Meter Swap _ ���- -v:� ;�,�}�,-�_y�,3�-3�
'� INSTALLATION
ct.�� ATER METER
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Address ���� / '� S�I
Name L���� �1C�l�iJSbi�-S
Date � �� U �� ' __
Old Meter Number ���'�7
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Old Meter Reading J�
Replacement No, t17 U W��
Replacement Reading ,�
Replacement Make B'�=�G��
Remarks: �� �CS�-- ���+�.
Signed: _
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Request Number: 6385
Public Works Division
Service Request
Problem Address: 6841 7th St Requested By: Shirley Earley
Department: WATER Address: No address provided
Problemllssue:_ INSTALL METER(WATER) Phone Number: 763-572-8439
Scheduled Date: 2013-07-15 Scheduled Time: 09:00:00
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ACTION NEEDED: 2013 AMR Prgm
Created by: Wendy Hiatt Date Created: 2013-07-11
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by: '
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Hiatt, Wend
Subject: Shirley Earley, 763-572-8439, AMR @ 9:00 AM
Location: 6841 7th St NE
Start: Mon 7/15/2013 9:00 AM
End: Mon 7/15/2013 9:30 AM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: White, Karen
Required Attendees: Hiatt, Wendy
:�
1
• City of Fridley
< ' Water Department
6431 University Avenue NE
Fridley, MN 55432
(T63)572-3566
�rWe 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 ta the premise and all interior plumbing. (Per City code
402.06) I 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 timited to;vatves,piping,wa!!s,floors or the curb
� stop box and service tine. 1 understand I am also required ta obtain a permit prior to any work,if
necessary.
Final meter reading(old meter) "c��� ���� �
Name: Address: ���' � ' rT
Phone Num r� . e� � _� "' ��
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� Signature: (�
. Witness Signature: .
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATtON
(Ref Ord No 113,464,565,566,629,638,66�,922,988,1144,1156,1191)
402.05. PERMIT FEE
Prior to constructing ar 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 contracfior shall be required to obtain a permit for such
�o��nes�ten,and shall-Pa�T���rmit fPP a�nrovided in Chapter 11 of this Code. After such connection has been
made,the V1later and Sewer Department shall be notified. It shall be unlawful to cover any tonne ing ine "'
inspection has heen made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connectian.
4d2.06. REPAIRS AND MAINTENANCE TO C�NNECTION
After the initial connection has been made to the water service curb stop box ar 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 liable for all repairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. If the property o�rrner requests
maintenance service or repairs be perFormed by the City,the property owner shall 6e chacged for the costs of the
maintenance and/ar repairs, including any necessary street repairs,at a rate set annually by an administrative
poficy. ft shaH be the responsibility of the applicant,owner,occupant or use�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)