Meter Swap d�-�-�.
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1`�'�� Request Number: 6574
Public Works Division
Service Request
Problem�4ddress: 6855 Washington St Requested By: Joe Ludwig
Department: WATER Address: No address provided
Problemlissue: tNSTALL METER Phone Number: 612-723-0297
Scheduled Date: 2013-08-07 Scheduled Time: 11:30:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-0&01
ACTION TAKEN:
Old meter#17158076 Old reading 22 10 New meter#44248293 ERT#35 1314
Status: Completed Resident Contacted ❑
Date Completed: 2013-0&07 Completed by: Kev�en Becl�n
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Req uest N u m ber: 6574
Public Works Division
Service Request
Problem Address: 6855 Washington St Requested By: Joe Ludwig
Department: WATER Address: No address provided
Problemllssue: INSTALL METER Phone Number: 612-723-0297
Scheduled a : 2013-08-07 � Scheduled Time: 11:30:00
V''`-"�^ � i
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-08-01
ACTION TAKEN:
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Status: In Progress Resident Contacted l�
Date Completed: � � I� Completed by:
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, _ City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
�lWe hereby authorize the City of Fridiey and/or its awner
employees to do what is necessary to replace the water meter. 1 understand that the property
is tiable for the water line from the main to the premise and all interior plumbing. (Per City code
402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may occur
while doing this operatiun. This to include,but nat limited ta;vatves,pipin8,wai�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. � � �
Final meter reading(old meter) ���
Name• Address•
+e
Phone Number• Date: � —_[_—r -
` snGe�'�G�c��%�f1�� .
Signature:� `
Witness Signature:
FRIDLEY CITY CODE
CHAPTER a02.WA7ER,STORM WATER,AND SANITARY SEWER
ADMiNISTRATI�N
(Ref Ord No 113,464,565,565,629,638,662,922,988,1144,1156,1191) _
402.U5. PERM17 FEE
Prior to constructing ar repair of a�y water or sewer line connectinBo shall 6e equiredto b ain a permit for such
or building for which the applicatian is made,the owner or cantract
connection,and shalt 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 shall be unlawful to cover any connecting line until an
inspection has been made and such connection and th�e wo�k incident thereto has been apProved by the City as a
proper and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
After the i�itial connection has been made to the water service curb stopfne forrc nnection�the app{cant owner,
line or a water service or sewer lead has been extended to the property
or the occupant or user of such premises shali be liabie for all repairs required to any wate��ner reduests r��nes
necessary far connection of the premises fram the main to the premises. If the property q
maintenance service or repairs be performed by the City,the property owner shali be charged for the costs of the
maintenance and/or repairs, inciuding any neceant aw ert accupant or user to perfo m standard maintena'nce af
policy. It shall be the responsibifity of the applic ,
the sewer service line fram the premises to the main including debris clearing or root cutting and to maintain the
water service carb stop box for operability and at such height as will ensuse that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
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