Meter Swap w r Request Number: 12759
Public Works Division
Service Request
Problem Address: 1685 73rd A�e Requested By: James Turner
Departmeat: WA'IER Addreaa: 1685 73rd A�
Fridley,MN 55432
Probtem/Issne: INSTALL AMR ME1ER P6oue Namber: 612-834-4159
&1�e�ded I?ate: 2017-01-13 Sc�edeled 11�e: l 1:00:00
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ac-�ox rr�nEn:�wi.�
Created by: Beth Kon�ick Date Cre�ed: 2017-01-06
ACIION TAI�N:
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5tatas: 1n Progress ���er Ha Bees �, .
Coetacte�
� Date Com�eted: Campleted by: r,�
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�oiy or rr�aoey
Water Departrnent
6431 University Avenue N� � t Q /�� /
Fridley,MN 55432 S < < < ✓
. 763-572-3566 ' ���0��
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��We hereby authorize the City of Fridiey and/or its empioyees to slo what is�ecessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all iMerior
plumbing. {Per Crty code 402.06) i also hold the C'rty of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to inciude,but not lim'rted to valves,piping,wails,floors or the curb stop box and senrice line. in understand 1 am also required
to obtain a permit prior to any wor4c,if necessary.
FIMAL METER READIPIG(cid meter) � �� ` � `J O
Name:_�.J QYh�� ���(�� Address_ I C� U.J ��� �''�
Phone Number � �� kJ����`� p�. �� ��� ��
�Signature Witness Signature ��`�''.
OLD METER# �� ` � (L�O �1.�
OLD READtNG � ��- 1, I ,�v
NEW METER#_�� �� ���O
NEW READItVG�
ERT#��!/G� � `�`� � � ,
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WQTER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,529,638,662,922,9$8,I144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipai system and arry house or buiiding for which the
application is made,the owner or contrador shall be required to obtain a permit for such connection,and shalt pay a permitfee as provided in�
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shali be notifiied. It shall be un(awful to co�r
any connecting line until an inspection has been made and such connection and the worlc inciderrt thereto has been appro�red by the City as a
proper and witable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initia!connectio�has been made to the water service curb stop box or tfie sewer lead at the property line or a water serrice lead has
been extended to the property line for connection,the applic�rrt,owner,or accupant or user of such premises shall be Itat�e for a!I 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 mairrtenance senrice or repairs be performed by the C'ity,the property orvner shall be charged for the costs af the mairrtenance and/or
repairs,including oecessary street repairs at a rate set annually by an administrative poliry. It shatl be the responsibility ot the applicarit,
owner,occupar�t 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 wiil ensure that it remains above the finished
grade ot the land or property. (Ref 638,1156,1191)
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Request Number: 9124
Public Works Division
Service Request
Problem Address: 1685 73rd Ave_ Requested By: James Turner --- ---
Department: WA1ER Addresss No address provided
Problem/Lcsue: TURN WATER ONIOFF Phone Number: 612-834-4159
Scheduled Date: 2014-10-10 Scheduled Time: 09:00:00
ACTION NEEDED:Leave key in standpipe so plumber can turn off water.Homeowner will call back when he is done
withkey.****BILL***
Created by: Wendy Hiatt Date Created: 2014-10-10 '"
ACTION TAI�N:
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Status: Tn Progress Resident Contacted �t
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Date Comgleted: Completed by:
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