Meter Swap ����3
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Request Number: 6827
Public Works Division
Service Request
Problem A�ddress: 810 Kennasfion Dr Requested By: Kal w/KaPs Plumbing
Department: WATER Addresa: No address provided
Problemlissue: TURN WATER ON/O�F Phone Number: 763-670-3842
Scheduled Date: 2013-09-05 Scheduled Time: 07:30:00
ACTION NEEDED: Shut water off for repair. Leave key. Permit#201&1863"**BILL"**
Created by: W endy Hiatt Date Created: 2013-0&27
ACTION TAKEN: (`
Old meter#89749972 Old reading: 151 70 New meter#44922431 ERT#35159536
Status: Completed Resident Contacted O
Date Completed: 2013-09-05 Completed by: Pete Gunderson
Hours
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�� Request Number: 6827
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ublic Works Division
Service Request ��C,'�� �Jt�'���'�I���
Problem Address: 810 Kennaston Dr Requested By: Kal w/Kal's Plumbing
Department: WATER Address: No address provided
Problemllssue: TURN WATER ON/O�F(WATER) Phone Number: 763-670-3842
Scheduled Date: 2013-Q9-05 Scheduled Time: 07:30:00
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ACTION NEEDED: Shut water off for repaic Leave key. Permit#2013-9863*"`*BILL""*
Created by: Wendy Hiatt Date Created: 2013-08-27
ACTION TAKEN: Pl 'Q�'��t�" ��� ��� � �" � "� �i i�w
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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
��We hereby autharize the City of Fridley and/or its
employees to do what is necessary ta replace the water meter. 1 understand that the property owner
is tiabie for the water line from the main to the premise and ait interior plumbing. �Per City code
402.06) I also hoid the City of Fridiey and/its empioyees harmless for any damages that may occur
while doing this aperation. This to include,but not limited to;valves,piping,walls,floors or the curb
stop bax and service line. I understand I am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter) � 1 �� � ��
Name: Address: �� ���5��
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Phone Number• Date• 1^____.�„ -
Signature: '
Witness Signature: �" �
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FRIDlEY ClTY Ct)DE
CHAPTER 4Q2.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATtON
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.a5.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipat 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 shail pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shal!be notified. It shall be un(awful to cover any connecting line until an
inspection has been made and such connection and the work incident thereta has been approved by the City as a
proper and suitable connection.
402.06. REPAIRS AND MAINTENANCE TO CONNECTtON
After the initiai 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 connedion,the applicant,owner,
or the occupant or user of such premises shall be liable for ail repairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. !f the prope�ty owner requests
maintenance service or repairs be performed by the City,the property owner shati be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annua!!y by.an administrative
policy. !t shal!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 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 the land or property. (Ref 638,1156,1191)