Meter Swap f ,
Request Number: 7006
Public Works Division
Service Request
Problem Address: 810 66th Ave Requested By: Mark&Debbie Blake
Department: WATER Address: No address provided
Problem/Issue: INSTALL METER(WATER) Phone Number: 571-8254
Scheduled ate: 2013-09-25 � Scheduled Time: 09:00:00
C�i'� �t
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-09-19
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Complet by:
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Hiatt, Wendy
Subject: Mark&Debbie Blake 763-571-8254 AMR letter
Location: 810 66th Ave
Start: Wed 9/25/2013 9:00 AM
End: Wed 9/25/2013 9:30 AM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: Hara, Sandra
Required Attendees: Hiatt,Wendy
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_ City of Fridley
Water Department
6431 University Avenue NE
� Fridley,MN 55432
(763)572-3566
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 prop+ertY
is liable for the water line from the main to the premise and a�����o°an�damiages that ma Yoc�ur
402.06) I also hold the City of Fridley and/its employees harmless f Y
while doing this operation. This to include,but not limited to;valves,pip��.p ocs�o any W°Q ke�cv�b
stop box and service line. i understand I am alsa required to obtain a pe
necessary. ,s.� � /"�
� �� � cJ�'�
Final meter reading{old meterj
Name• Address'
( 1- �= ____---
Phone Number:
Date:_______--�=�
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Signature�
Witness Signature:
FRIDLEY CITY C�DE �
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,114�4.1156,1191}
402.05. PERMIT FEE
Prior to constructing or repair of any water or see oW�nee o�con�a�o shall ben equired to obtain a permit for such
or building for which the app�ication is made,th
connectian,and shall pay a permit fee as proli be not fed.tlt shall be unlawful to cover any conne'cti g�i�euntil an
made,the Water and Sewer Department sha
inspectian has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connedion.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION .
After the initial connection has been made to the water service cu�r estop'ne forr nnect on,the app cant owner,
line or a water service or sewer lead has been extended to the pr p rtY
or the occupant or user of such premises shall be liable for all repairs required to any wate��ner requests r��nes
necessary for connection of the premises from the main to the premise�s�ne shall be harged for the costs of the
maintenance service or repairs be performed by the City,the property an administratroe
maintenance and/ar repairs, ini`�on�he applicasnt aw ert occupant or userto pe�form standard maintenance of
poticy. It shall be the respons�b ty
• the sewer service line from the premises to the main includ�n ad W��ensure t at t mains abo e the fi!shed he
water service curb stop box for operability and at such he g
grade of the land or propert�+• (Ref 638,1156,1191)