Meter Swap (�.��- ��o�G�
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�� Request Number: 6967
Public Works Division
Service Request
ProblemAddress: 6729 Jackson St Requested By: De�hene Sirr�son
Department: WATER Address: No address provided
Problemlissue: INSTALL METER Phone Number: 571-1713
Scheduled Date: 2013-09-16 Scheduled Time: 07:30:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-09-13
ACTION TAKEN: �
Old meter#17�34 Old readi : 291 80 New meter#44922386 ERT#35159998
Status: Completed Resident Contacted �
Date Completed: 2013-09-16 Completed by: Pete Gunderson
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Request Number: 6967
Public Works Division �
Service Request
Problem Address: 6729 Jackson St Requested By: Delphene Simpson
Department: WATER Address: No address provided
Problemlissue: INSTALL METER(WATER) Phone Number: 571-1713
Scheduled Dat 2013-09-16 Scheduled Time: 07:30:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-09-13
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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hfiatt, Wendy
Subject: Delphene Simpson, 763-571-1713, AMR @ 7:30 AM
Location: 6729 Jackson St NE
Start: Mon 9/16/2013 7:30 AM
End: Mon 9/16/2013 8:00 AM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: White, Karen
Required Attendees: Hiatt,Wendy
1
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City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
f�We hereby authorize the City of Fr�dley and/or its
employees to do what is necessary to replace the water meter. 1 understand that the property owner
is liable for the water line from the main to the premise and all interior piumbing. (Per City code
402.06) i also hold the Gty of Fridley and/its employees harmtess for any damages that r�+ay occur
while doing this operatiu�. This to include,but not limited to;valves,piping,walls,floors or the curb
stop box and service line. I understand I am also required to obtain a permit prior to any work,if
necessary. �
Final meter reading(old meter)
� �
Name• Address:„���� 1 v�F`�'�
Phone Number• Date� ��� _ f'� --
Signaturec
�tness Signature:
FRIDI.EY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord Ido 113,454,565,566,629,638,662,922,988, 1144,1156,1191�
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer line 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
conr►ectian,and sha{I 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 unlawfui to cover any connecting line until an
inspection has been made and such connection and the wo�k incident thereto has been approved by the City as a
proper and suitable connection.
402.06.REPQIRS AND MAINTENANCE TO CONNECitON
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 ali repairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. If the propecty 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 shail be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
� the sewer service line from the premises to the main including deb�is 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 the land or property. (Ref b38,1156,1191)