Meter Swap Request Number: 5940
Public Works Division
Service Request
Probiem Aaddress: 611 67th Ave Requested By: Grant w/Fiv�Star Field Services
Department: WATER Address: No address provided
Problemlissue: TURN WATER OIWOFF(WATER) Phone Number: 651-207-8189
Scheduled Date: 2013-04-02 Scheduled Time: 08:30:00
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ACTION NEEDED: Foreclosure-tum off water**'*BILL"'""`"`
Created by: Wendy Hiatt Date Created: 2013-0401
ACTI�N TA!(EN:
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Status: In Progress Resident Contacted ❑
Date Completed: 1� ���� Completed by:
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Request Number: 6445
Public Works Division
Service Request
Problem Address: 611 67th Ave Requested By: Keith&Alice W endt
Department: WATER Address: No address provided
Problem/Issue: INSTALL METER(WATER) Phone Number: 612-600-6667
Scheduled Date: 2013-07-18 Scheduled Time: 02:00:00
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ACTION NEEDED: Reconnect meter(InstallAMR)Turn water back on. """""BILL`"""
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Created by: Wendy Hiatt Date Created: 2013-07-18
ACTION TAKEN: •.--�' ���� � �NS��--��J v'" '�
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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
employees to do what is necessary to reptace the water meter. i understand thafi the property owner
is liable for the water line from the main to the premise and ail interior plumbing. (Per City code
402.06j t also hotd the City of Fridley andJits employees harmless for any damages that may occur
while doing this operation. This to include,but not limited to;�alves,piping,walis,floors or the curb
stop box and service line. I understand i am also required to obtain a permit prior to any work,if
necessary. t��`--'�
Final meter read�ng(old meter�
Name� .� �_ 1 C, � GG�/���ddress. � '�
Phone Number:�/"G � ^ �'d���w�e� ` �'�`" � ` —'
Signature• ` �
Witness Signature:
FRIDLEY CITY CUDE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATIaN
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.05. PERMl7 FEE
Prior to constructing or 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 contrartor shall be required to obtain a permit for such
connection,and shall pay a permit fee as provided in Chapter il of this Code. After such connection has been
made,the Water and Sewer Department shall be notified. It shail be unlawful to cover any connecting line until an
inspection has been made and such connection and the work incident thereto has been approved by the City as a
propec and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop bax orthe 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 shail be liable for all repairs required to any water line and sewer lines
necessary far connection of the premises from the main to the premises. If the property owner requests
maintenance service or repairs be performed by the City,the property owner shati be tharged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
policy. It shall be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
� the sewer service line from the premises to the rnain+ncluding 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)