Meter Swap Request Number: 14634
Public Works Division
Service Request
Problem Address: 5012 Clearview St Requested By: John Collins
Departmentr WATER A,ddress: No address provided
Problem/Issue: INSTALL AMR METER P6one Number: 763-350-183'7
SchedW ed Date: 2017-04-18 Scheduled TSme: 10:00:00
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ACTION NEEDED:
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��Created by: Beth Kondrick Date Created: 2017-04-12 �
� ACTION TAi�N:
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St�tus: In Progress Submitter Has Been G
Contacted
Date Completed: �v��,�f�7 Completed by:
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City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
1/we hereby authorize the City of Fridley and/or its employees to do what is necessary to
repiace the water meter. 1 understand that the property owner is liable for the water Ilr�e from the maln to the premise and all ir�terior
plumbing. (Per City wde 402,06) I aiso hold the City of Fridiey and/its employees harmless for arty damages that may ocwr while doing this
operation. This to include,but not limited to valves,piping,walls,floors or t6e curb stop box and service iine. In undentand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER REAOING(old meter) � ` Y "' �� �
Name: �O V1,V�. t�(J 116�.5 Address �� `p(, �.Ip ar V'�'12� �t`
Phone Number ` �� -��U � �V� / Date b � `�� �� `
Signature witness signature �
OLD METER# t"/�`7���
OLD READtNG � r�NJ� �v
NEW ME7ER# � `��C/��
NEW READING Q
ERT# / ot, � I��� �
FRiDtEY CtTY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1i91)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any haise or buildi�for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shalt 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 untll 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 CONNECTfOiY
After the initial connection has been made to the water service curb stop box or the sewer tead at the property line or a water servtoe lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shali 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. ff the property owner
requests mairrtenance service or repairs be performed by the City,the property owner shall be charged for the wsts of the maiMenance and/or
repairs,inctuding necessary street repairs at a rate set annually by an administrative policy. It shal!be the responsibility of the applicaM,
owner,occupant or user to perform standard maintenance of the sewer senrice iine from the premises to the maio includirtg debris dearing or
root cutting and to maintain the water service curb stop box for operabil"�ty and at such height as will ensure that it remains above the firtished
grade of the land or property. (Ref 638,3156,1191)
Request for S�ervfce Report
Cify of Fndley
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Request Tppe: Se�rex back-up�et�ck Gt�►r�ain Errt+�d By: Wendy}��i
De.p�rtmu�nt: 5ewer t�iz�Narne: ,�oim
Acic��ess= �12 CLEAR1t1EW�T ME aek Phc�ne: 763-�-1837
Sc�edule+d D�e= Property()wner:
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but said he crxiid tell it wasnt in his
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