Meter Swap �a7�-��7� ��
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Request Number: 6737
Public Works Division
Senrice Request
Problem A�ddress: 701 O�erton Dr Requested By: Jim Denham
Department: WATER Address: No address provided
Problemllssue: INSTALL METER Phone Number:
Scheduled Date: 2013-08-23 Scheduled Time: 07:00:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2 13-08-16
ACT10N TAKEN:� t/
Old meter#87826329 Old reading:�New meter#44921450 ERT#35191305
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Status: Completed Resident Contacted O
Date Completed: 2013-0&23 Completed by: Pete Gunderson
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Request Number: 6737
Public Works Division
Service Request
ProblemAddress: 701 O�erton Dr Requested By: Jim Denham
Department: WATER Address: No address provided
Problemllssue: INSTALL METER(WAIER) Phone Number:
Scheduled Date: 2013-08-23 Scheduled Time: 07:00:00
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ACT�N NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-0&16
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 Uni�ersity Avenue NE
Fridley,MN 55432
(763)572-3566
f/we hereby authorize the City of Fridtey and/or its
emplayees to do what is necessary to replace the water meter. i understand that the property oa+ner
is liable for the water line from the main to the premise and ali interlor plumbing. (Per City code
402.06) i aiso hold the City of Fridley and/ifis employees harmiess for any damages that may occur
white doing this operation. This to include,bert not limited to;valves,piping,wails,floors or the curb
stop box and service tine. i anderstand i am alsa requiret!to obtain a permit prior to any work,if
necessary. ���� ��
Final meter readin��oid meter)
Name: Address: �ll �.1 �'� �`�—���
Phone Number• ` Date� [ )�n`�� �'�
Signature.� , ` ''��L''
Witness Signature:
FRIDLEY CITY C�DE
CHAPTER 402.WATER,ST�RM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988, 1144,1156,1191)
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house
or building for which the application is made,the owner or co�tractor shail 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 connection has been
made,the Water and Sewer Department shail be notified. It shail be unlawful to cover any connecting line until an
inspection has been made and such cannection and the work incident thereto has been approved by the City as a
propec and suitable connection.
402.06. REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer le2�d at the property
line or a water service or sewer lead has been extended tothe property line for connection,the appNcant,owner,
or the occupant or user of such premises shali be tiable 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 prop�cry owner reqaests
maintenance service or repairs be performed by the City,the property owner shal!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 shall be the responsibility of the applicant,awner,occupant or user to perform standard maintenance of
� the sewer service line from the premises to the main induding debris ctearing ar root cutting and to maintain the
water service curb stop box for operability and at such height as wili ensure that it remains above the finished
grade of the land or property. {Ref 638,1156,1191)