Meter Swap � ' Request Number: 14425
Public works Division
Service Request
Problem Address: 1616 Berne Q� Requested By: John Steichen
Department: WATF.R Address: No address provided
Problem/Iasue: INSTALL AMR ME'IER Phone Number: 763-571-5844
Scheduled Date: 2017-04-07 ScLedaled'llme: 01:00:00
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ACITON NEEDED:
Created by: Beth Kondrick Date Crented: 201?-03-30 ,
ACTION TAI�N:
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Status: In ProgFess Submitter Has Been r
Co�acted
Date Completed: �_�_I`� 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 City of Fridley and/or Pts employees to do what�S necessary to
replace the water meter. 1 understand that the property owner is{iable for the water line from the main to the premise and ali inte�ior
plumbing. (Per City code 402.06) I alw hold the City of Fridley and/its employees harmleu for any damages that may occur while doir�g this
operation. This to include,but not fimited to vaives,piping,walis,floors or the wrb stop box and service line. In understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(ald meter) ��a C �'�a
Name: c��i W` � '`��� ' "W t Address ��`� ��. 1�1)��l.
Phone Number ���r ��I ��� 1 Date � r I v � L
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Signature Witness Signature
OLD METER# �c�a r�� 3�3
OLD READING � I /�
NEW METER# t ��O � �D�
NEW READING �
ERT# �������
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
?rior to constructing or repair of any water of sewer line wnnecting the existing municipal system and any house or buitding for which the
application is made,the owner or contractor shall be requlred to obtatn a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After wch connection has been made,the Water and Sewer Departmerrt shaN be notified. R shall be unlawful to cover
any connecting line until an inspedion has been made and such connection and the work incident thereto has been approved by the City as a
proper a�d suitable coonection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the inittal connection has been made to the water senrice curb stop box or the sewer lead at the property line or a water se�kad h�
been extended to the property line for connection,the applicant,owner,or occuparrt or user of such premises shall be liable for all repairs
required to any water line and sewer lines necessary for connection of tfie premises from the main to the premises. ff the property owner
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,inc�uding necessary street repairs at a rate set annually by an administrative poliry. It shafl be the responsibility of the applicarit,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiil ensure that it remains above the ftnished
grade of the land or property. (Ref 638,1156,3191)
Request Number: 9564
Public Works Division
Service Request
Problem Address: 1616 Berne Circle Requested By: John Steiclien
Department: WATER Address: No address provided
Problem/Issue: LOW WA'TER PRESSURE Phone Number: 571-5844
Scheduled Date: 2014-12-02 Scheduled TSme: 10:00:00
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ACTION NEEDED:Lowwater pressure.
Created by: Wendy Hiatt Date Created: 2014-12-01
ACTiON TAI�N:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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