Meter Swap � .*.
Request Number: 14690
Public works Division
Service Request
Problem Address: 16 67th Way Requested By: Dan Korman
Department: WA'IER Adtiress: No address p�ovided
Probiem/Issue: IN5TALL AMR METER Phone Number: 612-432-4423
Scheduled Date: 2017-04-19 Schednled'ISme: 09:00:00
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ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-04-14
ACTION TAi�N:�� � �
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Status: In Progress Submitter Has Been �,
Contacted
Date Completed: Completed by:
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City of Fridley ������
Water Departrnent
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
i/we hereby authorize the C'rty of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and alt ir�terior
plumbing. (Per Clty code 402.06) !also hold the City of Fridley and/'�ts employees harmless for ar�y damages that may occur while doing thts
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,ff necessary.
FINAL METER READING old meter � �� � � ��
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Name• �/(/�;11 ���C(J� Address �� �� � V V
5� `�y - 4 3 ZJ �-1 23�ate �E� 1�—'�
Phone Number�
Signature Witness Signature
OLD METER# � l J� ,��I
OLD READING �I �`� � `"t O
EW METER# � ����
NEW REA
ERT � tJ I��
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANtTARY SEWER
ADMINISTRATIOW
(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 any water of sewer line connecting the existing municipal system and arry house or buiidir�for which the
application is made,the owner or corrtractor shall be required to obtain a permit for wch connection,and shall pay a permR 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 properly line or 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 liable for ail repairs
required to any water line and sewer lines necessary for connection of the premises from the maln to the premises. tF 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 applicarrt,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris ciearing or
root cuteing and to maintain the water service curb stop box for operability and at such height as wiil enwre that it remains above the finished
�rade of the land or property. (Ref 638,1156,1191)
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Request Number: 8919
Public Works Division
Service Request
Problem Address: 1 b 67th Way Requested By: DanieT Korman
Department: WATER Address: No address provided
Problem/Issue: TURN WATER ON/OFF Phone Number: 612-432-4423
Scheduled Date: 2014-09-15 Scheduled Time: 01:00:00
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ACTIONNEEDED:Turnoffwater.Leave key.Permit inprocess.***BILL****
Created by: Wendy Hiatt Date Created: 2014-09-15
ACTION TAI�N:
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Status: TnProgress Resident Contacted L �
Date Completed: Completed by:
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