Meter Swap �
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�� d Request Number: 6747
Public Works Division
Service Reqt�t
Problem Address: 801 O�erton Dr Requested By: Howard Simonsen
Department: WATER Address: No address provided
Problem/Issue: INSTALL IV�TER Phone Number: 571-2884
Scheduled Date: 2013-0&30 Schedu�d Time: 10:00:00
ACTION NEEDED: 2013 AMR
Created by: Wendy I-Natt Date Created: 2013-08-19
ACTION TAKEN: �
Old meter#94806946 Old readi 1062 70 New meter#44921443 ERT#35191731
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Status: Completed Resldent Contacted ❑
Date Completed: 2013-08-30 Completed by: Pete Gunderson
Hours
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Request Number: 6747
Public Works Division
Service Request �
Problem Address: 801 Ov�erton Dr Requested By: Howard Simonsen
Department: WAlER Address: No address provided
ProbleMissue: INSTALL METER(WATER} Phone Number: 571-2884
Scheduled D�te:� 2013-08-30 _ Scheduled Time: 10:OO:OQ ,
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-08-19
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
I/we hereby authorize the City of Fridley and/or its
employees to do what is necessary to replace the water meter. i understand that the property owner
is liable for the water line from the main to the premise and all interior plumbing. (Per City code
402.06) I also hoid the Gty of Fridley and/its employees harmless for any damages that may occur
while doing this operetion. This to include,but not limited to;vatves,piping,walls,floors or the curb
stop box and service line. I understand i am also required to obtain a permit prior to any work,if
necessary.
' Final meter reading(old meter) � v�� ���
Name: Address• [7V� �����
Phone Number:_, Date: -C�'��"�'�
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Signature• ' '
Witness Signature:
FRIDLEY CITY CODE '
CHAPTER 402.WATER,STORM,WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156, 1191)
402.05.PERMtT FEE
Prior to constructing or repair of any water or sewer line connecting the existin�municipal system and any house
or building for which the appiication is made,the owner or contractor shall be required to obtain a permit for such
connection,and sha(I 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 unlawful 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
proper and suitable connection.
a02.06. REPAIRS AND MAINTENAPICE 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 tead has been extended to the property line for connection,the applicant,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 prope[3y 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, includin�any necessary street repairs,at a rate set annually by an administrative
policy. It shall be the responsibility of the applicent,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, 1191J