Meter Swap ��'� �
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Request Number: 6505
Public Works Division
Service Request
Problem A�ddress: 6876 Monroe St Requested By: Linda We�.s
Department: WATER Address: No address provided
ProblerNlssue: INSTALL METER Phone Number: 763-5741643
Scheduled Date: 2013-07-31 Scheduled Time: 08:30:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-07-25
ACTION TAKEN:
Old meter#11562832 Old readin .429 10 New me�r#44248462 New reading: 0 ERT#35191181
Status: Completed Resident Corrtacted ❑
Date Completed: 2013-07-31 Completed by: Pete Gunderson
Hours
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Request Number: 6505
Public Works Division
Service Request
Problem Address: 6876 Monroe St Requested By: Linda Wells
Department: WATER Address: No address provided
, Problem/Issue: INSTALL ME7ER(WATER) Phone Number: 763-5741643
Scheduled Date: 2013- -31 Scheduled Time: 08:30:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-07-25
ACTION TAKEN:
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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
��W� hereby authorize the City af fridley and/or its
employees to do what is necessary to repiace the water meter. 1 understand that the propertyr owner
is liable for the water line fram the main ta the premise and all interior plumbiag. (Pe�City code
402.06) 1 also hoid the City of Fridley andJits employees harmless far any damages that may occur
while doing this operation. This to inciude,buC not limited to;valves,piping,walis,floors or the curb
stap box and service{ine. 1 understand i am aisa required to obtain a permit prior to any work,if
necessary.
final meter readtng(old meter) ��� � "�
Name� Addressc 1�'�'�� ' '"-"—�
Phone Number• Date• ��� I�
Signature: �
Witness Signature:
�R{DLEY CtTY CODE
CHAPTER 402.WATER,STORM WATER,ANU SANITARY SEWER
ADMINISTRA'TION
(Ref Ord No 113,�L64,565,566,629,538,662,922,988, 1144,1156,1191j
402.05. PERMIT fEE
Prior to constructing or repair of any water or sewer line connecting the existing municipaf system and any house
ar bu9{ding for which the apptication is made,the owner or contractor shall 6e 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 shall be notified. It shall be uniawful 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
propec and suitable connection.
402.06.REPAIRS AND MAINTENANCE 70 CONNECTION .�3�
After the initial connection has been made to the water seniice curb stop box or the sewer lead at the property
line or a water service ar sewer lead has been extended to the property line for connection,the applicant,owner,
or the occupant or user of such pcemises shall be liable for atl cepairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. tf 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
palicy. It shall be the responsibitity of the applicant,owner,occupant or user to perform standard maintenance of
• the sewer service line from the premises to the main including debris dearing ar root cutting and to maintain the
water service curb stop box for operability and at such height as wiU ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191�