Meter Swap 2
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Request Number: 14772
Public works Division
Service Request
Problem Address: 4725 2nd St Requested By: Da�McClure
Department: WA'IER Address: No address provided
Problem/Issues INSTALL AMR METER Phone Number: 612-559-5793
Scheduled Date: 2017-04-26 Schednled 11me: 01:00:00
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ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2U 17-04-18
ACIION'�'AKEN:
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Status: In Progress Snbmitter Has Been r
Contacted
Date Campleted: �� Completed by: J��/yc,
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City of Fridley s ����
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the City of Fridley and/or its employees to do what is necessary to
�eplace the water meter. I understand that the property owner is liable for the water line from the main to the premise and all iMerior
plumbing. (Per City code 402.06) I also hold the City of Fridley a�d/its employees harmless for any damages that may oaur while doing�is
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. in understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) I �� �� I �
Name: Vi �1"e 1"`fil./��� Address � ! �,�� J'r�
Phone Number �.Yr�2 � s5y - 57 9� Date �`J �� � � !
Signature Witness Signature
OLD METER#_ ��0�– I ����
OLD READING I��� � � O
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NEW METER#
NEW READING � O
ERT# _ �12Zi ^1 2y,E-4
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,6Z9,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to wnstructing or repair of arry water of sewer line connecting the existing municipal system and arry house or building for whlch the
application is made,the owner or corrtractor 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. k shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved lry the City as a
proper and suitable connection.
402.06 REPAIRS AND MAIN7ENANCE TO CONNECTION
After the initiai connection has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of wch premises shali be liabk far all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance a�d/or
repairs,including necessary street repalrs at a rate set annually by an administrative poliry. It shall be the responsibility oF the applicant,
owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main induding debris clearing or
root cutting and to maintain the water service curb stop box for operability and at wch height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
�eques# for Senvice R+ep�rt
t�ty of Fnd{ey
Refer+�nce�io: �2-12-� L�ate: �1412�12
f�equesi Type: Se�r back-tQ d�edc C�r rnan �nt�d�y. W�+1�i�#
f�patrner#: Sewer {.itiztx�N�e: �la�.y
Aei�ess� 4T2.5 ZND ST NE C�badc P�ne: G12�8-�'974
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l�ea#ion De#ais: Request Deta�s: Fio�is t�av�rg bac�a4 in
ba�se�ent_ She is at F�o�_
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