O
Final meter reading�old meter)
Name: Address: 3.�„L� �J 1 ��11�`�`��
Phone Number• Date: ` �� ��
Signature:
Witness Signature:
�RIDLEY CITY C�DE
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 municipal system and any house
or building for which the application is made,the owner or contractor shall be required to obtain a permit#or such
connection,and shalt 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 shali be unlawful to cover any connecting line until an
inspection has been made and such connection and the wo�k incident thereto has been approved by the City as a
propec and suitable cannection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service cu�b stop box or the sewer lead at the property
line or 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 liabie for atl repairs 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 or repairs be performed by the City,the property owner shatl be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annuaify by an administrative
policy. It shall 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 inciuding debris clearing or root cutting and to maintain the
water service curb stop box for operability and at such height as wiil ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
� ' Request far Service Report
y City of Fridley
Reference No: 601-11-2$11 Date: 02107I11
Request Type: MalFunctioning meter(pluggedlstopped] Enkered By: Wendy Hiakt
Departmenk: Water Cikizen Name: Richard Darling
Address= 6751 MADISON ST NE Callback Phone: 7639�9
s�y- a g�t.9
Scheduled Date_ . Property Owner.
Location Details: Change stopped meter. Please correct Request Details: Change stopped meter
positioning of ineter. Last one was puk in
upside down.
Action T aken:
��' S�-� ���d ne w n^-e �r.
C�1a rv,e �e� �1. � �'j � �l�
�1� Y -e����� 3 y�1 � � s�
Y�e.1� �{,,�r '� L{d �) �j �� �� ,
��'� �'�eu��r�
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Responsible Person: �
Approver.
Completion Date: ��� _ �/ Citizen Notified
s
City of�ridley
�6i Ta�e�De�artr�e�t
5�31 tTnive�-sity Avenue�I�. ::
d'�
Frialey�i�N 5��32 , �
(7�i3) 572-356I "
� Uwe ��t�Aiz-C)��A.�.lt.2i--- hereby at�o��the �i -of F�dle -
employe�s to �o w3ia#�s n��,ssarv t�rz�lac.,�he water meter_ T � . Y a�d/ar�ts
Q underst�d�t�at;.�e
p�'opz�y ovvnex i.� 1iab1�for the w�er line from i.��e maiu to t�e premiss and all inzeror
�lumbiag- (�er Ci� cnde 402.pfi) I alsa hold the Caty of�'ridley andr`or iis e�io�etis -
haanless for any damaQes t�ai�av oc�u�while c�oirig this oper�.zion. Tliis tc�inciude;bui
noi 1i�niterl to; valves,Pi��, wa31�,fflors or t�ie cu,:� stop box and s��vs.c�].iae. I
�n.derstand I am aiso requi�ed to flbr.�.a p��pror to anV wor.i�, iz'n��sary.
` r�ame: �G1k���t'�L1�/`— :4�dress_(d�'�/S ( �vt p-r,���`�Iut'_. �
�
t hflne 1�um.ber: �(�,3 5`7-�{-. b� Date: � J���
�imai�a�re: i' �
__ _ . s .
�r�Ii�tness Si�.ature: , _..--!.''
� �'��'�'{C���+ - �
- ���.''� +,�2. .=�i�2.'r�I��'�+$,.�"�'C������'��.'�s�S'�l�" ir9���'���i�`.i2
���'��'��1'�
(Re3 Ord i�T-0 l li,dbg,�5�, �66, 629,630,60�,9�2,938, i 1��, il�o, 1191)
��2.fl5. ��1ZlY�'� , .
P�or to cans�i-iicang ar rep�ir of any�Nate:or sewer line conne�ang the e�sting m�nicipal system and any
house or buildin�for��hicn-t�e anp�cation is ma.de,the owr�er or conttactor sha.11 be re�u�zed io o'otain a
pemiit for such conne��ion,a�d s3�a11;oa�a per�tii fee as providet't it�Cha�te;11 of t�is Code. After�such
connetition has been macl�the R7at���g����e��eirc�a1I be noii�e�.. I#shall be�lawrai t�covex
any c�n�ec��Iine until a�.mspectian has be�n�ade and such canne��on and�he woric incadeni t,��re#o
nas been a�proverl by�.e Cit�as a pro�er a�ad suiiable cflminertion. '
�02.fl6. ����.��d'�'�T�1�1'�:�.'�'(� �..��i7"d�����1`�
After fi�e initial.c3nu�fion has b�n ma��t�the�Hafer service c�-b stop bon or the�ewer iead ai tlxe
propez�yli�e�c�a zxate.=ser�rica�r se�aer��3d has b��z�t�nd.�rl ifl�e pr�n�ty�ine fQr e�ectiony t�.e '
apiolican� o�vner,or the oc�upant oz trse�oi suc$�-emises s�all be liable far a.i�z�aus lzq�ir�d to an3�
water lin€and any sew�r lines nea�ssarp far ec3nne�on.caf�e premises from�e ma�a.tQ�the premises. If -
the praperry�wner re:�ueszs mainterauca servicas or re�ai�ba performed by the �iry,the�ropercy owner
shall be ci�ar�ed for�e costs oz�he mainteaanes aztd/or��pa:�s, inc�udin'any�e�ess3ry stre�t repairs,at a
rate set au�ually bv an aeimini�ra-�x����licy. Ii sha�7,b�i�e respc�szb�i.t�T of the a�plic�z, o�vner, o��.upant
a�us�r to peri�rt�st�daFd maint�anc�o'r'�he sewer servic;l�e from the pr�i.sas to�.e main;uclui�iug
de'�is c�ea.L-ing or raot cuttz�g�ud�o mainia�n,t�P wat�r Serylca curb s�op box i�r•o�er3bilit;,*and at suG�
h�"�ht as will er,sure ihat i-C_remau�s abave ihe finis�.ea�aae o�u�e la�d or propeziy (Rci 6�3, 1?��, 11�7)