Meter Swap l�
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Request Number: 6722
Public Works Division
Service Request
ProblemA�ddress: 800 Pandora Dr Requested By: Tim Simonsen
Department: WAIER Address: No address provided
Problemlissue: INSTALL MET'ER Phone Number: 763-568-3731
Scheduled Date: 2013-08-16 Scheduled Time: 08:00:00
ACT10N NEEDED: 2013 AMR
� Created by: Wendy F�att Date Created: 2013-0&15
ACTION TAKEN: � �
Old meter#89487246 Old reading: 1642960 New meter#44921295 ERT#35191498
Status: Completed Resident Contacted ❑
Date Completed: 2013-0&16 Completed by: Pete Gunderson
Hours
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Request Number: 6722
Public Works Division
Service Request
Probiem A�ddress: 800 Pandora Dr Requested By: Tim Simonsen
Department: WATER Address: No address provided
Problemllssue: 1NSTALL METER Phone Nurr�er: 763-568-3731
Schedu�d 2013-08-16 Scheduled Time: 08:�:�
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ACTION NEEDED: 2013 AMR
Cteated by: Wendy Hiatt Date Created: 2013-08-15
ACTION TAKEN:
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5tatus: InProgress Residerrt Corrtacted ❑
Date Completed: Completed by:
Hours
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� - City af Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763}572-3566
��We hereby authorize the City of Fridley andjor i#s
emplayees to do what is necessary to replace the water meter. 1 understand that the propertlr owner
is liable for the water line from the main to the premise and all interior plumbing. (Per City code
402.06) i aiso hoid the City af Fridfey and/its employees harmiess for any damages that may occur
while doing#his operation. 7his to include,but not iimited to;valves,plping,walls.floors or the curb
stop box and service line. !understand 1 am also required to obtain a permit prior to any work,if
necessary. � ��
� t��
Fina!meter reading(old meter)
Name� Address l� �i T�'�
, Date: �A� �� '�
Phone Number:
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, l� ��"`
Signature•
Witness Signature: ��
FRIDLEY CITY CODE
CHAP7ER dOZ.WATER,STORM WATER,AND SANITARY SEWER
ADMtNt5TRATIUN
ZRet 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 co�necting the existing municipal system and any house �
or building for which the application is made,the owner or contractar shall be required to obtain a permit for such
conn�ction,and sha11 pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Watec and Sewer Department shall be notified. It shalt be un(awfui to cover any connecting line until an
inspection has been made and such connection and the work incident thereto has been appraved by the City as a
propec and suitable connedion.
4Q2.06.REPAIRS AND MAINTENANCE T�CdNNECTION
After the initial connection has been made to the water service curb stap box ar the sewer lead at t i cant owner,
line or a water service or sewer tead has been extended to the property line for connection,the app'
or the occupant or user of such premises shall be liable for all�epairs required to any water tine and sewer lines
necessary for connection af the premises from the main to the premises. If the property�owner requests
maintenance service or repairs be performed by the City,the prnperty owner sh�l{be charged for the cost5 of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annuaily by an administrative
po[icy. It shall be the responslbility of the applicant,awner,occupant or user to pe�form standard maintenance of
• the sewer service line from the premises to the rnain 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)