Meter Swap Request Number: 6544
Public Works Division
Service Request
ProblemAddress: 6851 Madison St Requested By: Patricia Hmcir
Department: WATER Address: No address provided
Problemllssue: INSTALL METER Phone Number: 571-1170
Schedufed Date: 2013-07-30 Scheduled Time: 09:00:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-07-29
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
Hours
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Hiatt, Wendy
Subject: Patricia Hrncir, 763-571-1170, AMR @ 9:00 AM
Location: 6851 Madison St NE
Start: Tue 7l3012013 9:00 AM
End: Tue 7/30/2013 9:30 AM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: White, Karen
Required Attendees: Hiatt, Wendy
1
City of Frid{ey
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��w� hereby authorize the City of Fridley and/or its
employees to do what is necessary to repiace the water meter. 1 understand that the property owner
is tiabte for the water line from the main to the premise and all interior plumbing. (Per City code
40Z.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may occur
while doing this operation. This to include,but not limited to;valves,piping,wa0s,floors or the curb
stop box and service line. 1 understand I am aiso required to obtatn a permit prior to any work,if
necessary. ���
Final meter reading(old meter) � �� —
Name• Address• �!��1 r 'V-�tJ1Sb�
,
Phone Number• Date� �`�`� ,�.---
��.� �,�1�-��.�.��.
Signature:,� �
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATIaN
(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 existin�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 i�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 been made to the water service curb stop box or the sewe�lead at the praperty
line or a water service or sewer lead has been e�ctended to the property line for connection,the appticant,owner,
or the occupant or user of such premises shaf{be{iable 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 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 shatl be the responsibility of the applicant;owner,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 638,1156,1191)