Meter Swap ,
. Request Number: 13588
Public works Division
Service Request
Problem Addresa: 5812 Matterhorn Dr Requested By: Mohammed
Dep�rt�nent: WA1ER ��.e8s: 5812 Matterhorn Dr
Fridlcy,MN 55432
Problem/Tssue: INSTALL AMR ME1ER Phone Number: 763-502-8586
Scheduled Date: 2017-02-22 � Schednted 1lme: 07:30:00 �
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AC1Z�N NLEDED:
Create�by: Beth Kon�ick Date Created; 2017-02-21
ACl'ION TAKLN:
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StAtus: In Progress ���er Aas Been r,
Contxcted
Date Completed: Completed by:
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5431�iniv�g-sit�p Avea�a�e 6�l� � �p ���
Froelle�,611lN1 5�432 �i-,
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hereby authorize the City�f Fa�idley and/or its emp1oyees to slo what is aer,essary t
' replace#he water meter. 1 vnderstand that the property owner 3s liabie for the watee line from the main to the premise and all irnerior
pturrebing. {Per Crty sode qp2,06� i alsu hold the�'�ty af�ridley and/'res empioyees harrnless for erry siamages thaC may occur rrhile doing thi
operaYion. This to include,but not 9imi#ed to vaives,piping,wal(s,floors�r rhe curb stop box artd service line. In a�nderstand 1 am also requ
to obtaira a permrt�erior to any wor�Cc,if necessary.
FlMAL METER READINCz(ukt meter) � �� � O
Name: � �Q� Addre� ���
Phone Number��J� '��—`t-j�/ )��__�% Vlj � �
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Signature YYiiness Signattsre
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OLD READt�lIG � �S � ��
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NEW READtPlG �
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FRIDLEY CITY CODE
CHAP�'ER 402.WATER,STORM WATEI�AND SANiTARY SEWER
ADMI9YISTRATIOlN
tRef Ord No 113,464,565,,66,529,638,662,922,988,i144,1156,1191)
402.5 PERMIT FEE
Prior to constructiog ar repair of any water of sewer iine connecting the exisfing muniapat system and arry hause or buitdir�for which the
app(icat�on is made,the owner or contractor sha1F be required to obtain a permifi for such connection,and slaaH pay a permii fee as provided ii
Chapter 11 of this Code. After such connection has been rnade,the Water and Sewer Departmerrt shaQ be notified. tt shail be unlawfut to cov
any connecting tine until an inspection has been made and such connection and the woric inaderrt therefio has been appro�d by the City as a
proper and suitable connectiora.
402.06 REPAIRS AlIfD MA1N7'EtyqyCE TO COPtioIECT10N
After the inifiial connectioa has bsen made to the water senrice curb stop box or fihe sewer lead at the property line or a water senrice lead has
been extended to fihe property fine for connectian,the appiicarrt,owner,or occuparrt or user of such premises shalf be iiabie for ali repairs
required to arty water line and sev�rer lines necessary#or connection of the premFses from the main to the premises. ff the property owner
requesks maintenance seroice o�repairs be performed by the City,the property owner shafi be charged for the�af Lhe mairttenance andju
repairs,including necessary street�epairs at a rate set annualfy by an administra#ive poliry. It shatl be the sesponsibil'rty of the applicarrt,
owner,occupant ar user to perform standard mairrtenance af#he sewer service line from the premises to the main anctuding debris clearing or
root cuiting and to maintain the water service curb stop box for operability and at such height as wili ensure that tt remains a6ove the i�nisF�ed
grade of the land or property. (Ref 638,1156,1191)
Request Number: 10327
Public Works Division
Service Request
Problem Address: 5812 Matterhom Dr Requested By:
Department: WATER Address: No address provided
Problem/Issue: STANDPIPE Phone Nwnber:
Scheduled Date: Scheduled Time:
ACTION NEEDED:Lower Standpipe
Created by: Wendy Hiatt Date Created: 2015-07-17
ACTION TAI�N:
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Status: In Progress Resident Contacted p
Date Completed: Completed by: �
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