Meter Swap Request Number: 7225
Public Works Division
Service Request +
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Problem Address: 501 53 1/2 Avie Requested By: Matthew Zuniga
Department: WATER Address: No address provid ,; {�
Problem/Issue: INSTALL METER(WATER) Phone Number: 651-361-0957
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Scheduled Date: 2013-11-15 Scheduled Time: 08:00:00 '-'
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ACTION NEEDED: Turn off water for repair, leawe key and install AMR *""""`BILLL*""'
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Created by: Wendy Hiatt Date Created: 2013-11-14 � �
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ACTION TAKEN: �` �
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Status: In Rrogress Resident Contacted ❑
Date Completed: Completed by:
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. City of Fridley
Water Department
6431 University Avenue NE
� Fridley,MN 55432
(763)57Z-3566
I/we hereby authorize the City of Fridley and/or its owner
employees to do what is necessary to replace the water meter. I understand that the property
is liable for the water line from the main to the premise and all interior�p�tlamage that may occur
402.06) i aiso hnld the City of Fridiey and/its employees harmless for a'Yln Wails,floors or the curb
while doing this operatiun i understand I�m alsu oequ red 000btain a�perm tf prior to any work,if �
stop box and sernce t�ne
necessary. �
n old meter)____.r.,__��� �
Ftnal meter readi g(
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Name• Address:____��_�
Phone Number: Date: ���'��—�-----
Signature:
Witness Signature:
�RIDLEY GTY CODE
CHAPTER 402•WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRp►'TI�N
• (Ref Ord No 113,464,565,566,529,638,662,922,988,1144,1156,1191} _
402.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting t sn��be equ redto'obt in a permit for s ch
or building for which the application is ma d e,t h e o w n e r o r c o n t r a c t o
cont�ection,and shall pay a permit fee as Phall be not f ed. It hall be unlawfu�to cover anyconne'cti g li eeuntil an
made,the Water and Sewer Department s roved by the City as a
inspection has 6een made and such connection and the work incident thereto has been app
propec and suitable connection.
402.06.REPAIRS AND MAINT�NANCE TO CONNECTION
After the initial connection has been made to the water service curb sCop boxo r�nn�on�t�apR��nt owner,
line or a water service or sewer tead has been extended to the property i�ne f �ter line and sewe�lines
or the occupant or user of such premises shall be liable for ail�epairs required to any
necessary for connection of the premis�m d b�the Citytthe p operty owne shall be harged for the costs of the
maintenance service or repairs be perfo Y an administrative
maintenance and/or repai�s, includof the an�licasnt ow ert o cupant or user to perform standard maintenance of
p o l i c y. I t s h a l l b e t h e r e s p o n s i b i l i ty P P
• the sewer servite line from the premises to the msuch he gh a s will ensure hat t em c a ns abo e the flnished e
water service curb stop box for operability and at
grade of the land or property. (ftef 638,1156,1191)
t�eqUe�t fc�r �er�i�e R+�p►�rt
�ity of Fr�cil�:y
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Address� 5�l 53 1I2 A'4+E ME adc F'hane: 763-�44-4�88
5c�duied Date: 2f14�12 1:00 PM�V�S � P�Y a�:
�cieat+c3n I�t�s: Has had roc�issues a�lir►e. Nav�g�e � �ta7s= TY Sewer SecYi[:e
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