Meter Swap I?��I� `-� � � ��uC��c�
C�I —C� t
Re uest N�m�b�er: 8682
9
Public Works Division
Service Request
Problem Address: 6701 2nd St Requested By: Steve Baxter
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-614-7417
Scheduled Date: 2014-08-OS Scheduled 1ime: 07:30:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-08-04
ACTION TAI�N:
Oldmeter#35510588Oldreading: 46 70Newmeter#i��patebrase.��oti�RT#35171687
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Status: Completed Resident Contacted I"'`
Date Completed: 2014-08-OS Completed by: Ryan Johnson
Hours
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Old 1V��r Numb�r / � 1 � 1��
Old Meter Reading V ` �v
Replacement No. � �v ���
Replacement Reading
Replacement Make � �'�
ERT
Replacement E _
Remarks: /�
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Request Number: 10256
Public Works Division
Service Request
Problem Address: 6701 2nd St Requested By:
Department: WATER Address: No address provided
Problem/Issue: WA1ER MAIN BREAK Phone Number:
5cheduled Date: Scheduled T➢me:
ACTION NEEDED:Water main break
Created by: Wendy Hiatt Date Created: 2015-07-02
ACTION TAI�N:
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Status: In Progress Resident Contacted p
Date Completed: Completed by:
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Request Number: 8G�,2--
Public Works Division
Service Request
Problem Address: 6701 2nd St Requested By: Steve Baxter
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER , Phone Number: 763-614-7417
ScheduledDate: 2014-08- 5 Scheduled'ITime: 0730:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: � 2014-08-04
ACTION TAI�N:
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Status: in Progress Resident Contacted C7
Date Completed: Compl d by:
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, Y City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��We hereby authorize the�ty of Fridley and/or its
employees to do what is necessary to replace the water meter. 1 understand that the properly owner
is liable for the water line from the main to the premise and ali interior plumbing. (Per Gty code _
402.06) 1 also hold the Gty of Fridley and/its employees harmless or any amages a may oc ur �—
while doing this operation. This to include,but not limited to;valves,piping,walls,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��� �� O
Final meter reading(old meter)
Name:
Address• ��o' �� ��
Phone Number• Date• •v �� JGl
Signature:
Wltness Signature:
FRIDLEY CITY CODE
CHAPTER 4U2.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 connecting the existing municipaf system and any house
or building for which the application is made,the owner or contractor shalt be required to obtain a permit for such
connection,and shali 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 noti�ed. ft shaft be unlawfut to cover any tonnecting line until an
inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitabie connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
�_t��� � ade to the wa+er service curb stop box or the sewer lead at the propert
line or a water service or sewer lead has been extended to the property line for connectfon,the appiicant,owner,
or the occupant or user of such premises shall be liable for all repairs required to any water line and sewer lines
necessary for connection of the premises from the main ta the premises. If the prope[ty 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 annually by an administrative
policy. 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 will ensure that it remains above the finished
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grade of tfietand��property. (Ref fr38;�i136,119�}-- .__.- --- .. _ . .. _ ____.. . __. __. _._ .- --.._.... ._ _