Meter Swap Request Number: 64�6
r Public Works Division
Service Request
Problem Address: 509 67th Ave Requested By: Bev+ery Talbot
Department: WATER Address: No address provided
Probtemllssue: INSTALL METER(WATER) Phone Number; 763-571-1625
Sch d d Date: 2013-07-24 ` , Scheduled Time: 10:30:00
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ACTION NEEDED: 2013 AMR Prgm
Created by: Wendy Hiatt Date Created: 2013-07-18
ACTION TAKEN:
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Status: in Progress Resident Contacted ❑
Date Completed: Completed by:
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Hiatt, Wendy
Subject: Beverly A Talbot, 763-571-1625, AMR @ 10:30 AM
Location: 509 67th Ave NE
Start: Wed 7/24/2013 10:30 AM
End: Wed 7/24/2013 11:00 AM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: White, Karen
Required Attendees: Hiatt, Wendy
1
- City of F�idley
Water pepartment
6431 University Ave�ue NE
fridley,MN 55432
(763)572-3566
1/we hereby authorize the City of Fridley and/or its
employees to do what is necessary to replace the water meter. t understand that the property owner
is fiabte far the water tine from ifie main to the premise and ail interior plumbing. (Per�ty code
402.06) I also hold the City of Fridley andJits empioyees harmless for any damages tfiat may occur
while doing this operation. This to include,but not limited to;valves,piping,walis,floors or the curb
stop box and service line. 1 understand 1 am also required to obtain a permit prior to any work,if
necessary. \ �
Final meter readin old meter) �f� �� ���
B�
Name� Address• ���' �� --
Phone Number: Date: �"'��""��
Signature• �
Witness Signature:
FRIDLEY CITY CODE
CHARTER 402.WATER,5TORM WATER,AND SANtTARY SEWER
ADMtNISTRATI�N
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
4Q2.05.PERMIT FEE
Prior to constructing or repair of any water or sewer tine connecting the existing municipal system and any house
or building for which the application is made,the owner or contractor shall be required to abtain a permif for such
connection,and shali pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shall be notified. It shallbe unlawfui to cover any connecting fine unti{an
inspection has been rriade and such connection and the work incident thereto has been approved by the City as a
propec and suita6le connection. �
402.06.REPAIRS AND MA{NTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property
line or a water service or sewer lead hasbeen extended to the praperiy line for connection,the applicant,owner,
or the occup�nt or user of such premises shall be Iiable for ail repairs required to any water line and sewer lines
necessary far connection uf the premises from the main to the premises. If the property owner requests
maintenance service or repairs be performed by the City,the pruperty owner shali be charged for the costs of the
maintenance andJor repairs, inc{uding any necessary street repairs,at a rate set annualty by an administrative
policy. it shall be the responsibility of the applicant,owner,occupant or user to perform standard mainte�ance nf
� the sewer service line from the premises to the main including debris ctearing or root cutting and to maintain the.
water service curb stop box for operability and at swch height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)