Meter Swap � ���
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Request Number: 6610
Public Works Division
Service Request
Problem A�ddress: 6801 Jefferson St Requested By: Scott Leffier
Department: WATER Address: No address provided
ProblerNlssue: INSTALL METER Phone Number: 612-251-5209
Scheduled Date: 2013-0&47 Scheduled'�irne: 10:00:00
ACTtON NEEDED: 2013 AMR
Created by: Wendy iifatt Date Greated: 20130&05
ACTION TAKEN:
Oid metsr#14408634�d readin 38 New meber#44248296 ERT#35191280
Status: Complet�i Resident Contacted �
Date Completed: 2013-0&07 Completed by: Kevsn Becklin
Hours
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Request Number: 6610
Public Works Division
Service Request
Problem Address: 6801 Jefferson St Requested By: Scott Leffler
Department: WATER �kldress: No address provided
Problemllssue: INSTALL ME7ER(WATER) Phone Number: 612-251-5209
i
Schedu ate: 2 13-08-07 � Scheduled Time: 10:00:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-0&05
ACTION TAKEN:
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Status: tn Progress Resident Contacted �.
Date Completed: Completed by:
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. City of Fridtey
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
` hereby authorize the City of Fridley and/or its
I/we owner
employees to do what is necessary to repiace the water meter. i understand that the property
is tiabie for the water line from the main to the p�emise and ali interior plumbing. �Per City code
402.Ofi) i also hold the City of Fridley and/its employees harmless for any damages that may�cur
while doing this operation. This to include,hut not limited ta;valves,piping.wa��s.floors or the curb
stop box and service line. 1 understand�am also required to o6tain a permit prior ta any work,if
necessary.
Final meter reading(old meter) � � ����
Name: Address
Phone Number:
Date: ~ � �
Signature•
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Witness Signature:
FRIDLEY CITY CODE
-�"'.�"� CHAPTER 4�2.WATER,STORM WATER�ANO SANtT�►RY SEWER
:y'� ADMINI5TRATlON
(Ref Ord No 123,464,565,566,629,638,662,922,988,1144, 1156,1191) _ _
402.05,PERMIT FEE
Prior to constructing ar repair of any water or sewer line connecta�o shall ben equi ed to'obt in a perm'rt for such
or buiiding for which the application is made,the owner or cont
connection,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the 111tater and Sewer Department shall be notified. It shall be unlawful to cover any�oved by he City as an
inspection has been made and such cannection and the work incident thereto has been app
propec and suitabte connectian.
402.06.REPAIRS AND MAINTENANCE TO CONNECTtON
Afte�the initiai connection has been made to the water service curb stap box or the sewer tead at t i�n� owner,
line or a water service or sewer lead has been extended to the property line for connectian,the app'
or the occupant or user of such prernises shal!be liable for all repairs required to any water line and sewer lines
netessary for connection of the premises ftom the main to the premises. If the property owner requests
maintenance service or repairs be performed by the City,the p�aPs�a ate setaa�nua ly by an adme str tive{he
maintenance and/or repairs, including any necessary street repa ,
palicy. It shall be the responsibitity of the applicant,owner,occupant or user to perform standard maintenance�f
• 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 wiil ensure that it remains above the finished
grade of the tand or property. (Ref 638,1155,1191)