Meter Swap . '
, Request Number: 6969
Public Works Division
Service Request
Problem Address: 930 68th Av�e Requested By: Gene Blix
Department: WATER Address: No address provided
Problemllssue: INSTALL METER(WATER) Phone Number: 612-501-4436
Scheduled Date: 2013-09-2 Scheduled Time: 10:30:00 .
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-09-16
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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Hiatt, Wendy
Subject: Gene Blix, 612-501-4436, AMR @ 10:30 AM
Location: 930 68th Ave NE
Start: Fri 9/20/2013 10:30 AM
End: Fri 912012013 11:00 AM
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 Avenue NE
fridley,MN 55432
(T63)572-3566
�jWe , hereby authorize the City of Fridley andjor its
employees to do what is necessary to repiace the water meter. 1 understand that the prapertY owner
is fiabie for the water fine from the main to the premise and all interior plumbing. (Per City code
402.06) 1 alsa hoid the City of Fridiey and/its employees ha�mless far any damages tfiat may occur
while doing this operation. This to include,but not timited to;va{ves,piping,watls,floors or the curb
stop box and service line. 1 understand 1 am also required to obtain a pe�mit prior to any work,if
necessary. .
Final meter reading(old meter) � �` -� � "�
Name• Address:. ' `' '� `n�{�
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Phone Number: Date: — ,r����----
Signature•
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Witness Signature:
FRIDLEY CfTY CODE
CHAPTER 402.WATER,STORM WATER,ANO SANlTARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988, 1144,1156,1191)
402.05. PERM17 FEE
Prior to constructing or repair of any water ar sewer line connecting the existing municipal system and any house
or building for which the appfication is made,the owner or contractor shall be required to obtain a permit for such
connection,and shaf{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. tt shall be unlawful 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 CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property
line 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 premises shali be liable for all repairs required to any water tine and sewer fines
necessary for connection of tfie premises ftom the main to the premises. If the propecty owner reguests
maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the
maintenance and/ar repairs, including any necessary street repairs,at a rate set annually by an administrative
po{icy. It shafl be the responsibility of the appiicant,owner,occupant ar 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 wift ensure that it remains above the finished
grade of the fand or property. (Ref 638,1156,1191� �