Meter Swap � Request Number: 14510
Public Works Division
Service Request
Problem Address: 5216 Taylor St Requested By: Judy Engebretson
Department: WA1ER Address: No address provided
Problero/Issue: INSTALL AMR METER Phone Numbcr: 763-571•6960
Scheduled Date: 2017-04-1 Q Schednled 13me: 01:00:00
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ACTION NEEDED:Please note there is a gas dryer near the meter,resideM is unable to move it.
Created by: Beth Ko�rick Date Created: Z017-04-04
ACTTON TAI�N: �
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Status: In Progress Submttter HAs Beeu �.
Cost�ted
Date Compteted: Completed by:
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City of Fridley
Water Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
�/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 interior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may oa�r while doi�this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. in understand I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) O ✓� � �v
Name: � Address (� ��
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Phone Number U r� '` � � Date �'� ��
Signature Witness Signature
OLD METER# ��Z\ O � �✓�
OLD READING v�� l ��
NEW METER# �-1� 1� � 1��
NEW READING__\ 1
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRA710N
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or building for which the
application is made,the owner or contrador shall be required 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 Department shall be notified. It shall be unlawful to caver
any conneding line until an inspection has been made and such wnnection and the work incident thereto has been approved by the�ty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the properly line or a water service lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the wsts of the maiMenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shail be the responsibility of the applicant,
owner,occupant or user to perform standard maiMenance of the sewer service line from the premises to the main induding debris clearing or
root cutting and to maintain the water service curb stop box for operabil'�ty and at such height as will ensure that it remains above the finished
grade of the land or propertyt. (Ref 638,1156,1191)
Request Number: 7516
Public Works Division
Service Request
Problom Address: 5216 Taylor St Requested By: Judy
Department: WATER A�ddress: No address provided
Problem/Issue: Phone Number: 571-6960
Scheduled Date: 2014-02-15 Scheduled Time:
ACTION NEEDED: Frozen water service-diriy water
Created by: Wendy Hiatt Date Created: 2014-02-18
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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