Meter Swap �
t Request Number: 14673
Public Works Division
Service Request
Problem Address: 5201 Horiwn Dr Requested By: Lorraine
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-5'71-4310
SchedWed Date: 2017-04-19 Scheduled 13me: 10:00:00
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ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-04-13
ACTION TAI�N:
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Status: In Progress 5ubmitter Has Been C
Contacted
Date Completed: Completed by:
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' City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�/We hereby authorize the Clty of Fridley and/or its employees to do what is necessary to
replace the water meter. I understand that the property owner�liable for the water line from the main to the premise and all iMerior
piumbing. (Per City code 402.06) I also hold the City of Fridley and/Fts employees harmless for arry damages that may oowr while dang 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 READIN6(old meter)
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Name• W��. � Address �� �1�1�. dJY
Phone Number ��✓ �.J�1� � �,)�� Date ��� L L� \�
Signature Witness Signature —�
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OLD METER# � �b �'1 � ���_
OLD READING �Z� !� � �Q
NEW METER# "l�� � � � I
NEW READING � 1
ERT# � 222'' � � � J
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 municipal system and any house or buiidi�fw whkh the
application is made,the owner or corrtrador shall 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 Departmer�t shali be notified. k shall be unlawful to�ner
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 witable 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 service lead f�as
been extended to the property line for connection,the applicant,owner,or ocwpant or user of such premises shall be liabk for ail repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the property oarner
requests maiMenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance and/�
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the appli�rrt,
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 mairitain the water service curb stop box for operability and at such height as wiil ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
Request Number: 8740
Public Works Division
Service Request
Problem Address: 5201 Horizon Dr Requested By: Mike/Plumbing Services Inc
Department: WATER Address: No address provided
Problem/Issue: STANDPIPE Phone Number: 651-366-7621
Scheduled Date: Scheduled'ISme: �
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ACTION NEEDED:Mazk standpipe w/paint&flag.Needs tlus done by Monday morning on 8/11/14
Created by: Wendy Hiatt Date Created: 2014-08-08
ACTION TAI�N:
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Status: In Progress Resident Contacted �
Date Completed: Completed by:
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Request Number: 8759
Public Works Division
Service Request
Problem A,ddress: 5201 Horizon Dr Requested By: Mike w/Plumbing Services inc.
Department: WATER Address: No address provided
ProblemlIssue: 1TJRN WATER ON/OFF Phone Number: 651-366-7621
SchedWed Date: 2014-08-12 � 5cheduled Time: 04:00:00
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ACTION NEEDED:Shut off water for repair.Leave key.Permit#2014-01521 ****BILL****
Created by: Wendy Hiatt Date Created: 2014-08-11
ACTION TAI�N:
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Status: In Progress Resident Contacted �
Date Completed: Completed by:
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