Meter Swap Request Number: 7030
Public Works Division
Service Request
Problem Address: 811 66th A� Requested By: Matt Olsen
Department: WATER Address: No address provided
Problemllssue: INSTALL ME'TER(WATER) Phone Number: 612-968-0162
Scheduled Date: 2013-09-26 Scheduled Time: 02:30:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-09-23
ACTION TAKEN:
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Status: In Progress Resident.Cpntacted O
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Date Completed: Completed by:
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`Hiatt, Wendy �
Subject: Matt Olson, 612-968-0162, AMR @ 2:30"PM
Location: 811 66th Ave NE
Start: Thu 9/26/2013 2:30 PM
End: Thu 9/26/2013 3:00 PM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: White, Karen
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�ty of Fridley andJor 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 prem�ses harmlesstfo rany damiages that ma yoccur
402.06) I also hold the City of Fridley and/its emplaYe
while doing this operation. This to include,hut not limited toobtain a�perm t,P orsto any we k,if u� �
stop box and service line. i understand 1 am also required to
necessary. � �� ���
Final meter reading(old meter) � � � ����
Name: Address:
Phone Number:
Date: �"`��' 1�
Signature• ����� �/��
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Witness Signature:
FRIDLEY CITY C�DE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191) _
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal syst�m and any house
or building for which the application is made,the owner or contractor shall be required to obtain a permit for such
connectian,and shall pay a permit fee as P�a��be n t fed. It shall be u lawfu�to cover any conne'cti B�in euntil an
made,the Water and Sewer Department sh roved by the City as a
inspection has been made and such cannection and the work incident thereto has been app
proper and suitable connection.
402.06.REPAIRS AND MAfNTENANCE TO CONNECTION
Afte�the initial connection has been made to the water service curb stop box or the sewer I t�d at t i�n{oW er,
4ine or a water service or sewer lead has b�all be 1'able far aii repap s�requ ed to any wa'ter line and sewer lines
or the occupant or user of such premises sh owner re uests
necessary for connection of the premises fram the main to the premis O�oe shall be charged for he costs of the
maintenance service or repairs be performed by the�ty,the property
maintenance and/or repairs, inctuding any necessary street repairs,at a rate set annually by an administrative
policy. It shall be the responsibility of the applicant,a�►�ea�nc debr s lear ng orpoot cutti g and to ma ntain thef
• the sewer service line from the premises to the main inclu B
water service curh stop box for operahility and at such height as wili ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)