Meter Swap � Request Number: 13506
Public Works Division
Service Request
Problem Address: 5590 Matterhom Dr Requested By: Timothy Ber�dt
Deps�rtri�ent: WA1ER Address: 5590 MatterMm Dr
Fridley,MN 55432
Problemllssue: INSTAL.L AMR METER Phone Number: 763-226-1560
Scbeduled Date: 2017-03-Oi � Sc6ednled 11me: 02:00:00
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AC'IiON NEEDED:
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Created by: Beth Kondtick Date Created: 2017-02-i 5
ACIION TAi�N:
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Stxtus: 1n Pr�gress Snbmitter Has Been �..
Contacted
Date Completed: �3— �-� � � Completed by: \ ��c.�
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5431 lDnivQs�sit�A�re�iue N�
Friciley, MN 55432
753-572-3556 r � � � � � � �O '�
. �/�re �� I� '
hereby authorize Yhe C�ty vf Fridley and/or its ernpioyees to s10 what Bs necessary to
• replace#he water meter. 1 understand ti»at the properky owner is liable for the water line from 4he main to the premise and all irrterior
plumbing. (Per C"rty cpde 402.06j i also hold the City of Fridley and/its empioyees hamless#or any damages that may occur white doing this
operation. This�o include,bufi not limi#ed io valves,piping,wails,floors or the curb stop box and senrice 1ine. In understar?d!am also requir
to obtain a permrt prior Lo any wor�c,�f necessary.
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FttVAL METER READIpIG(ok[meterj �
tuame: ���OT��/ �✓�I��5� Address J� -L a � ►"ui�.►1C�v'/�- �!�'-
Phone Number `��^ p`��" �,�(1L� Date � v t � � �
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Signature YYZtness Signature
OLD MET�R#_�3 � ��Q� ��
OLD READtiUG V�O�u'�� �
NEW METER#_. l �� ��� S�
NEW READtiVG �
ERT#__ � I � ( �� / w
FRIDLEY CiTif CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMlNISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,114�,11.56,1191}
402.5 PERAAIi'FEE
Prior fio tonstructing or repair of any water of sewer line connecting the eicisting muniapa(system and arry house or t�uilding for wF�ich the
epplication is made,the owner or corrb�actor shaii be required to obtain a permit for such connection,and shail pay a permit fee as provided in�
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. it shall be uniawful to cove
any con�ecting line urrtSl an inspection has been made and such connection and the worAc incideM thereto has been approved by the City as a
proper and suitabte conn,ection.
402.06 REPAiRS AND MAINTEtYANCE TQ COMNECi'ION
After the initiel connection has been made to the water service curb stop box or the sewer fead at ths property iine�a water servia tead t�
been extended to fihe property line for connection,the applicarn,owner,or accuparrt or user of such premises s(�al1 be liabte for aii repairs
required to arry wa#er tine and sewer lines necessary for connettion of the premises from the main to the premises. If i�te propesty owner
reques#s mairrtenance senrice or repairs be perFormed by the City,#he property oxrner shail be charged for fihe co�sts of the mairrterianve and/or
repairs,including necessary street repairs at a rate set annual(y by an administra#ive poiicy. it shali be the responsibility oF the applicarrC,
owner,occupan#or user to perform standard mairrtenance of#he sewer seroice line from the premises to the main i�iuding debris dearitig or
root tatting and to maintain the water service wrb stop box for operahitity and at such heig{�t as vritl ensure that it remaim above the finished
grade of the land or property. (Ref 638,1156,1191)
Request Number: 11575
Public Works Division
Service Request
Problem Address: 5590 Matterhorn Dr Requested By: Uri wBen Franklin Plumbing
Department: WATER Address: No address provided
Problem/Issue: 1URN WATER ON/OFF Phone Number: 612-685-6464
Scheduled Date: Scheduled Time:
ACTTON NEEDED:Turn off water for repair.Advised plumber to get permit.****BILL***
Created by: Wendy Hiatt Date Created: 2016-06-20
ACTION TAI�N:
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.............................................................................................................................................................._......................................................................._..............._..................................................___........................................................___....._.._.......
Status: In Progress Submitter Aas Been C,
Contacted
Date Completed: Completed by:
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