Meter Swap . �
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Request Number: 16404
Public Works Division
Service Request
Problem Address: 6579 Clov�er Pl Requested By: Brady
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 651-263-2929
ScheduledDate: 2017-0 -20 Scheduled'Rme: 11:30:00
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ACTTON NEEDED: ���`a'
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Created b .-' Beth Kondrick Date Created: 2017-07-19
ACTION TAI�N: �
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StAtus: In Progress Submittec Has Been r
Contacted
Date Completed: � ,,,a�`, �� Completed by: t ��
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ill/ater�epaa^�anen# ,��` ��
6431 ilniversityAvenue NE ��
Fridley,MP! 55432 �� �� '
763-572-3566
�1'"�� hereby authorize the City of fridley and/or its employees to do what is necessary to
repiace the water meter. l understand that the g�roperty owner is liable for the water line from the main to the premise and ali irtterior
plumbing. (Per sity code 402.£16) 4 also hold the City of Fridley endJits employees harmless for arry damages that may oaur while doing this
operation. 7'his to include,bat not limited to vabes,pipin&walls,floors ar the curb stop box and service line. In understand i am also require
to abtain a perrssit prior to any work,if necessary.
FlNAL METER READI111G(oid meter) � �� � � �O
Name: �0��'( Address �+� � 1 �(v�/L.'✓� r !.
Pfione Alumber ��' 3�0���` pa� � "' IG.�/ " ��
�� i�nature W'rtrtess Signature ��
OLD METER# ��a ��� --� � � �, �.,-� --� 3� �����
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OLD READlNG `-� ��� �S O J.u.�t- �v ^.•ua,� - d`
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NEW METER# _ '
PIEW READING v
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FRIDLEY CITY CODE
CHAi�TER 4,02.WATER,STORM WATER AND SANlTARY SEWER
ADMINISTRAT{ON
(ttef Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERAAIT FEE
� Prior to co�structing ar repair of arry water aF sewer line connecting the euisting manicapat system and arry house ar iwiiding for which the
appiication is made,the owner or coritractor shait be required to obtain a permit for such connection,and shal(pay a permit fee as provided in
Chapter 11 of this Code. After such connection has beert made,the Water and Sewer Departmerrt sfiafl be notified. It shall be uniaeafui to cover
any connecting line until an inspection has been made and such connection and the work inciderrt thereto has been approved by the City as a
proper and suitabie connecCion.
402.06 REPAtRS APtD MAtNTEPIANCE TO CONNECTiORf
After the inifiiai connectian has been made to the water servite curb stop box or the sewer lead at the property line or a water serviee�ead has
been extended to the property 4ine far connection,the applicarrt,owner,or occuparrt or user o�F such premises shall i�liable for all repairs
sequired to any water fine and sewer lines necessary#or connection af the premises from the main to the prernises. lf the property awner
requests mairrtenance service or repairs be perFormed by the Crty,fihe property owner shall be charged for the costs of tEie mair�tenance and/or
repairs,inciuding necessary street repairs at a rate set annuaHy by an administrative pa[iry. lt shall be the responsibility of#he appficant,
owner,occupant or user to perform standard maintenance af the sewer servioe li�e from the prem'sses to tfie main including debris clearing or
root cutting and to mairrtain the uvater service curb stop 6ox for operability and at such heigfit as wifl ensure that it remains above the finished
grade of fihe land or property. (Ref 638,1156,1191)
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���1 U� �'Z Request Number: 6930
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�' C � Public Works Division
Service Request
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Problem Address: 6579 Clover P1 Requested By: Mr Barron
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 651-263-2929
Scheduled Date: 2013-09-09 Scheduled Time: 02:00:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-09-09
ACTION TAI�N:
Old meter#14188852 Old reading: 937080 New meter#44922463 ERT#35159786
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Submitter Has Bee �����
Status: Completed Contacted � ��/�� �
Date Completed: 2013-09-09 Completed by: ��,� �
Hours p� ��
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Request Number: 6930
Public Works Division
Service Request
Problem Address: 6579 Clov�er PI Requested By: Mr Barron
Department: WATER Address: No address provided
Problemllssue: INSTALL METER(WATER) Phone Number: 651-263-2929
Scheduled Date: 2013-09-09 Scheduled Time: 02:00:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-09-09
ACTION TAKEN:
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Status: In Progress Resident 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 City of Fridiey 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 a11 interior plumbing. (Per City code
402.06) i also hold the City of Fridley andJits employees harmfess for any damages that may occur
while doing this operation. This to include,but not fimited to;vaives,piping,walis,floors or the cur6
stop box and service line. I understand I am also required to obtain a permit prior ta any work,if
necessary.
Final meter reading(old meter) � `�J� a���
Name•
Address: � �i / � ��.`"�� P�"_
Phone Number Date: �� ��
Signature:
Witness Signature:-
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINI57RA,T10N
(Ref Ord No 113,464,565,566,629,638,662,922,988, 1144, 1156,1191) _
402.05. PERMIT FEE
Prior to const�ucting or repair of any water or sewer line connecting the existing municipal system and any house
or building for which the application is made,the owner 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 ilUater and Sewer Department shali be notified. It shall be unlawfuf Co cover any connecting line until an
inspection has been made and such cannection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.a6.REPAIRS AND MAINTENANCE 1"O CONNECTfON
After the initlal connection has been made to the water service curb stop bax or the sewer lead at the property
line or a water service or sewer iead has been extended to the property line for connection,the applicant,owner,
or the occupant or user of such premises sha11 be liab{e for at!fepairs required to any water line and sewer li�es
necessary for connection of the premises from tihe main to the premises. if the property owner requests
maintenance service ar repairs be performed by the City,the property owner shall be charged for the costs of the
maintenance and/ar cepairs, including any necessary street repairs,at a rate set annually by an administrative
policy. It shall be the responsihiliry of the applicant,owner,occupant or user to perform standard maintenance af
• the sewec service line from the premises to Che main including debris clearing or root tutting and to maintain the
water service curb stop box for operability and at such height as will ensure that it remains above the flnished
grade of the land or property. (Ref 638,1156,1191}