Meter Swap .
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Request Number: 6295
, Public Works Division
Service Request
Problem Address: 6800 7th St Requested By: Caroline Johnson
Department: WATER Address: No address provided
ProbleMlssue: INSTALL METER(WATER) Phone Number: 763-571-5936
Scheduled Date: 2013-06-28 Scheduled Time: 01:00:00
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ACTION NEEDED: 2013 AMR Program
Created by: Wendy Hiatt Date Created: 2013-06-25
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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• � - City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��We hereby authorize the City of Fridley and/or its
empioyees to do what is necessary to replace the water meter. 1 understand that the property owner
is liable far the water line from the main to the premise and all interior plumbing. (Per City tade
402.06) 1 also hold the City af Fridiey andJits employees harmiess for any damages that may occur
while doing this op+eration. This to include,but not limited to;valves,piping,wa��s,floors or the curb
stop box and service line. 1 understand 1 am also required to obtain a permit prfor to any work,if
necessary. •��� ��
Final meter reading(old meter) (
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Name• Address•
Phane Number• Date: �� ^�
Signature: ,
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMiNISTRATIUN
(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 municipai 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 af this Code. After such connection has been
made,the Water and Sewer Department shall be notified. it shaN be unlawfui to cover any connecting line until an
inspection has been made and such cannection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.U6.REPAIRS AND MAINTENANCE TO CONNECTION
After the initiai connection has been made to the water service curb stop box o�the sewer lead at the property
line or a water senrice or sewer lead has been extended to the property tine for connection,the applicant,owner,
or the occupant or user of such premises shall be liable far ail repairs required to any water line and sewer lines
necessary for connection of the premises frorn 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 neces5ary street repairs,at a rate set annually by an administrative
policy. It shaU 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 malntain 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 638,1156,1191j
. ' R�quest for '�er� Rep�ort
, � Ci#y of Fndley
F�#erence t�: �Q2-12-d?13� Dak�: SJ�fZ0i12
Ftequest Tppe� 71/sewer sexvice lin� Enkered By: Wen+dy F��t
[��trr�t: Sev� ta`Eizen 1�1�ne: Cart��e Jotx�n
Ad�u� �68�0 7TH ST NE -- ad�c Plicxfe: 763 571�
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Sdtedui�d Date: 5f171�1� 1D:OQ AI�`��L�t SC� P�y C�nmer:
L€�cat���ads; Reg�est Ueta�: 7Y Sewer Servirx-2�12 St Pra�ed
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