Meter Swap _
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City of Fridley
WatET Department
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Address
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Old Meter Number � �
Old Meter Reading
Replaeement No.
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� Replacement Reading
Repl acement Make L)4,-�q��
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Request Number: 7009
Public Works Division
Service Request
Problem Address: 1020 67th Ave Requested By: Alan Ball
Department: WATER Address: No address provided
Problem/Issue: INSTALL METER(WATER) Phone Number: 763-795-4422
Scheduled Date: 2013-09-26 Scheduled Time: 09:00:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-09-19
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Compkted by:
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_ City of Fridley
Water Department
6431 University Avenue NE
� Fridley,MN 55432
(7b3)572-3566
��We hereby authorize the City of Fridley and/or�ts oWner
� employees to do what is necessary to replace the water meter. 1 understand that the prupertll
is liable for the water line ftom the main to the premise and a�'ess for any damiages that maY aaur
402.06) I also hold the City of Fridley andJits empioyees harm
while doing this operation. This to inciude,but not limited toobtain a p'prm�pr orsto any H►orke f urb .
�top box and service line. 1 understand 1 am also required to pe
netessary. ��
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Final meter reading(old meter) w ��.r�
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Pho�e Number:
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Signature:
�tness Signature: '
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WA7ER,AND SANlTARY SEWER
ADMINISTRAT�ON
(Ref Ord No 113,464,565,566,629,638,662,422,988,1144,1156,1191) _ -
402.p5. PERMIT FEE
Prior to constructing or repair of any water or sewer��ee o�con acto shall be equ redtolobt in a pe mit for such
or building for which the application is made,the own
connection,and shall 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. �k ncident there ol has been pp oved by tFhe City as an
inspection has been made and such connection and the wor
proper and suitable cannedion.
402.06.REPAIRS AND MAIN'fENANCE TO CONNEC110N
After the initiai cannection has been made to the water service curb stop'ne forrconnectionl the appl cant owner,
Ilne or a water service ar sewer lead has been extended to the property
or the occupant or user of such premises shall be fiable for all repairs required to any wate��ner reduests r��nes
necessary for connection of the premises from the main to the premise�s�ne shali be charged for he costs of the
maintenance service or repairs be performed by the City,the property an administrative
maintenance and/or repairs, includof the a�el cant ownert occupant or u er to perfo m standard maintenance of
policy. It shall be the responsibility PP
- the sewer service line from the premises to the m such he dh as w II e sure hat�emains above the finished e
water service curb stop box for operability and at g
grade of the land or property. (Ref 638,1156,1191)
Request Number: 9740
PuMic Works Division
Service Request
Problem Address: 1020 67th Atie Requested By:
Department: WATER Address: No address provided
Problem/Issue: WATER MAIN BREAK Phone Nwnber:
Scheduled Date: Scheduled Tf ine:
ACTION NEEDED:Water main break Gopher Ticket#150320025
Created by: Wendy Hiatt Date Created: 2015-02-02
ACTION TAI�N:
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5tatvs: In Progress Resident Contacted ❑
Date Completed: Completed by:
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