Meter Swap Request Number: 15151
Public Works Division
Service Request
Probiem Address: 80 70th Way Requested By: Nai Yang
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Nnmber: 763-222-9622
Scheduled Date: 2017-OS-08 �eduled 13me: Oik�'Sb _�,.�✓
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ACTION NEEDED:
Created by: Wendy Hiatt Dxte Created: 201?-OS-OS
ACTTON TAKEN:
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Status: In Progress Submitter Has Been r,
CoMacted
Date Completed: Completed by: �^
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City of Fridiey
SD� y-t��
Water Department
fi431 University Avenue NE
Fridley,MN 5543Z
763-572-3566
�/We hereby authorize the�ty of Fridley andJor its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liabte for the water line from the main to the premise and all interior
plumbing. (Per City code 442.06) 1 also hotd the�ty of Fridley a�d/its employees harmiess for any damages that may axur while doing this
operation. This to inctude,but not limited to valves,piping,walts,floors or the curb stop box and senrice line. In understand i am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter)
Name• Address � �� ��
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Phone Number Date
Signature Witness Signature
OLD METER# �9�l 3 3 �Z
OLD READING__�O 9 ��� �
NEW METER# %S � ����f�
NEW READING �
ERT# � l � f(l � ! 7
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINtSTRATION
(Ref Ord No 113,454,565,565,629,638,662,922,988,1144,1156,1191)
402.5 PERMiT FEE
Prior to constructing or repair of any water of sewer line connectin;g the existing municipal system and any house or buiiding for which tbe
appiication is made,the owner or contractor shall be required to obtain a permit for such connection,and shati 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 unlawful to cover
any connecting line until an inspection has been made and wch connection and the work inciderrt thereto has been approved by the City as a
proper a�d suitable connection.
402.06 REPAtRS AND MAINTENANCE TO CONNECTION
After the initiai connection has been made to the water service curb stop box or the sewer lead at the property line or a water sewice fead has
6een extended to the property line for connection,the applipnt,owner,or occuparrt or user of such premises shatl be liable for all repairs
required to any water Iine and sewer lines necEssary for connection of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be perfarmed by the City,the property owner sfiall be charged for the costs o�f the maintenance and/or
repairs,including necessary street repairs at a�ate set annually by an administrative poficy. It shall be the responsibility of the app{icaM,
owner,occuparrt or user to perform sta�dard 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 operaWlity and at such height as will ensure that it remains ahove the tinisfied
grade of the land or property. (Ref 638,1156,1191)
Req uest N u m ber: 7583
Public Works Division
Service Request
Problem Address: 80 70th Way Requested By:
Department: WATER �ldress: No address provided
Problemlissue: FROZFN WATER SERVICE Phone Number:
Scheduled Date: 2014-03-02 Scheduled Time:
ACTION NEEDED: Re-freeze
Created by: Wendy Hiatt Date Created: 2014-03-03
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
Hours
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