Meter Swap �
!� Request Number: 14949
Public works Division
Service Request
Problem Address: 4537 3rd St Requested By: Christine Okerstrom
Department: WA'IER Address: No address provic�d
Problew/Issue: INSTALL AMR ME'IER Phone Number: 572-1527
Scheduled Date• 2017-OS-OS 5cheduied ZIme: 10:Q0:0(T
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2Q17-04-25
ACIION TAI�N:
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Stxtus: �p��ss Submitter H�Been r
Contacted
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Date Completed: Completed by:
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� City of Fridley �� �� ('�
Water Department �a
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the�ty of Fridiey and/or its employees to do what is neassary to
replace the water meter. 1 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 and/its employees harmless for any damages that may o�r while doing thls
operation. This to include,but not limfted to valves,piping,walls,floors or the wrb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter)___� � �I ��
Name:��11 � O�-��K�Cl�Address `C� J� �� ��
Phone Number � v V��� Date ��� `�
Signature Witr�ess Signature
OLD METER# ��L� ���V�
OLD READING � ��I � ��� �
NEW METER# '�4�o� �"f�
NEW READING �
ERT# �i� I `'"t I
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of arty water of sewer line connecting the existing municipaf system and any house or building for which the
application is made,the owner or coMractor shali 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. 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 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 lead at the property line or a water aenrice lead has
been extended to the property line for connection,the applicarrt,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 repairs be perFormed by the City,the property owner shall be charged for the costs of the mair�tenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicarit,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main inctuding 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 638,1156,1191)
Request Number: 7580
Public Works Division
Service Request
Problem Address: 4537 3rd St Requested By: Christina
Department: WATER Address: No address provided
Problemllssue: FROZFN WATER SERVICE Phone Number: 763-572-1527
Scheduled Date: 201403-02 Schedufed Time:
ACTION NEEDED: Black particles in water/sbwwater flow
Created by: Wendy Hiatt Date Created: 2014-03-03
ACTION TAKEN:
Homeowner(Chris6na)called saying she had black particles and low flow Told her to run water.That should clear up black
particles and that the line may be freezing up and she should keep running the water.Told her to call back if she has any
problems.
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Status: Completed Resident Contacted ❑
Date Completed: 2014-03-02 Completed by: Dick Jones
Hours