Meter Swap Q�1a�5-y�5Co�0
d,�.��
Request Number: 9109
Public Works Division
Service Request
Problem Address: 6000 2 1/2 St Requested By: Darcy Lupino
Department: WATER Addresa: No address provided
Problem/Issue: NO WATER Phone Number: 763-586-0662.
Scheduled Date: 2014-10-08 Scheduled Time: 02:30:00
ACITON NEEDED:No water
Created by: Wendy Hiatt Date Created: 2014-10-09
ACTION TAI�N:
Plugged meter.Old meter#18734411 Old readin 94 40 New meter#44922273 ERT#35172426
Status: Completed Resfdent Contacted I`"
Date Completed: 2014-10-08 Completed by: Pete Gunderson
Hours
�� �
Request Number: 9109
Public Works Division
Service Request
Problem Address: 6000 2 1/2 St Requested By: Darcy Lupino
Department: WATER Address: No address provided
Problem/Lssue: NO WATER Phone Number: 763-586-06b2
Scheduled Date: 2014-10-0$ SchedWed Time: 02:30:Q0
ACTION NEEDED:No water
Created by: Wendy Hiatt Date Created: 2014-10-09
ACTION TAI�N:
.........................................................................................................................................................................................................................................................................................._..............................................................._...__........�............._.................._
..................................................................._.....�.....................................................................................................:.......................................... :.............. ........................................................................................_......._..................._..._.........._...._.__.......
............................................................................................................................................................................................................................................................................................................................................................_.._..__....�..................:......_...._._
................................................................................................................_...._._..............................................................................,.........................................................................................................._............................................................_..............�......._.........
Status: In Progress Resident Contacted C1
Date Completed: Completed by:
� ' - 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 reptace the water meter. i understand that the property owner
--
is liable for the water line from the main to the premise and ali interior piumbing. (P�r CitY code
402.06) I also hold the City of Fridley and/its employees harmless or any amages a ma� —�----� �
while doing this operation. This ta include,but nat limited to;�alves,piping,wafls,floors or the curb
stop box and service line. I understand 1 am aiso required to obtain a permit prior ta any work,if
����� necessary. , r
� �,,.i�
� final meter reading(old meter� � �
� �� �
�� Name: Address• ��
one Numbes• J te: � �� �
������'� Ph •����t�..,��.�A�C-�'o't
Signature:
�
Wftness Signature•
��'����� FRIDLEY CITY C�DE
CHAPTER 402.WATER,STORM WAT'ER,AND SANITARY SEWER
ADMINISTRATiON
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.05.PERMIT FfE
Prior to constructing or repair of any water or sewer line cannecting 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 Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shatl be notified. It shall be unlawful to cover any connectirtg 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 suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
.��a�t�*�a••��*�r service curb stop�ox or the sewer lead at the propert�
-A�tk�-iaitial-coaaectinu�hasheens.
line or a water service or sewer lead has heen extended to the properry line for connection,the applicant,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 to the premises. if the prop��ty owner requests
maintenance service or repairs be performed hy the City,the proPerty owner sfiatl be charged for the casts of the
maintenance and/or repairs, including any necessary street repairs,at a rate set an�ualty by an administrative
paticy. 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 b�x for op�rabiliry and at such height as will ensure that it remains above the flnished
__. .. _.___: -- .--- - � _. .
grade of tt�e lanr3 or�rnp�t�y. �Re€6 , 1.W5,-�3��:) ... __ ---- -.-- � � .
. ';h�:
-�
��.
,��,