Meter Swap . Request Number: 13097
� Public works Division
Service Request
Problem Address: 1530 73 1/2 Ave Requested By: Jerry St�rek
Department: WA1ER Addreaa: 1530 73 1/2 A�
Fridley,MN 55432
Problem/Issue: INSTALL AMR METER Phone Numberz 763-458-5410
SehedWed Date: 2017-02-02 Sc�ed'led 1lme: 11:30:00
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ACTION NEEDED:
Cresited by: Beth Kondrick Date Crezted: 2017-01-26
ACIION TA�I�N: �
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, 5tat�: In Progress 5ubmitter Has Beee r,
Contacted
Date Completed: Completed by;
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LVater�partrv�ent �/
6431 tlnivers+t�r Avenue d�E � t, .� � `► �
Fridley,MN 55432
, 763-572-3566 � C��,_5 L�� � I t`� (� 1 �.
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w ��'''�e hereby authorize#he�ity af Fridiey and/or its employees to do what is necessary to
replace the water rneter. 1 understand that�he property owner u liable for the water line from the main to the premise and all interior
�luersbing. (Per C"rty cosle 402.06j i also hold the City�af Fridiey and/its employees harmiess#or any slamages thai may occur while doing this
operation. This to include,but not limited to valves,piping,wails,floors or the curb stop box and service line. In understand!am also require�
to obtain a permit prior to any�vo�c,�f necessary.
FIWAL METER READING{old meter) � � � �� �
Name:� �`��� Address-.�� � �� ��^ 7C-`"'�_
Phone Number����r��''V D� �j'�i�' ��
Signature_ Ntitness Si�na.ture
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OlD METER# � cJ � � �--� ��
OLD READING_� � � � Y�
NEW METER# ���d��� ��
NEW READtNG D
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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,i191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing muniapal system and arry house or buiidin�for which t�he
eppiication is made,the owner or corrtractor shatl be required to obtain a permit for such connection,and shall pay a permit fee as provided in�
Chapter 11 of this Code. After sucfi connection has been made,the Water and Sewer Departmerrt shall be notified. It shall be un(awful to cover
arry connecting line urrtil an inspection has t�een made and such connection and the work inaderrt thereto has been approved by the City as a
proper and suitabte connection.
402.06 REPAIRS AND MAIN7'EfyAf110E T�CONAIECTIOIY
After the inifiiat connection has been made to the water service curb stop t�ox or the sewer lead at the property line w a water s�rvice lead bas
been extended#o the property line for connection,the applicant,owner,or accupant or user of such premi�s shal!be liabie for a!1 repairs
required to any water line and sewer lines netessary for connedion af the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be performed by the Crty,ihe property owner shail be charged for the costs of the mairttenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shaii be the responsibitrty of the applicarrt,
owner,occupant or user to perform standard mairttenance of the sewer service line from the premises to the main dncluding debris dearing or
root cutting and to mairrtain the water service curb stop box fo�operability and at such height as wiil ensure that it remai�a6ove the finished
grade of the land or p�operty. (Ref 638,1156,1191)
Request Number: 8617
Public Works Division
Service Request
Problem Address: 1530 73 1/2 A� Requested By: Lorna wlTerry Overacker Plumbing
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-323-8885 .
SchedWed Date: 2014-07-28 Scheduled Time: 10:00:00
ACTZON NEEDED:Turn offwater for repair.****BILL****Permit#2014-01409
Created by: Wendy Hiatt Date Created: 2014-07-28
ACTION TAI�N:
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Status: 1nProgress Resident Contacted �
Date Completed: Completed by:
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