Meter Swap �a��f
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Request Number; 6504
Pubtic Works Division
Service Request
Problem/�ddress: 6887 Madison St Requested By: Dean!-lempkin
Department: WATER Address: No address provided
Problemllssue: INSTALL METFR Phone Nurr�ber: 571-5423
Scheduled Date: 2013-07-29 Scheduled Time: 11:OO:QO
ACTION NEEDED: 2013 AMR
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Created by: Wendy Hiatt Date Created: 2013-OT-25
ACTION TAKEN: �
Old meter#14723853�d readi •93 New meter#44248421 New reading: 0 ERT#35191677
Status: Completed Resldent CoMar.ted ❑
Date Completed: 2013-07-29 Compieted by: Pete Gunderson
Hours
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Request Number: 6504
Public Works Division
Service Request
Problem Address: 688�Madison St Requested By: Dean Hempkin
Department: WATER Address: IVo address provided
Probkm/Issue: INSTALL METER(WATER) Phone Number: 571-5423
Scheduled Date: 2013-07-29 Scheduled Time: 1:00:00
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ACTfON NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-07-25
ACTION 7AKEN:
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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
IJwe hereby authorize the City of Fridley and/or its
employees to do what is necessary to repiace the water meter. i understand that the property owner
is liable for the water line from the main to the premise and all interior ptumbing. (Per City cade
402.06) I also hold the City of Fridiey and/its employees harmless for any damages that rrtiay occur
while doing this operation. Tfiis ta include,but nat limited to;valves,qiping,walis,floors or the curb
stop box and service line. 1 understand 1 am also required to obtain a permit prior ta any work,if
necessary.
Final meter reading(old meter) �� � � � �
Name: Address:--��,�--ss�
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Phone Number Date:_ C �
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Signature: �-�s�l ��� - .
Witness Signature:
FRIDLEY C1TY CODE
CHAPTER A02-WAl'ER,STORM WATER,AND SANITARY SEWER
ADMINtSTRATtUN
(Ref Ord No 113,464,565,566,629,638,662,92�,988, 1144, 1156,1191)
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipat system and any house
or buitding for which the applicatian is made,the owner or contractor shall he required to obtain a permit for such
connection,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shalf be notified. It shall be unlawfuf 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 suitabte connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service cu�b stop box or the sewer lead at the property
fine or a water service or sewer fead has been extended to the property line for connection,the appiicant,owner,
or the occupant or user of such premises shall be liable for all 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 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
poticy. it shali be the responsibitity of the applicant,awner,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)