Meter Swap C�-�._a-�-
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Request Number: 6515
Public Works Division
Service Request
Problem�Lddress: 6835 Washington St Requested By: Regina Wi�rran
Department: WATER Addreas: No address provided
Problemllssue: INSTAI.L METER Phone Number: 571-3728
Scheduled Date: 2013-07-29 Scheduled Time: 11:30:00
AC710N NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-07-26
ACTION TAKEN:
Old meter#26584033 Old readin 127 0 New meter#44248419 New reading:0 ERT#35191709
Status: Completed Resident Contacted ❑
Date Completed: 2013-07-29 Completed by: Pete Gunderson
Hours
7��8'
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Request Number: 6515
Public Works Division -
Service Request
ProblemAddress: 6835 Washington St Requested By: �g��a W�����
Department: WATER Address: No address provided
Problemllssue: INSTALL ME1ER(WATER) Phone Number: 571-3728
Schedul Date: 2013-07-29 � Scheduled Time: 11:30:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-07-26
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Compkted by:
�1—�� -13
r - 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. I understand that the properly owner
is liable for the water line from the main to the premise and all interior piumbing. (Per City code
402.06) I also hold the City of Fridiey and/its employees harmless for any damages that may occur
while doing this operation. This to include,but not fimited to;valves,piping,walis,fioors or the curb
stop box and service line. I understand 1 am also required to obtain a permit prior to any wark,if
necessary.
Final meter reading�old meter) � �� ��
Name• Address: �(�� � � � ��-_
Phane Number Date: �`� `��
� . : �� /' .
Signature: ��
Witness Signature:_�T_ r \"'�"�
FRIDLEY CITY C�DE
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. PERMIT FEE
Prior to constructing or repair of any water or sewer line conneding the existing municipal system and any house
or building for which the application is made,the owner or contractor shall be required to obtain a permit for such
connection,and shall pay a permit fee as provided in Chapte�11 of this Code. After such connection has been
made,the Water and Sewer Department shall be notified. It shall be unlawfui to cover any connecting tine untii an
inspection has been made and such connection and the wo�k incident thereto has been approved by the City as a
proper and suitable connection.
402.06.REPAIRS AND MAtNTENANCE TO CONNECTION
After the initial connedion 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 has been extended to the property line for connection,the applicant,owner,
or the occupant or user of such premises shali 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 shatl be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
po(icy. It shall be the responsibility of the applicant,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 wiil ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191j
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