Meter Swap ; � }—1 c�
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� Request Number: 633Q
� Public Warks Division
Service Rsqt�est � � � .
�7 Proble�nAddress: 573 Rice Creek TeITace � Requested By: John Flo�a •
1j � :573 F�ce Creek Terrsce
{ Departmerrt: WATER ' Address: F��y,�.�2
, . � Probleml�sue: INSTALLAMR AAET�R Pfwne Number: 763-572-0519 �
, ; Scheduled pata: 2Q13-07-U3 Schedule�i Time: 08:00:00
ACTION NEEDED:O�d Meter#�d Meter Reading: NauvANIR#NewAMR Read+ng:
Created by: Jea►mie Bensan .Dats Created: 2013-07-01 ,
�TION TAKENc � � �
Oid meter#9358828�OId readfn •27 ►�aw me�r#44246415 New reading:0 ERT#34277397
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..___�.______ __�_ ._...___________..�___.__�_____.,._.. �...._.._.._...
� _.___...______..________.._,.�...._.�..._r_______.____...,.ry.,.__..._..�_____----.,_._ _ _ ___,.____
� Status: � completed � Residerrt corrtacted ❑
. pate Completed: 2013-07-03 Completsd by:� • Pefie C�underson
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FRaM :CITY QF FRIDLEY FA� M0. :763�711��7 Jul. �1 2013 �3:31PM P1
Requ�st Number: f33�D
Public Warks Qivis�on
�rvi�e Request
PrQblem Address; 5731�3ce Cr��ic Terrace R�queSted By: .lahn Fbra�
Dep�'t1t�t�t: WATER A�idre�s: 573 RICB CI'�k T�rt�Ce
Fri�y, N�I 55432
Probfemlissue: IIVSTALLAMR��t(WAT�R) Ptx�r�e Number: 7�-5y2�0519
SCheduled Dat�: 2013-U7-U� e � Sch "t�rr�e: Q8:Qt�:�
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�C�O r�
AC'�N IV��17t Ok!Metvr#CNd Meter Resding: NewAN�t#NewAf�t t�eding:
Cra�at�ad by; Jeennie�ensan �ate Created: 2013-07-01
A�GTK�N TAKEN: .
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3tatus: ln P�gress Resider�t Cont�Cted L7
Dat�Gompleted: �by,
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City of Fridley
Water Department
6431 University Avenue NE
Fridley, MN 55432
(763)572-3566
��We hereby authorize the City of Fridley and/or its
employees to do what is necessary to replace the water meter. 1 understand that the property owner
is liab{e for the water line from the main to the premise and all interiar plumbing. (Per City code
402.06j i also hold the City of Fridley and/its employees harmless for any damages that may occur
while doing this operation. This to inciude,but not limited to;valves,piping,walis,floors or the curb
� stop box and service line. I understand 1 am atso required to obtain a permit prio�to any work,if
necessary. � �� ��
Final meter reading(old meter) �
Name: Address: �� ) ��""t'�'���
Phone Number: Date: � �,�
Signature:
. Witness Signature: .
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRA710N
(Ref Ord No 113,464,565,566,629,638,662,922,988, 1144,1156, 1191)
402.05. PERM{T FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house
or bu9lding for which the application is made,the owner or contractor shall be required to obtain a permit for such
connection,and shali 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 shafl be unlawfu{to cover any connecting line until an
inspection has bee�made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06. REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service carb stop box ar the sewer lead at the property
line or a water service or sewer lead has been extended tothe property line for connection,the applicant,owner,
or the occupant or user of such premises shall be liable for ail 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 repairs, including any necessary street repairs,at a rate set annuaity by an administrative
po{'scy. !t shall be the cesponsibility of the applicant,owner,occupant or user to perform standard maintenance of
the sewer service line from the premises ta the main including debris clearing or root cutting and to maintain the
water service curb stop box for operability and at such height as wiii ensure that it remains above the finished
��
grade of the land or property. (Ref 638,1156,1191� �
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