Meter Swap Request Number: 15311
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� Public Works Division
Service Request
Problem address: 11Z 71 1/2 Way Requested By: Jake Aspenson
DepArtmeut: WATER Address: No address provideid
ProblemlIss�: INSTALL AMR ME1FR PLone Nnmber:
Scbed�iled e: 2017-05-19 � Sclredelei'I1me: 02:00:�0
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Crexted by: Wendy Hiatt Date Cre�edt 2017-05-12
ACIION TAKEN: �
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'�Status: In Progress Submitter HaB Been �
Contacted
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City of Fridfey �� �" V�� v '
, Water Department �j�'�-�� 1 ' r,
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6431 University Avenue NE
Fridfey,MN 55432
763-572-3566
Ijwe hereby authorize the City of Fridley andjor its employees to do what is�ec�essary to
rep{ace the water meter. i unde�stand that the property owner is liable for the water{ine from the main to the premise and all interior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may oaur while doing this
operation. This to incfude,but not limited to vaives,piping,walls,f{oors 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 m e�) � w `� �"� �
Name: � "" Address � � ��
Phone Number 6L�—_ 1���✓��> Date �~ l� � v 1
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Sig�ature Witness Signature
OLD METER# � U'"1 �r�� �
OLD READING � ��10_ 1 �C)
NEW METER# - 1,�,�l!J��2 U�
NEW READING C�
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(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 exisring municipal system and arry house or buildfng for which tfie .
appfication is made,the owner or tontractor shali be required to obtain a permit for such connection,and shail pay a permit fee as provid�d in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be not�ed. It sfiali be unlawful to cover
any connecting tine until an inspectio�has been made and suth wnnection and the work incident thereto has been approved by the City as a
proper and suitable co�nedion.
402.06 REPAIRS AND MAINTENANCE TQ 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 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 ali 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 maintenance service or repairs be perFormed by the City,the property owner shall be charged for the costs of the maintenance andjor
repairs,inciuding necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicant,
owner,occupant or user to perForm standard maintenance of the sewer service line from the premises to the main induding debris ciearing or
root cutting and to maintain the water service curb stop box for operabilit�r and at such height as will ensure that it remains above the finisfied
grade of the land or property. (Ref 538,1156,1191y
Request Number: 7314
Public Works Division
Service Request r
ProblemAddress: 112 71 1/2 Way Requested By: Mrs.Aspenson
Department: WATER Address: No address provided
Problemllssue: TURN WATER OWOFF(WATER) Phone Number: 612-462-2183
Scheduled Date: Scheduled Time: 01:00:00
� ��d � � ��
ACTION NEEDED: Turn off water and��y. Standpipe has been repaired.
Created by: Wendy Hiatt Date Created: 2013-12-23
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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Request Number: 7313
Public Works Division
Service Request
Problem Address: 112 71 1/2 Way Requested By: Arnold Aspenson
Department: WATER �Idress: No address provided
Problemllssue: TURN WATER ONIOFF(WATER) Phone Number: 612-462-2183
Scheduled Date: 2013-12-20 � Scheduled Time: 01:00:00
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ACT{ON NEEDED: Turn off water for repair. Leav�e key. Permit#2013-02668*"`"`"`BILL""""
Created by: Wendy Hiatt Date Created: 2013-12-20
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by: /
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