Meter Swap �
� Request Number: 14771
Public Works Division
Service Request
Problem Address: 4808 3rd St Requested By: Assad Awaijane
Department: WA7ER Addresa: No address prcovi�d
Problem/�ssue: INSTAL,L AMR METER Phonc Nnmber: 612-859-7344
Scheduled Date: 2017-04-24 Sc�edaied'llme: 08:00:00
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AC'lIUN NEEDE�:
Created by: Beth Kondrick Date Created: 2017-04-18
ACTION TAI�N:
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Statua: Tn Progress Snbmitter Hns Beee r
Co�acted
Date Completed: Compteted by:
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City of Fridtey
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-356b
I/we hereby authorize the City of Frtdley and/or its employees to do what is neassary to
repiace the water meter. I understand that the property owner is liable for the water line from the main to the premise and all ir�tertor
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may oaur while doing this
operation. This to include,but»ot limited to valves,piping,walls,tloors or the curb stop box and servke line. In understand!am also rcquired
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � ��� (�./
Name: �� ,�]�, ', _ Address "1 vo� ��d ��
Phone Number ��� �� ' —1 Date ������� r
Signature Wkness Signature
OLD METER# �-1,����
OLD READlNG 1 �� �J � V v
NEW METER# �1_ L�N"F/�V" 1
NEW READING O
ERT# ����2-- U�J
FRIDLEY ClTY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,2156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the extsting municipal system and any house or building for whtd�the
application is made,the owner or contractor shall be required to obtain a permit for wch connection,and shall pay a permn fee as provided in
Chapter 11 of this Code. After wch connection has been made,the Water and Sewer Department shall be notified. It shall be unfawfvl to�ver
any connecting line until an inspection has been made and such connedion and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer tead at the property line ar a water service lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liabie 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 repalrs 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 rate set annually by an administrative poliry. It shall be the responsibil'�ty of the applicant,
owner,occupartt or user to perform standard maintenance of the sewer seroice line from the premises to the main induding deb►is dea�ing 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(and or property. (Ref 638,1156,1191)
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Request Number: 8444
Public Works Division
Service Request
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Problem Address: 4808 3rd St , Requested By: Mary w/Tim's QuaUty Plumbing
Department: ., WATER Address: No address provided
ProblemJissue: 7URN WATER ON/OFF Phone Number: 763-4243258
Scheduled Date: 201407-15 Scheduled Time: 01:00:00
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ACTION NEEDED: Turn off water for repair. Permit#'""""BILL*""*
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Created by: Wendy Hiatt Date Created: 2014-07-14
ACTION TAKEN:
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Status: In Progress Resident Contacted �
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Date Completed: Completed b •
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