Meter Swap fl�-'��,�,�{�°���
"�(�� Request Number: 6938
Public Works Division
Service Request
Problem A�ddress: 6709 Jackson St Requested By: Mr F6A
Department: WATER A�ddresa: No address provided
Problem/Issue: INSTALL METER Phone Number: 571-1022
Scheduled Date: 2013-09-16 Scheduled Time: 11:00:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-09-09
ACTION TAKEN:
Old meter#34813439 Old readin : 66 New meter#44922537 ERT#35159990
Status: Completed Resident Contacted ❑
Date Completed: 2013-09-16 Completed by: Pete Gunderson
Hours
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Address t'.�'/� � J a.�s� ,>.,•
Name�, ��aJ� ���1�
Date � T `` / "" ��
Old Meter Number o ! � !�
Old Meter Reading � O �
Replacement No. � �1�'��3 �" 3 /
Replacement Reading �
Replacement Make ��� w
Remarks: s �G � �'"�
Signed
Request Number: 6938
Public Works Division
Service Request
Problem Address: 6709 Jackson St Requested By: Mr Hill
Department: WATER Address: No address prowded
Probiemllssue: INSTALL MEIFR(WAlER) Phone Number: 571-1022
Scheduled D t : 2013-09-16 �� Scheduled Time: 11:00:00
�� � � �
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-09-09
ACTION TAKEN:
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Status: In Progress Resident Contacted 0
Date Completed: Completed b :
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- City af Fridley
Water Department
6431 University Avenue NE
Fridiey,MN 55432
(763)572-3566
��We hereby authorize the City of Fridiey and/ar i#s
employees to do what is necessary to replace the water meter. 1 understand that the property owner
is tiable far the water line trom the main to#he premise and afl interior ptumbing. (Per City cvde
402.Q6) 1 also hold the City af Fridley andJits employees harm(ess for any damages that may occur
white doing this operation. This to include,hut nat limited to;vatves,piping,walls,floors er tf�e curis
stop box and service line. i understand t am atso required to obtain a permit prior to any work,if
necessary.
pinal meter reading(old meter) � �"'"
Name�
Address: �^d (� f��Iv
Fhone Numher: Date• � —`��---�--------
Signature: /y •
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATIDN
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.05. PERMIT FEE
Prior to constructing vr repair of any water or sewer line connectingthe existing municipal system and any house
or building for which the apptication is made,the owner or cont�actor shall be required to obtain a permit for such
connection,and shail pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the iNater and Sewer Department shafi be notified. tt shall be unlawful to cover any connecting line until an
inspectian has been made and such cannection and the work incident thereto has been approved by the City as a
propec and suitable connedion.
402.06.REPAIRS AND MAINTENANCE TO CONNECTiON
After the initial connection has been rnade to the water service curb stop box or the sewer lead at the property
lir�e or a water service or sewer lead has been extended to the property line for connection,the applica�t,owner,
or the occupant or user of such premises shatl be liable for at!repairs required to any water line and sewer lines
neCessary for connection of the premises from the main to the premises. tf the property owner reques�s
maintenance service�r repairs be performed by the City,the property owner shal!be charged for the costs of the
maintenance and/or repairs, including any necessary street repai�s,at a rate set ennually by an adminisCrative
policy. It shall be the responsibiiity of the applicant,owner,occupant or user to perform standard maintenance af
• 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 will ensure that it remains above the finished
grade of ttte land or property. (Ref 638,1156,1191)