Meter Swap - ���� gL�
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Water Department
' Address ��� 67�� ���
Name �v� �O rG�G, �
Date �" l �1 — � � �'
Old Meter Number � / 7 7 ,7 �
Old Meter Reading ��� �.�
Repl acement No. 3 6��, �� ��
Replacement Reading �
Replacement Make_�q C�_ �
Remarks: �QalGhw rn�.��✓
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Signed
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Request Number: 6487
Public Works Division
Service Request
Problem Address: 575 67th Av�e Requested By: John Jordahl
Department; WATER Address: No address provided
Problemllssue: INSTALL METER(WATER) Phone Number: 763-571-6891
Scheduled Date: 2013-07-26 Scheduled Time: 11:30:00
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ACTION NEEDED: 2013 AMR
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Created by: Wendy Hiatt Date Created: 2013-07-23
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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Hiatt, Wendy
Subject: John Jordahl, 763-571-6891, AMR @ 11:30 AM
Location: 575 67th Ave NE
Start: Fri 7/26/2013 11:30 AM
End: Fri 7/26/2013 12:00 PM
Show Time As: Tentative ,
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: White, Karen
Required Attendees: Hiatt, Wendy
1
, . ' - 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
employees to do what is necessary to replace the water meter. i understand that the propertY owner
is liable for the water line from the main to the premise and all interior plumbing. (Per City code
402.06) I also hold the City of Fridley andJits employees harmless for any damages that may oaur
while doing ti�is operation. This to include,but not limited to;valves,piping,walis,flodrs or the curb
stop box and service line. I understand 1 am also required to obtain a permit prior to any work,if
necessary. � ^ i �
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Final meter reading(ol .meter) ��
Name• Address: ��� �
Phone Number: Date: L `����
Signature:
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATI�N
(Ref Ord No 113,464,565,566,629,638,662,922,988, 1144, 1156,1191j
402.45.PERMIT FEE
Prior to const�ucting 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 contractor 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 shall 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
proper and suitable connection.
402.06.REPAIRS AND MAINTENANCE 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 has been extended to the property line for connection,the applicant,owner,
or the occupant or user of such premises shall be liable for all repairs required to any water line and sewer lines
necessary for 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 shall be charged 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,awner,occupant or user to perform standard maintenance of
� the sewer service line from the premises to the main including debris clearing or root cutting and to maintain the
water service curb stop box for operability and at such height as wilf ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191}