Meter Swap ti
Request Number: 6962
Public Works Division
Service Request
Problem Address: 914 68th Av�e Requested By: Marie Coulliard
Department: WATER Address: No address provided
Problemllssue: INSTALL METER(WATER) Phone Number: 572-0244
Scheduled Date: 2013-09-16 Scheduled Time: 11:30:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-09-12
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Compkted by:
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Hiatt, Wendy
Subject: Marie Couillard, 763-572-0244, AMR @ 11:30 AM
Location: 914 68th Ave NE
Start: Mon 9/16l2013 11:30 AM
End: Mon 9/16J2013 12:00 PM
Show Time As: TentatiVe
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: White, Karen
Required Attendees: Hiatt, Wendy
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City of Fridley
Water Department
6431 University Avenus NE
Fridley,MN 55432
(763�572-3566
I Jwe 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 tiable for the water line from the main to the premise and all interior plumbing. (Per City code
402.06) 1 also hoid the City of Fridley andiits employees harmiess for any damages that may occur
white doing this operation. This to include,but not limited to;vaives, piping,walis,ffoors or the curb
stop box and service line. 1 understand 1 am also required to ot�tain a permit prior to any work,if
necessary.
Final meter reading(old meter) ��� �
Name� Address: � �� � ���� �v�
Phone Number Oate• t—����
Signature• ` �•
Witness Signature:
FRiDLEY CITY CODE
CHAPTER A02.WATER,STORM WATER,AND SANITARY SEWER
ADMINIS7RA710N
(Ref Ord No 113,4b4,565,566,629,638,662,922,988,1144, 1156, 1191)
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house
or building for which the appfication is made,the owner or contractor shalt be required to obtain a permit for such
connection,and sha{I pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shalf be notified. It shall be unlawful to cover any connecting line until an
inspection has been made and such tonnection and the work incident thereto has been approved by#he City as a
proper and suitable connection.
4p2.06.REPAIRS AND MAINTENAIVCE TC?CONNECT1t3N ,
After the i�itial connection has been made to the water service curb stop box or the sewer lead at the property
line or a water senrice or sewer lead hasbeen e�ctended to the property fine for connection,the applicant,owner,
or the occupant or user of such premises shall be liable for all repairs required to any water fine and sewer lines
necessary for connection of the premises from the main to the premises. If the prope[ty owner requests
maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the
maintenance andJor repairs, including any necessary street repairs,at a rate set annualiy by an administrative
policy. It shail be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
• the sewer service line from the premises to the main including debris cfearing or root cutting and to maintain the
water service curb stop box fior operability and at such height as wiil ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
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� Gify of Fr�dley
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R� Type� TV sswer serrice�n� Er�k�ci By: Wex�dy F�i�t
D�p,�tme�rt: S�r Gtiz+�r I��ne: fi�aie�arci
Ad�s� 914{68TH AVE NE C�adc Phone: 763-572-U244
Sc�duled Date� 221fZt}12 7:UQ PW � Pr�y C�r�er:
t�ca�ion�et�ls: � Details= TY Sexer SExvir.e-2d12 St_ PEnj�ct
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