Meter Swap �� �
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Request Number: 6510
Public Works Division
Senrice Request
Problem Address: 6721 Madison St Requested By: Harold 8�Alisa MlacKenzie
Department: WATER A�ddresa: No address provided
Problem/issue: INS7ALL METER Phone Number: 763-571-8802
Scheduled Date: 2013-07-26 Scheduied 1ime: 01:00:00
ACTION NEEDED: 2013 AMR
Created by: Wendy H'iatt. Date Created: 2013-07-25
ACTION TAKEN: �
Old meter#3672004t7 Old reading• 2 � 30 New meter#44248465 New reading: 0 ERT#35191708
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Status: Completed Restdent Contacted O
Date Completed: 2013-07-30 Completed by: Pete Gunderson
Hours
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Request Number: 6510
Public Works Division
Service Request
Problem Address: 6721 Madison St Requested By: Harold&Alise MacKenzie
Department: WATER /kldress: No address provided
Problemllssue: INSTALL METER(WATER) Phone Number: 763-571�8802
Scheduled •� � 2013-07-26 Scheduled Time: 01:00:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-U7-25
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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Hiatt, Wendy _
Subject: Harold &Alise MacKenzie, 763-571-8802, AMR @ 1:00 PM
Location: 6721 Madison St NE
Start: Tue 7/30/2013 1:00 PM
End: � Tue 7/30/2013 1:30 PM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: White, Karen
Required Attendees: Hiatt, Wendy
1
' � - City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
I/we hereby authorize the City af Fridiey and/ur its
empfoyees to do what is necessary to repiace tha water meter. 1 understand tfiat the property owner
is fiabie for the water iine from the main to the premise and all interior piumbing. (Per Ciiy code
402.06) t also hofd the City of Fridley and/its employees harmiess for any damages that may occur
while doing this operation. This ta include,but not limited ta;vatves,piping,walis,floors or the curb
stop box and service line. i understand I am alsa required to obtain a pertnit prior to any work,if
necessary. � �� ��
Final meter reading(old meterj
Name: Address• `E./��� ������
Phone Number Date• � ����', �,^----
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Si�nature: �" �
Witness Signature:
FRIDLEY CITIt CODE
CHAFTER 40Z.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATlON
(Ref Ord No 113,464,565,566,629,638,662,922,988, 1144, 1156,1191)
402A5. PERMIT FEE
Prior to constructing or repair of any water or sewer fine connecting the existing municipal system and any house
or buiiding for which the appiication is made,the owner or contractor 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 connecCion has been
made,the Water and 5ewer Department shaU be notified. It shafl be unlawfui to cover any connecting line until an
inspection has been made and such connection and the work incident thereto has been approved by the City as a
propec and suita6le tonnection.
402.06.REPA{RS AND MAIIV'fENANCE TO CONNECTION
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 shail be tiable for aU repairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. If the property owner requests
maintenance service or repairs be perfarmed by the City,the property owner shali be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annuatly by an administrative
poticy. ft shall 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 operabifity and at such height as wilf ensure that it remains above the finished
grade of the tand or property+. (Ref 638,1156,1191}