Meter Swap ���� �
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Request Number: 6477
Public Worics Division
Service Request
Probiem A�ddress: 567 Rice Creek Terrace Requested By: Brandon Paschi
Department: WATER Address: No address provided
Problemllssue: INSTALL METER Phone Number: 612-702-7979
Scheduted Date: 2013-07-25 Scheduled Time: 07:30:00 �
ACT10N NEEDED: 2013 AMR
Cr�ated by: Wendy H'iatt Date Created: 2013-07-
ACTION TAKEN:
Oid meter#15450128 Oid readin : 80 30 New meter#44248430 New reading: 0 ERT#35191437
Status: Completed Resident Contacted ❑
Date Completed: 2013-07-25 Corr�leted by: Pete Gundecson
Hours
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Request Number: 6477
Public Works Division
Service Request
Problem A�ddress: 567 Rice Creek Terrace Requested Sy: Brandon Pasch{
Department: WATER Address: No address provided
Problem/Issue: INSTALL METER(WATER) Phone Number: 612-702-7979
Scheduled Date: 2013-07-25 Scheduled Time: 07:30:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-07-22
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
t/we hereby authorize the City of Fridley and/or its
empioyees 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 p�emise and afl interior plumbing. (Per City code
402.06) I atso hofd the City of Fridley and/its emptoyees harmless far any damages that may occur
while doing this operation. This to include,but not limited to;valves,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) � � `-�
Address• '��-� [ �IC.C:-��—�'�7�—
Name� _
Date: �`��'_(,3
Phone Number: - �;�
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Signature:
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATI�N
(Ref Ord No 113,464,565,566,629,638,662,922,988, 11A�4, 1156,1191)
402.85. PERM{l'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 contractor shall be required tu obtain a permit for such
connection,and shall pay a permit fee as provided in Chapter].1 of this Code. After such connection has been
made,the Water and Sewer Department shall be notified. It shali be unlawful to cover any connecting line untii an
inspection has been made and such connection and the wark incident thereto has hee�approved by the City as a
proper and suitable connection.
402.06.REPAIRS AND MAINTENANCE'f0 CONNECTtON
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 lead hasbeen 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 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 necessary street repairs,at a rate set annually by an administrative
policy. It shall be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
• the sewer senrice line from the premises to the main including debris clearing or raot 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)