Meter Swap . 1 �
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Fridley
Request Numb�r: 17283
F�i[c Warka Diviaion
�erv�e lte�eat
ProMem Addresa: 1461 '13rd Aae Re�sted By: Cheryrl Wallis w/Crown Commons
- . Dep�rtme�t: WA'IER Address: No��ss provided
� Problem/Lsae: INSTAL.L AMR METER PLone Nnmber: 612-246-7234
� Sched�edl�e: 201�-I1-21 �� �daledl9me: O1:OQ:00
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A�'FIt31�1 NEEDETl:
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Creste�by: WendyHi�.t D�e�re�d: 2017-11-13 `
ACIIUN TAi�EN:
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Statna: , �}r�'cogress Snbmitter Rns Been r,
Coutaeted
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Dxte Completed: Completed by:
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City of Fridley �� � ��� �
Water Department
6431 UniversityAvenue NE ''2���j�SZt3��. �' --�
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 liabie for the water line from the main to the premise and ali ir�terior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmiess for any damages that may occur while dang this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. in understand 1 am also required
to obtain a permit prior to any work,if necessary.
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J `�> ' FINAI:�IVIETER READING(old meter)
. Name: C�e�ry\, �c�.�,�:�S Address 1��o� 73 c� �..c_
Phone Number ���a- a��- 70��, Date �� Nvv �7
Signature Wit�ess Signature
OLD METER# �q a7� �.�� SIZE & STYLE(Circlel
OLD READiNG _ oZ�.q y �I 3� 5/8" HEX
NEW METER# ��J y� �I�� � 1" HEX
NEW READING � 1%:" EUPTICAL or HEX
ERT# ��Cv U 3 S 5 � ���' 2" EUPTICAL or EX
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 existing municipal system and any house or building for whtch the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provid�d in
Chaptes 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. ft shall be unlawful to cover
any connecting line until an inspedion has been made and such connection and the work incident thereto has been appraved by the City 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 property line or a water senrice 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. 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 and/or
repairs,including necessary street repairs at a rate set annualiy by an administrative poliry. It shall be the responsibility of the appiicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including deb�is clearing or
root cutting and to maintain the water service curb stop 6ox for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
Request Number: 5996
Public Works Division
Service Request
Problem Address: 1461 73rd Ave Requested By: Tanya Brooke
Department: WATER Address: No address provided
Problemllssue: NO WATER(WATER) Phone Number: 952-210-0476
Scheduled Date: Scheduled Time:
ACTION NEEDED: Building has no water.
Created by: Wendy Hiatt Date Created: 2013-0412
ACTION TAKEN:
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Status: In Progress Resident Contacted �
Date Completed: Completed by:
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