Meter Swap Request Number: 7050
Public Works Division �
Service Request
Problem A�ddcess: 1001 67th Ave Requested By: Laura Moore
Department: WATER Address: No address provided
ProbleMissue: INSTALL METER(WATER) Phone Number: 571-9316
Scheduled Date: 2013-09-26 Scheduled Time: 10:00:00
—� , �- 2�o� � I O'-
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-09-25
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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'Hiatt, Wendy
Subject: Laura Moore, 763-571-9316, AMR @ 10:00 AM
Location: 1001 67th Ave NE
Start: Thu 9/26/2013 10:00 AM
End: Thu 9/26/2013 10:30 AM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: White, Karen
Required Attendees: Hiatt, Wendy
�
,
. City of Fridley
Water Department
6431 University Avenue NE
� Fridley,MN 55432
(763)572-35fi6
��We hereby authorize theu derstand that the pr perty owner
employees to do what is necessary to replace the water meter. I pe� �de
is liahle for the water line from the main to the P�o ees harmless fio any damiages that may occur
402.06) I also hold the City of Fridiey and/its empl y
white doing this operation. This to include,but not limited to0b�n �pe�tr priorsto anY�►orke�urb .
stop box and service line. I understand i am also required to
necessary.
. �_ - ��� --
final meter reading(old meter) — �7�
�,��� _G�
Name: Address:
Phane Number•
Date:___�__�_— T (�
Signature•
Witness Signature:
FRIaLEY CITY C�QE
CHAPTER 402.WATER,STORM WATER,AND SAN{TARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191) . __
402.05. PERMIT FEE
Prior to constn.icting or repair of any water or sewer liee�coc�nn���o shall ben equ redto�b ain a perm'�t fo�r such
or buitding for w hi c h t he a p p l i c a t i o n i s m a d e,t h e o w n
connection,and shail pay a permit fee as p�OII'be not fed. It shall be unlawfui to cover anyc nne�cti g li e euntil an
made,the 1Nater and Sewer Department sha 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 MAINTENANCE TO CONNECTIOI�
After the initiai connection has been made to the water se he oe rtytine forrconnec an'the appl ca n owner,
line or a water service or sewer lead has been extended to P p
or the occupant or user of such premises shall be liable for all repairs required to any wate�r�li'n�er(eduests r��nes
necessary for connection of the premises from the main to the premise�s��fe hatl be charged for he costs of the
maintenance service or repairs be performed by the City,the property
maintenance and/or repairs, including any necessary��Qeti o tu,rant or u er to perform standard mia ntenaince of
policy. It shall be the responsibility of the applicant,owner, p
- the sewer service line from the premises to the main ir+clud�n ad w II en ure hat it ema ns aborve the finrished he
water service curb stop box for operability and at such he g
grade of the land or property. (Ref 638,1156,1191)