Meter Swap � Request Number: 14989
�
Public Works Division
Service Request
Problem Address: 6548 Clover Pl Requested By: Greg Leaon
Department: WATER Address: No address provided
ProMem/Issue: INSTALL AMR METER Plrone Number: 763-571-4728
Scheduled Date: 2017-OS-02 Schednled 11me: 08:30:00
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ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-04-27
AGTION TAI�N:
.._.._......�. ����`'1 w _l......_._. ���
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Status: In Progress Snbmitter H�s Been �
Co�acted
Date Completed: Completed by:
Honrs �
/or
S- 2- 1 `� c�
. - �- u�-� �j -��o- r� 3
City of Fridley �� f
Water Department � S�'�- � � �`Q
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
�/We hereby authorize the City af Fridley and/or its employees to do what is necessary to
repiace the wate�meter. 1 understand that the property owner is liabfe for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may ocwr wfiile doing this
operation. This to inciude,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meterj_ �c/� I ��V
Name• �� Address �, ) ` � �""-''" ` '
Phone Number � ����L�l�te �� �' ��
Signature Witness Signature
OLD METER# I �/� .0 � �rJ �
OLD READI�VG ��I I Q�l O
NEW METER# '-1 d�� �� � ��
NEW READING Q
ERT# � ' � � �`-� �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,63$,662,922,988,1144, 1156,1191)
402,5 PERMIT FEE
Prior to constructing or repair of any water of sewer line wnnecting ihe enisting municipal system and any house or buiidPng for which the
application is made,the owner or contrador shall be required to obtain a permit for such wnnection,and shall pay a permit fee as provided in
Chapter li of this Code. After such connectton has been made,the Water and Sewer Department shall be not�ed. It shafl be uniawfui to cover
any conpecting line urrtil an inspection has 6een made and such connection and the work incident thereto has been approved by the Cky as a
proper and suitable co�nection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTiON
After the initial connection has been made to the water service curb stop box or the sewer fead at the property line or a water service lead has
been extended to the property tine 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 iines necessary for connection of the premises from the main to the premises, ff the property owner
requests maintenance service or repairs be performed by the Ctty,the property owner shall be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative po{iry. It shali be the responsibiiity of the appiicar�t,
owner,occupant or user to perform standard maintenance of tfie sewer service line trom 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 will ensure that it remains above the�nished
grade of the land or property. (Ref 638,1156,1191)
Ftequest for �erv� R�Rort
C�ty vf Fridl�/
Re#erence No: �2-12-4700 Da#e: 5I7l2U12
F�equest T�: TV aewer se�vi�ce fi� Errtered By: Vltendy�att
D�artment: Se�ver Crtiaen td�rne: �neag Lec�n
Ad�: 65+iS CE�IifEF�PL ME Ca�ack�hone: �Y2-�4T9-�22d
Sc�edd�d Ilate_ Pe�rty(3wner:
i�eartian'Deta�s: F�equest Uetaifs= TV sewer senrice
A�,#ion Taken:
Pipe is govd a�the way�v rnain. £�nl�x�ne raat cluster�3d". �is at 45'and is ele�. WVy�e at�'i�dear. kiamec»�uner has�red dear�d nearh�
�v�yr year.
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Respons�ale Person:
ft�spr�+�ef_ �reg Kr.�itsa�c ---__ .______e_ _ —__�
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Cnmpl�'Dat+e: 4t'27,�'2�12�:59 PM 0 Catizen IdotiFierJ
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