Meter Swap s
Request Number: 14364
Pubhc Works Division
Service Request
Problem Address: 5295 St Imier Dr Requested By: David Kuether
Department: WA'lER Address: No address provided
Problem/Issue: INSTAL,L AMR METER Phone Number: 763-486-0829 ,�
Scheduled Date: 2017-04-03 Schedaled'Rme: 08:00:00
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€' ACTION NEEDED:
Created by: We�y Hiatt Date Created: 2017-03-28
ACIION TAI�N:
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Sts�tua: 1n Progress ���er Has Been r.
Contacted
Date Campleted: �,,��� � Completed by: ��\��
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City of Fridley ��� ��l.l��
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
1/we hereby authorize the City of Fridley 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 all iMerior
plumbing. (Per City code 402.06) 1 also hold the City ofi Fridley and/its employees harmless for any damages that may oaur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service tine. in understand 1 am alw required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter)
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Name• �v�q �`e��� Address_ �� l� � l �l(".� �r�
Phone Number ��� � "L(Jl�� �()�"'� Date_'�i" � ` + T
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Signature Witness Signature
OLD METER# ����6���
OLD READING �����v
NEW METER# 1 I�� ��
NEW READING �
ERT# ��!���3v r�
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANiTARY SEWER
ADMlNISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to wnstructing or repair of any water of sewer line wnnecting the existing municipal system and any house or building for which the
application is made,the owner or rnntractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter li of this Code. After such connection fias been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover
any conneding line until an inspection has bee�made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
Afte�the initiai connection has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for con�ection,the applicant,ovirner,or occupant or user af sucfi premises shall be liable for ail repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requests mainte�ance service or repairs be perFormed by the City,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibiltty of the appliwnt,
owner,occupant or user to perform standard mair�tenance 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 will ensure that it remair�s above the finished
grade of the land or property. (Ref 638,1156,1191)
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City of Fridley
water Department
Address ��� � eJ r� ��� P-�
Name 7 ti-�i�r`£�
Date �
Old Meter Number 3� �
O1d Meter Readin �
Replacement No. �A-So � ���-5
Replacement Reading �
Replacement Make �- �
Remarks: (%lrt��� ��`�' ��
Signed
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Request Number: 10376
Public Warks Division
Service Request
Problem Address: 5295 St lmier Dr Requested By: Dave Kuether
Department: WATER Address: No address provided
Problem/Issue: TURN WATER ONfOFF PLone Number: 571-3146
Scheduled Date: 2015-07-28 Scheduled 1�me: 01:00:00
ACTION NEEDED:Emergency water shut off.Inside valve is not holding.
Created by: Wendy Hiatt Date Created: 2015-07-28
ACTION TAI�N:
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Status: In Progress Resident Contacted C7
Date Completed: Completed by:
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