Meter Swap _
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� , � Request.Number: 6855
Public Works Division �
� Service Reqtaest •, .
� �oblem Address: 6700 Jackson St Requested By: Lori Krummel . • '
' Department: � WATER , Address: � No eddress provided � . . �`
� ProblerNlssus.: INST/�LL MEtER(WATEFt) Phons Number: 572-92� � •
Scheduled Date: 2013-09-17 Sahaduled Time: 02:30:00 �
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; ACTION NEEDED:2013AMR
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i Created by: Wendy Hiatt Date Cre�ated: 2013-08-28
ACTION TAICEN: � �
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StsEus: In progress ' R�ident Contactecf ❑ .
� Date Compteted: Compteted by:
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Request Number: �
Public Works Division
Service Request
ProblemAddress: 6700 Jackson St Requested By: Lori Krummel
Department: WATER Address: No address provided
Probiem/Issue: INSTALL METER(WATER) Phone Number: 572-9208
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Scheduled Date: 2013-09-17 Scheduled Time: 02:30:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-08-29
ACTION TAKEN:
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Status In Progress Resident Contacted ❑
Date Completed: Completed by:
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� - City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
I/we hereby autharize the City of Fridley and/or its owner
employees to do what is ne�essary to replace the water meter. 1 understand that the property
is liable for the water line from the main to the premise and alf interior plumbi�g• lper Ciiy code
402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may occur
while doing this operation. This to include,6ut not limited to;valves,piping,walis,flcors or the curb
stop box and service line. 1 understand I am also required to o6tain a permit priar to any work,if
necessary. �^ ����
C.a
Final meter reading(old meter)
Name�
Address: FJ F�-"�� � '� '`'r"�
, Date:���� � `�
Phone Number•
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Signature: C���'
Witness Signature:
FRIDLEY CITY CUDE
CHAPTER+402.WA7ER,ST�RM WATER,AND SANITARY SEWER
ADMINISTRA710N
(Ref Ord No 113,464,565,566,629,638,662,9�2,988,1144,1156,1191)
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 whith the application is made,the owner or contrador 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 connection has been
made,the V�later and Sewe�Department shall be notified. It shalf be unlawful to cover any connecting line until an
inspection has been made and such cannection and the work incident thereto has been approved by the City as a
propec and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial cannection 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�epairs required to any water line and sewer lines
necessary far connection of the premises from the main to the premises. If the property 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 rate set annually by an administrative
policy. It shall be the responsibility of the applicant,awner,occue�ans lea ingorroot cutti g and to mai tain thef
• the sewer service line from the premises to the main including d
water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade af the land or property. (Ref 638,1156,1191}
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