Meter Swap � Request Number: 13410
Public Works Division
Service Request
Problem Address: 5500 Matterhorn Dr Requested By: Kathryn
Department: WATER Address: No address provided
Problem/Issne: INSTALL AMR METER Phone Number: ?63-368-2972
Schedul Date: -02-17 �� Schedeicd 1ime: 0730:00
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ACTION NEEDED:
Created by: Wen�y Hiatt Date Created: 2017-02-10
AC'IION TAKEN:
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5tat�: In Progcess Sabmitter Hu Been �
Cout=cted
' Da�e Completed: Completed by: :
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5431,l9niv�rsity�A�renwe B�I� �
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,Ab"� her�by euthorize the C'rty af Fridley andjor its empioyees to ato what is necessary to
� replace the water meter. 1 understand that the property owner 9s diable for the+erater line from the main to the premise and all irnerior
plursebing. (Per City code 402.06) i a(sa hold the C'rty of Fridley and/'rfis em�xioyees harmless#or any damages tfiat may occur while doing tRis
o�Oeratfon. This to 9nciude,but not Bimi#ed to valves,piping,wafis,floors or the cuch stop box and service line. 4n understand 1 am also requir
to obtaia a permit prior to any worlc,if necessary.
F{4rttAL ME'f'ER DING(old me#erj � � � �
lrlame: V/`� � Address ��� ` `Q' � r'
Phone Number_!� ✓'� ��`�'i��V�� �'" L l `' l�
Date
Signature Wttness Signature ��--�
oio nnEr�R#��� �5 � �V�
OLD READtfYG_O� �� J�VIJ
NEW MEi'ER#_� ".J 1'V � ?p��
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FRIDLEY C17Y CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMIW{STRATION
(Ref Ord Na 113,464,565,566,624,638,662,922,488,i144,I156,ii91j
4025 PERAlt17'FEE
Prior to constructing or repair of arry water of seraer iine connecting ifie existing municipai system and arry house or building fvr which the
application is made,the owner or corrtractor shall be required to obtain a permit for such connection,and shali pay a permit fee as provic{�{��•
Chapter 11 of#his Code, After such connection has been made,ttte lAlater and Sewer Departmerrt shali be no�tifiad. ft shalt be untawful to cove
any connecting(ine until an inspectio�has been made and such connect3on and the work inciderrt thereto fias been approved by the C�ty as a
proper and suatabte connection.
�402•06 REPAUR5 AAID lIHAINTENANCE Ta COMNECi'1011i
After the initiaf connection has been made to the water sesvice curb stop box or the searer lead at the property iine or a water servke lead has
been extended to fif�e properhj)ine for connection,the appiicarrt,owner,or occuparrt or user of such premises shal!be tiable for a!i repairs
required to arry ara#er line and sewer lines oecessary#or connection of the premises from the maio Co the premises. tf th¢�rry o�wner
requesCs maintenance senrice or repa3rs be perFormed by the C'ity,the property awner sha}i be char�ed for the cos�ts of the mai�tenance and/or
repairs,induding necessary street repa;rs at a rate set annuaily t�y an administrative poliry. R shail be the responsibitity ot'the applicant,
owner,occuparrt or user to perform standarci mairrtenance aF the sewer service line from tfie premises to the main including debris dea�ing or
root cutting and to mair�tain the water service curfo stop box for operability and at sucfi height as wifi ensure Chat it remains above the fiaished
grade af the tand or property. (Ref 638,1156,1191)
Request Number: 6186
Public Works Division
Service Request
Problem Address: 5500 Matterhorn Dr Requested By: Terrance&Kathy Knopik
Department: WATER Address: No address provided
Problemllssue: TURN WATER OWOFF(WATER) Phone Number: 612-6246598
Scheduled Date: 2013-05-23 Scheduled Time: 02:00:00
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ACTION NEEDED: Turn off water for repair Permit#"'""*BILL"`*""
Created by: Wendy Hiatt Date Created: 2013-05-23
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by: G���
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