Meter Swap � � ��
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Request Number: 6388
Public Works Division
Service Request
ProblemA�ddress: 6850 Washington St Requested By: Don WaU
Department: WATER Address: No address provided
Problemllssue: INSTALL METER Phone Number: 571-7938
Scheduled Date: 2013-07-17 Scheduled Time: 02:30:00
ACTION NEEDED: 2013 AMR Prgm
Created by: Wendy Hiatt Date Created: 2013-07-11
ACTION TAKEN:
Old meter#19759103 Old readin : 032 0 New meter#44248468 New reading: 0 ERT#35172627 ,
Status: Completed Resident Contacted . O
Date Completed: 2013-07-17 Completed by: Pete Gunderson
Hours
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Request Number: 6388
Public Works Division
Service Request
Problem Address: 6850 Washington St Requested By: Don Wall
Department: WATER Address: Nb address provided
Problem/Issue: INSTALL METER(WATER) Phone Number: 571-7938
Scheduled Date: 2013-07-17 Scheduled Time: 02:30:00
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ACTION NEEDED: 2013 AMR Prgm
Created by: Wendy tiiatt Date Created: 2013-07-11
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑ '` �
Date Completed: Completed by: ,�r;�
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- City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
�'wQ hereby authorize the City of Fridley and/ar its
employees to do what is necessary to replace the water meter. 1 understand that the property owner
is liable for the water line from the main to the premise and all interior plumbing. (Per City cflde
40Z.06) I also hold the City of Fridfey and/its employees harrnless for any damages that may occur
while doing this operation. This to include,but not limited to;valves.piping,wa��s,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. ��Q
Final meter reading(old meter) � `-' � "�
Name� Address:���� w����
Phone Number• Date• �—�����
Signatur � � `���
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,ANO SANITARY SEWER
ADMINISTRA'T�ON
(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 connecting the existing municipal system and any house
or buiiding for which the application is made,the owner or contracto�shall be required to obtain a permit for such
connection,and shall 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 shail be unlawfui to cover any connecting line until an
inspection has been made and such cannection 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 initia{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 has been extended to the property tine 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 fior connection of the premises frorn the main to the premises. If the property owner requests
maintenance ser+rice or repairs be perfarmed 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 annuaNy by an administrative
policy. It shall be the responsibitity of the applicant,owner,occupant or user to perform standard maintenance of
• the sewer service line from the premises to the main inciuding 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}