Meter Swap � ���
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Request Number: 6757
Pubiic Works Division
Service Request
Problem A�ddress: 1568 Gardena Av�e Requested By: Mr Sangiovanni
Department: WATER Address: No address provided
Problemllssue: INSTALL METER Phone Number: 651-366-0013
Scheduled Date: 2013-08-20 Scheduled Time: 02:OO:OQ
ACTION NEEDED: Replace old meter
Created by: Wendy Hiatt Date Created: 2013-08-19
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ACTION TAKEN: ��
Old meter#11842846 Old reading:2248910 New meter#44921376 ERT#35172409 -
Status: Completed Resident Conta�ted CJ
Date Completed: 2013-08-20 Completed by: Pete Gunderson
Hours
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Request Number: 6757
Public Works Division
Service Request
Problem Address: 1568 Gardena Ave Requested By: Mr Sangiovanni
Department: WATER Address: Na address provided
Problemllssue: INSTALL METER(WATER) Phone Number: 651-366-QQ13
Scheduled Date: 2013-08-20 � Scheduled Time: 02:00:00
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ACTION NEEDED: Replace o!d meter
Created by: Wencty Hiatt Date Created: 2013-0&19
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: FCom eted by:
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City of Fridley
Water Department
6431 University Avenue NE -
Fridley,MN 55432
(763)572-3566
��We hereby authorize the City of Fridley and/orits
employees to do what is necessary to repiace the water meter. t understand that the property owner
is liable for the water line from the main to the premise and aii interior plumbing. (Per City code
402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur
while doing this operatian. This to include,but not limited to;valves,piping,walls,floors or the curb
stop box and service line. 1 understand I am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter) ���.�� � ��
Name• Address• '�� `���� -
PhoneNumber� ate• l�P����
Signature•
Witness Signat
FRIDIEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191}
402.05.PERMIT FEE
Prio�to constructing or repair of any water or sewer(ine connecting the existing municipal system and any house
or building for which the application is made,the owner or contractor shall be required to obtain a permit for such
connection,and shatl 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. It shall be unlawful to cover any connecting line untit an
inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connedion.
402.06. REPAIRS AND MAINTENANCE TO CONNECT}ON
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 shall 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. tf the propetty owner requests
maintenance service or repairs be perf'ormed by the City,the property owner shall be charged for#he costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
policy. it shalt 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 ciearing or root cutting and to maintain the
water service curb stop box for operability and at such height as wilt ensure that it remains abave the finished
grade of the land or property. (Ref 638,1156,1191j