Meter Swap 1
Request Number: 15354
PuWic Works Division
Service Request
Problem Address: 4623 2nd St Requested By: Keith Eliason
Departmeat: WATER Address: No address provided
Problem/Issue: 1NSTALL�#MR ME1ER Phone Number: 571-4194
ScheduledDate: 2017-OS-ZO � Scheduled'IYme: Q9:00:00
AC'IION NEIDED:
Created by: Wetxiy Hiatt Date Created: 2417-OS-I 5
ACTION TAK�N:
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Status: In Progress Snbmitter Has Been r
. Contaeted
Dxte Completed: Completed by:
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City of Fridfey ` O � � � ` � ��v `�l
Water Department � � l62
6431 University Avenue NE ��}
Fridley,MN 55432
763-5723566
�/We hereby authorize the C'�ty of Fridley and/or its employees to do wF�at 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 al(ir�terior
plumbing. (Per City code 402.06) 1 also hold the City of Fridiey and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. in understand i am also required
to obtain a permit prior to any work,if riecessary.
FINAL ETER READING(old meter) ��''� `v
Name• � Address �"�� Z� �`
Phone Number � �`�` �`�� Date � + �v�7
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Signature Witness Signature
OLD METER#���tJ�c../� � ` � '
OLD READING ��V����✓ �T �.�� ;
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NEW METER#
. � � 49225972 ---- _
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NEW READlNG , - — _ _ .�_. .
ERT# IIIIIIIIIIIIIIIIINNI
?� 7235512'I� '
—=FRtDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER �g�:�, ,
ADMINISTRATION , '
(Ref�rd No 113,464,565,566, 629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipaf system and any 6ouse or building for which the
application is made,the owner or contractor shall be required to obtain a permit for such�wnnection�and shall pay a perrri#t fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmer�t shall be notified. It shali be unlawfut to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the�ty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTETIANCE TO CONNECTION
After the initial 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 con�ection,the applicant,owner,or 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 property 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 necessary street repairs at a rete set annuaQy by an administrative poliry. It shall be the responsibility of the appiicar�t,
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 artd to maintain the water seroice curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1141j
'�
Request Number: 7611
Public Works Division
Service Request
Problem Address: 4623 2nd St Requested By: Keith Eliason
Department: WATER Address: No address provided
Problemllssue: FR07�N WATER SERVICE Phone Number: 763-571-4194 or 612-840-6846
Scheduled Date: Scheduled Time:
ACTION NEEDED-. Frozen water service. Had discolored water and then water quit running. Gav+e hir�a iist of
contractors that thaw pipes and told him Water Dept. u�rould trace line.
Created by: Wendy Hiatt Date Created: 201403-06
AC710N TAKEN:
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Status:, In Progress Resident Contacted
Date Completed: Complefed by:
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