Meter Swap ._ � Request Number: 13057
Public Works Division
Service Request
Problem Address: 5643 N Danube Rd Requested By: Tim Re�eld
Department: WATER Address: 5643 N Danube Rd
Fridley,MN 55432
Problem/Issue: INSTALLAMRMETER PhoneNumber: 763-571-2916
Sc6eduledDates 2017-02-02 Scheduted'Ilme: 01:00:00
2��
ACIION NEEDED:
Created by: Beth Kondrick Date Created: 2017-01-24
ACIION TAI�N•
_ �;t�,���1-e�. -��l,l�
Status: In Progress Submitter Has Beea r,
Contacted
D�te Completed: Completed by:
2- l� � ��
� �
Wate��epartrnent —7
6431 tlniversity�Aversue NE � (;% �� � I � ,
Fridley, N!N 554�2 /
753-572-3565 �,�' _y��'��1�i `L� ,
� !/we hereby authorize#he C'iiy of Fridley and/or its empioyees to slo what is necessary to
replace the wafier meter. I understand that the property owner is liable for tfie water line from the main to the premise and ail iMerior
pluenbing. (Per City code 402.06j i also hold the C'rty of Pridiey�nd/Fts employees harmless#or any damages that may occur while doing this
operation. This#o incfude,but not timi#ed to valves,piping,wa(Is,floors or#he curb stop box and service line. in understand!am also require�
to obtain a permit prior to any rror4c,if necessary.
FIMAL METER READIWG(o1d meter) ���� � ��
Name.�� Address � y� ��� �
Phone Number���1��� `�Z v D� � �" �
Signature Wiiness Signatuce
OLD METER#_ "4 ""�'� � � �� �
OLD READtNG 3��� ��v
NEW ME1'ER# �� ►v���
NEW READI111G O
ERT# � �� W 1� (�
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMtiYiSTRATION
(Ref Ord No 113,4&4,565,566,529,638,662,922,988,1144,1156,1191}
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line conneccing the existing municipal system and arry house or buildir�g for which the
application is made,the owner or coritracCor sha[I be reguired 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 Water and Sewer Departmerrt sl�a8 be notified. It shall be untawfial to c�ver
any connecting line urnil an inspection has been made and such connection and the wor�cc inaderrt thereto has been approved by#he City as a
proper and suitable connection.
402.06 REPAlRS ANp MpIy1lTEryp410E TO COAINECTiON
After the in'rtial connectio�has been made to the water senrice curb stop box or the sewer lead at the property line or a water senrice lead has
been extended to fihe property line for connection,the app{icarrt,owner,or accuparrt or user of such premises shali lm tiabie for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the properly owner
requests mairrtenance senrice or repairs be performed by the Ctty,the property owner shall be charged for the costs o#the mainter�ncr and/or
repairs,including necessary street repairs at a rate set annuaily by an administrative pol4cy. Rt shai!be the respor�sibil'rty oFthe applicarrt,
awner,occuparrt or user to perform standard maintenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wiil ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
Request Number: 7606
Public Works Division
Service Request
Problem Address: 5643 N Danube Rd Requested By: Tim Redfield
Department: WATER �Idress: No address provided
ProbleMlssue: FROZFN WATER SERVICE Phone Number: 571-2916
Scheduled Date: Scheduled Time:
ACTiON NEEDED: Frozen water service
Created by: Wendy Hiatt Date Created: 2014-03-05
ACTION TAKEN:
T�.��........�.......�.._:_�a.�U.�..�Y....:.1.�:.�...-����._.._����.�....... ..�.....�.............C����.._...._...................
�......:.��......��................ ._��......�:c.1..:�x�n�,c.x....�_..............1.��_�......�......s,.,.�.�........��1���,��t......::........._......_
�
..........................................................................................................................................................................................................................................................................................................................................................................._.._............._�................_
_................................. :........._��..............�..:.....�...................�.............._��T'�,��N�...._t�s�-�._�.0 7...................._.........._.___................................._._........_
� `� ........
.................................................................................................................................................:........................................................................................................................._................................................................................................._.................._..............._._._
................................................................................................................................................................:................................................................................................................................................................................................__.................._..............._............_
Status: In Progress Resident Contacted �r'
Date Compieted: Completed by:
Zj'`�' �� ,�rJv�.o`�
. I �
�� �