Meter Swap r. _ �
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Req uest N u m ber: 6829
Public Works Division
Service Request
Problem Address: 925 68th Av�e Requested By: Nathan Shaw
Department: WATER Address: No address provided
Problem/Issue: INSTALL METER(WATER) Phone Number: 571-5826
Scheduled Date: 2013-0&27 Scheduled Time: 01:30:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-08-27
ACTION TAKEN:
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Status: In Progress Resident Contacted �
Date Completed: Compketed by:
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- City of Fridtey
Water Department
6431 University Avenu�NE
Fridiey,MN 55432
(7b3)572-3566
��We hereby authorize the City of Frid{ey and/or its
employees to do what is necessary to repface the water meter. I understand that the property owner
is fiabie for the water line from the main to tfie prernise and al{interior ptumbing. (Per City code
402,d6) 1 a{sa hotd the Gty of Fridley and/its emp{oyees harmless for any damages that may occur
while doing this operation. Tfiis to include,but not{imited to;vatves,piping,watls.floors or the cur6
stop box and service line. I understand I am also required to obtain a permit prior to any work,if
necessary.
Fina)meter reading(old meter) 1 � ��v
Name: Address: `�� ` `��^�s
Phone Number D te � ��
Signature: �
Witness Signature:
FRIDLEY CITY CaDE
CHAPTER 402.WATER,STORM WATER,AND SANlTARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988, 1144,1156, 1191) _
402.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line cannecting the existing municipal system and any hous.e
or building for which the application is made,the owner or contraetor shall be required to obtain a permit for such
connection,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connectlon has been
made,the Water and Sewer Department shall be notified. It shall be uniawful 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 CONNECTfON
After the initial connection has been made to the water service curb stop box or the sewer lead at the property
{ine or a water service or sewer lead has been extended to the property line for connection,the appiicant,owner,
or the occupant or user of such premises shali 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 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 and/or repairs, including any necessary street repairs,at a raCe set annually by an administrative
policy. It shall be the responsibility of the appiicant,owner,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 wiit ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
Request Number: 10202
Public Wor�s Division
Service Request
Problem Addressc 925 68th Ave Requested By:• Sandi
Department: WATER Address: No address provided
Problem/Issue: FINAL ME'TER READING Phone Number:
Scheduled Date: Scheduled Time:
ACTION NEEDED:Final reading.Closing /17/15 ER 35158982
Created by: Wendy Hiatt Date Created: 2015-06-16
ACTION TAI�N:
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5tatus: In Progress Resident Contacted ❑
Date Completed: Completed by: