Meter Swap Request Number: 14479
Pubtic Works Division
Service Request
Problem Address: 6537 Central Ave Requested By: Tina
Department: WA1ER Address: No ac�ress provi�d
Problem/Iss�: INSTALL AMR METER Phone Nnmber: 763-234-5661
Sche uled Date: 2017-04-OS Scheduled Time: 10:30:00
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ACTTON NEEDED:
Crented by: Wet�dy Hiatt Date Created: 2017-04-03
AC'ITON TAKEN:
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Status: In Progress Submittcr Haa Been �..
Contacted
Date Compteted: ���_.�� Completed by: ���
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� City of Fridley
Water Department � �� �.�� I�r ��
6431 University Avenue NE
Fridiey,MN 55432 S a � 3 ��3
763-572-3566
1(we hereby authorize the City of Fridiey and/or its employees to do what is necessary to
replace the water meter. 1 understand tfiat the property owner is liable for the water line from the main to the premise and all IMerior
plumbing. (Per City code 402.06) 1 aiso hoid the City of Fridley and/its employees harmless for any damages that may occur while doi�this
operation. 'This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In undersWnd 1 am alsa required
to obtain a permit prior to any work,if necessary.
FINAL METER READlNG(old meter) D Y� C.� t �
Name: �`1 `''� Address_ ���� V"r� � 1 �^�l �e.
Phone Number �CU� _ ��� �� Date �_ � � I��
--.
Signature Witness Signature
OLD METER# � �v/� 1�� ��_
OI.D READING �! � l � �O
NEW METER# t 1�� �((� 1
NEW READING v
ERT# �Z �� � aC/ �
FRfDLEY C{TY 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 rnnstructing or repair of any water of sewer line connecting the existing municipai system and any house or building for which the
application is made,the owner or�ntractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided3n
Chapter il of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. It shall be unlawful to obver
arry wnnecting tine until an inspedion has been made and such connedion and the work incident thereto has been approved by the City as a
proper and suitable connedion.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service wrb stop box or the sewer lead at the property line or a water senrice lead has
been extended to the property line for connection,the appiicaM,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 owner
requests maintenance service or repairs be performed by the City,tbe property owner shall be charged for the costs of the maitrtenanae and/or
repairs,inciuding necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicarrt,
owner,occupant or user to perform standard maintenance of the sewer secvice line fram the premises to the main incfuding debris dearing or
root cutting and to maintain the water service curb stop box for operabifity 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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City of Fridley
Water DeUartment
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Address -�i
Name ����i'� e�1Cl/��c�-n
Date �/�/��
Old Meter Number y ���
Old Meter Reading J� / , ��
Replacement No. �y�C� �
Replacement Reading �
Replacement Make��Gr��'�
Remarks• jf�G� /�'�
Signed �
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Request Number: 7641
Public Works Division
Service Request
Problem A�ddcess: 6537 Central Ave Requested By: Tina Eckman
Department: WA7ER Address: No address provided
Problem/Issue: TURN WAlER ON/OFF Phone Number: 763-234-5661
Scheduled D 2014- 11 � Scheduled Time: 01:00:00
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ACTION NEEDED: Turn on water and reinstall meter. """*BILL*"""`
� Created by: Wendy Hiatt Date Created: 2014-03-11
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: � � Completed by: � ��_,. �
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