Meter Swap s
'� Request Number: 14896
Public works nivision
Service Request
Problem Address: 5301 Horizon Dr Requested By: Mr Davis
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER P6one Number: 612-226-5636
SchedW ed Date: 2017-OS-01 Scheduled'Ilme: 02:00:00
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ACTION NEEDED:
_ Greated by: Wendy Hiatt Date Created: 2017-04-24
AC'IION TAKEN:
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Status: In Progress 5ubmitter HAs Been r.
Contacted
Date Completed: L _ ' _ �� Completed by: C
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City of Fridley S� � � � �a
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
I/we hereby authorize the C'ity of Fridiey and/or its employees to do what is neae�ary to
replace the water meter. 1 understand that the property owner is liable for the Nrater line from the main to the premise and all Interior
piumbing. (Per City code 402.06j i also hold the C'ity of Fridley and/its employees harmtess for arry damages that may oaur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. in understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) v , �� � J l/
Name• 1"�� t �G�1�U �7 Address J�� � ���'��1. 1✓�
Phone Number �C/i�" �` ��1F� Date J'� � v V (
Signature Witness Signature �
OLD METER# �✓ �� cJl/
p� d � � ��� — � 5 h.0�/� � �� � �'C.Tt� ��W
OLD REA NG � '� S�C
Carn �Gt�'e ol ,
NEW METER# _ `� ��� �S� ��lS
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NEW READING v � 3�Uv � .Q�o etC, T��
ERT# ! � `� � 3 �l� ��(�..Gn��v►�o�E'/�se.��.7G
Cn�t� d
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 any water of sewer line connecting the existing muntcipal system and ar�y house or building for which the
application is made,the owner or contractor shail be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter il of this Code. After such connection has been made,the Water and Sewer Department shail be notified. It shall be unlawfui 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 REPAIR5 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 e water service lead has
been extended to the property line for connection,the applicaM,owner,or occupaM or user of wch premises shall 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. If t�e 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,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris dearing 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)
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Request Number: 7521
Public Works Division
Service Request
Problem Address: 5301 Horizon Dr Requested By:
Department: WATER Address: No address provided
Problemlissues WATER MAIN BREAK(WATER) Phone Number.
Scheduled Date: 2014-02-17 Scheduled Time: '
ACTION NEEDED: Water main break
Created by: Wendy Hiatt Date Created: 2014-02-18
ACTION TAKEN:
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Status: In Progress Resident Contacted 0
Date Completed: Completed by:
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