Meter Swap �*"��' �,`,` ,�
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Old Meter Nuxnber � � ��'��
Old Meter Reading ��`v
Replacement No. d ` � �+��
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Replacement ERT#
Remarks: f1'
Signed
Request Number: 6443
Public Works Division
Service Request
Problem Address: 540 68th Av�e Requested By: Brad Bulger
Department: WATER Address: No address provided
Problemllssue: INSTALL METER(WATER) Phone Number: 763-571-9299
Sch d led Date: 20 3-07-22 �o( Scheduled Time: 07:30:00
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ACTION NEED : 2013 AMR Prgm
Created by: Wendy Hiatt Date Created: 2013-07-17
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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Hiatt, Wendy
Subject: Brad Bulger, 763-571-9299, AMR @ 7:30 AM
Location: 540 68th Ave NE
Start: Mon 7/22/2013 7:30 AM
End: Mon 7/22/2013 8:00 AM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: White, Karen
Required Attendees: Hiatt, Wendy �
1
,
i ` - City of Fridtey
Water Department
6431 University Avenue NE
Fridiey,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 firom the main to the premise and alf irrterior plumbing• (Per Cit11 cade
402.06) 1 also hald the City of�ridley andjits employees harmless for any damages that may occur
whife doing this oper�aUon. 7his to include,but not limited to;valves,ptping,walls,fluurs or the curb
stop box and service line. I understand I am aiso required to obtain a permit prior ta any work,if
necessary.
Final meter reading(old meter) ����� `�-'
Name. Address• *� `� 'E-�'�'--�
Phone Number: Date: ���/'� `�
Signature: r �
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 40Z.WATER,STt�RM WATER,ANO 5ANtTARY SEWER
ADMINISTRATIUN
(Ref Ord No 113,464,565,566,624,638,662,922,988, 1144,1156,1191)
402.Q5.PERMIT FEE
Prior to constructing or repair of any water or sewer line cannecting the existing municipal system and any house
o�buiiding for which the application is made,the owner or contractor shall 6e required to obtain a permit fior such
connection,and shafl pay a permit fee as pravided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shall be notified. It shait be unlawfu{to cover any cannecting line until an
inspection has been made and such connection and the wo�k incldent thereto has been app�oved by the Gity as a
propec and suitable connection.
402.06.REPAIR5 AND MAINTENANCE TO CONNECTION
After the initlaf connection has been made to the water service curb stop bax or the sewer lead at the property
Iine 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 pcemises shail be liabie for all�epairs 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
maintenanee service or repairs be performed by the�ty,the property owner shaif be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annualiy by an administrative
poticy. ft shalf be the responsibi{ity of the app4icant,owner,accupant or user to perform standard maintenance of
• the sewer service line from the premises to the main including debris dearing or root cutting and ta maintain the
water se�vice curb stop box for operability and at such height as wiii ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)