Meter Swap � Request Number: 14563
Public Works Division
Service Request
Problem Address: 6560 Arthur St Requested By: A�rea Ward
Department: WA'IER Address: No address providcd
Problem/Issue: INSTALL AMR ME'IER Phone Number: 612-327-6626
Sckeduled Dat • 2017-04-14 Seheduled Time: 08:30:00
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ACIION NEEDED:
Crexted by: Beth Kondrick Date Created: 2017-04-06
ACTION TAI�N:
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Status: In Progress 5ubmitter H�a Been �.
Co�acted
Date Completed: Completed tiy:
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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
replace the water meter. I understand that the property owner is liable for the water line from the main to the premise and ail interior
plumbing. (Per City code 402.06) I also hold the Ctty of Fridley andrts employees harmless for any damages that may oaur while doir�this
operation. This to include,but not limited to vahres,piping,walls,floors or the wrb stop box and senrice line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) �� `� ' ��O
�g, � ��Fl� ,�y�;� v " —• �
Name• �'ll`�1 Vdl, l/�'� Address
Phone Number � ��"��i��e L —� � �
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Signature Witness Signature
OLD METER#_ t/�D ��
OLD READING ���� ��V
NEW METER# "1��� i-tJ (
NEW READING �
ERT# 1 ZZ� �Z��
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 building for which the
applicatFon is made,the awner or contractor 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 Department shall be notified. It shall be unlawful to cover
any conneding line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper a�d suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTICiN
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 has
been extended to the property line for connection,the applicant,owner,or occupant or user of such 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 the property owrner
requests maintenance service or repairs be perFormed by the City,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the appiicaM,
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 wili enwre that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
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Request Number: 10708 �� �
Public Works Division
Service Request
Problem Address: 6560 Arthur St Requested Byc Holly W/Plumb Rite
Department: WATER Address: No address provided
Problem/Issue: T[JRN WATER ON/OFF Phone Number: 763-561-3306
Scheduled Date: 2015-11-03 -1 SchedWed TSme: 09:00:00
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ACTION NEEDED:'Ilzrn off water and leave key.****BILL****
Created by: Wendy Hiatt Date Created: 2015-10-30
ACTION TAI�N:
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Status: In Progress Resident Contacted O
Dat�e Completed: Completed by:
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