Meter Swap �
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Request Number: 15134
P'ublic Works Division
Seivice Request
Problem Address: 5056 3rd St Requeated By: Josh
Department: WA1ER Address: No address provided
Problem/Issue: IN5TALLAMRME'IER PhoneNumber: 651-307-1227
Scheduled Date: 2 17-OS-26 Schedaled'Ilme: 02:00:00
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ACTION NEEDED:
Crested by: Beth Kos�drick Date Crested: 2017-05-03
AC1yON TAI�N:
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Statua: 1n Pro�rress Submitter Haa Been �,
Contxcted
Date Compteted: Compteted by:
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City of Fridley �D' /► (G
Water Department �//�� �� �
5431 University Avenue NE I� � `�
Fridley,MN 55432 ` � �' 3�
763-572-3566
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UWe .,, hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. I understand that the property owner is liable for the water line from the main to the premise and all 1Merior
plumbing. (Per City code 402.06j 1 also hold the City of Fridley 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�urb stop bax and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(otd meter) �� �� ��
Name:.a���Y\ Address �'� � �
Phone Number "� v '� � � ' V� Date �� �"f � �
�Signature Witness Signature
OLD METER# ���v�`-' "'�
OLD READING � ` � I � I �
NEW METER# �Y Y V��` � ""'
NEW READING �
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FRIDIEY CIT1!CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINiSTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or building for whlch 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 p�ovided I�
Chapter ii of this Code. After such connection has been made,the Water and Sewer Department shail be not�ed. It 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 by the City as a
proper and suitable connedion.
402.06 REPAIRS AND MAINTENANCE 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 sertik+a�ylead has
been entended to the property line for connedion,the applicant,owner,or occupant or user of such premises shall be I'�able for all rcpairs
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 mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicant,
owner,occupar�t 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
grade of the land or property. (Ref 638,1156,3191)
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Request Number: 11919
Public Works Division
Service Request
Problem Address: 5056 3rd St Requested By: Joshua Druley
Department: WA1ER Address: No address provided
Problem/Issue: WATER SERVICE LEAK Phone Number: 651-307-1227
Scheduled Date: Scheduled'Iime:
ACITON NEEDED:Check humming noise in pipe where water service comes into the house.
Created by: Wendy Hiatt Date Created: 2016-08-25
ACTION TAI�N:
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Status: In Progress Submitter Has Been �
Contacted
Date Completed: Comple by:
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