Meter Swap � 7'� � " ._
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Request Number: 6059
Public Works Division
Service Request
Problem Address: 206 Rice Creek Blvd Requested By: Donald Blair
Department: WATER Address: No address provided
Problemllssue: INSTALL METER Phone Number: 763-571-1791
Scheduled Date: 2013-04-29 Scheduled Time: 09:00:00
ACTION NEEDED: Change old meter.
Created by: Wendy Hiatt Date Created: 2013-0425
ACTION TAKEN: '
Oid meter#15377943 Old reading 53 50 New meter#44248280 New reading: 0 ERT#34277840
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Status: Completed Resident Contacted �
Date Completed: 2013-0429 Completed by: Pefie Gunderson
Hours
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Request Number: 6059
Public Works Division
Service Request
Problem Address: 206 Rice Creek BNd Requested By: Donald Blair
Department: WATER Address: No address provided
Problemllssue: INSTALL METER Phone Number: 763-571-1791
Scheduled Date: 2013-04-29 Scheduled Time: 09:00:00
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ACTION NEEDED: Change old meter.
Created by: We�dy Hiatt Date Created: 2013-04-25
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
Hours
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Hiatt, Wendy '
Subject: Donald Blair, 206 rice Creek Blvd 763-571-1791 9am chg out old meter with water in face of
meter.
Location: 206 Rice Creek Blvd
Start: Mon 4/29l2013 9:00 AM
End: Mon 4/29/2013 9:30 AM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: Hara, Sandra
Required Attendees: Hiatt, Wendy
1
` + , - City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
�jWe hereby authorize the City of Fridiey and/o�its '
employees to do what is necessary to reptace the water meter. 1 understand that the property owner
is liable far the water line from the main to the premise and ail interior plumbing. (Per City code
402.06) i also hold the Gty of Fridley and/its empioyees harmless far any damages that may occur
while doing this operation. This to inciude,but not limited to;�a{ves,piping,walis,floors or the curb
stcp box and ser�rice line. I understand!am alsa required to obtain a permit prior to any wark,if
necessary. � �
Final meter reading(old meter)
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Name: Address:_�r
Phone Number: Date• �� `F_ �
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Signature:
Witness Signature:
FRIDf.EY CITY CODE
CHAPTER 4Q2.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATtON
(Ref Ord No 113,464,565,566,629,638,662,922,988, 1144,115b,1191)
40Z.Q5.PERMIT FEE
Prior to constructing or repair of any water o�sewer line connecting the existing municipai system and any house
or building for which the appiication is made,the owner or cantractor shall 6e required to obtain a permit for such
cannection,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 shall be unlawful to cover any connecting iine untit an
inspection has been rnade 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 initial connection has been made to the water service curb sCop box or the sewer lead at the property
line or a water service or sewer lead has been extended to the property line far connection,the appticant,owner,
or the occupant or user of such premises shatl be liabie for all repairs cequired to any water line and sewer lines
necessary far connection of the premises from the main to the premises. if the property owner requests
maintenance service 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 anaual4y by an administrative
poticy. 1t shall be the responsibility of the applicant,owner,occupant or user to perform standard maintenance af
• the sewer service line from the premises to the main including debris ciearing or root cutting and to maintain the
water service curb stop box for operability and at such height as will ensure that it remains above the�'inished
grade of the ianrl or property. (Ref 638,1156,1191)
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