Meter Swap _ _ _ _ � �.
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Request Number: 6839
Public Works Division
Service Request
Problem Address: 6740 Quincy St Requested By: John Sabo!
Department: WATER A�ddress: No address provided
Problemllssue: It�ISTALL METER Phone Nurrd�er: 763-571-3943
Scheduled Date: 2013-0&28 Scheduled Time: 01:00:00
ACTION NEEDED: 2013 AMR
Created by: Wendy H'iatt Date Created: 2013-0&28
ACTION TAKEN: � - `
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Okl meter#88198202 Oid reading: 1573290 New meter#44922392 ERT#35159012
Status: Completed Resident Contacted O
Date Completed: 2013-0&28 Completed by: Pebe Gunderson
Hours
1
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Request Number: 6839
Public Works Division
Service Request
ProblemAddress: 6740 Quincy St Requested By: John Sabol
Department: WATER Address: No address provided
Probiem/lssue: INSTALL METER(WAIER) Phone Number: 763-571-3943
Scheduled Date: 2 3-08-28 Scheduled Time: 01:00:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-0&28 �
ACTION TAKEN:
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Status: In Progress Resident Contacted O
Date Completed: Complete by:
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- City af Fridley
Water Department
6431 University Avenue NE
Frid(ey,MN 55432
(763�572-3566
��We hereby authorize the City of Fridfey and/or its
employees to do what is necessary to replace the water meter. I understand that ths prope aewner
is liable for the water tine from the main to the premise and all interior p(umbing. (Per Gty
402.06) I also hold the City af Fridley and/its employees harmless for any damages tf►at may occur
while doing#his operation. This to include,6ut nat limited to;vaives,piping,walis,f(aors or the curb
stop box and service line. I understand 1 am alsa required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter) �� `-� �
Address: � `�� "`" l�NC�
Name• �
Phone Number: Date: ����t�
Signature:
Witness Signatur :
FRIDLEY CITIf'CODE
CHAPTER 402.WATER,ST�RM WATER,AND SANiTARY SEWER
ADMINISTRATlQN
(Ref Ord No 113,464,565,566+629,638,bbZ,922,988,1144,1156,1191}
402.05. PERMlT FEE
Prio�to cortstructing or repair of any water or sewer line connecting the existing municipal 5ystem and any house '
or building for which the application is made,#he awner or contractor shali be required to abtain a permit for such
connection,and shall pay a permit fee as provided in Chapter il of this Code. After such cannection has been
made,the tNater and Sewer Department shall be notified. it shail be untawfui to caver eny connecting line until an
inspection has been made and such connection and the work incident thereto has been approved by the City as a
propec and suitabie connection.
402A6.REPAtRS AND MAtNTENANCE TU CONNECTION
Aftsr the initial connectiQn has been made to the water service curb stpp box ar the sewer lead at the property
line or a water service or sewer(ead has been extended to the property line for connection,the app(icant,owner,
or the occupant or user of such premises shali be liable far ali�epairs required to any water tine and sewer lines
necessary for connection of the premises fram the ma+n ta the premises. �f 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 repai�s, including any neces5ary 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 servlce line from the premises to th�main including debris clearing or 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}