Meter Swap .
� ` Request Number: 12873
Public Wo�s Division
Seivice Request
Problem Address: 1343 75th A�e Requested By: Mike Deloren
DepartmeM: WATER Address: 1343 75th Atie
Fridley,MN 55432
Problem/Tsa�: INSTALL AMR METER Pho�Nnmber: 763-780-5559
Scheduled Date: 2017-0 t-23 Sc6edule�1ime: 11:00:00
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AC7TON NEEDED:
Created by: Beth Kondrick Date Cre�ed: 2017-01-13
ACTION TAI�.N: ,
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Status•. In Progress Submitter Has Beea r,
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Coubcted
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Date Compl ted: Cempleted by:
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Water�epartrnent r\ � C� 7 j
6431 Universit�Avenue AI"� � V
Fridley,MN 55432 "3�3,�����"�G ���
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1/we hereby authorize the City of Fridley and/or its employees to do what'ss necessary to
replace the water meter. !understand that the property owner is liable for the water line from the main to the premise and ail iMerior
p{umbing. (Per C�ty code 402.06) i also hold the City ot Fridley and/'rts employees harmless#or any damages that may occur while doing this
operation. This to include,but not limi#ed to valves,piping,walls,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prioc to any war4c,if eecessary.
FN1IA1 METER READING(old meter) ���� � � �
Name: �` +P�— Y�~ Address ' v 1 v ��� T�d�-.
Phone Number f���� ��6��� �� L U'���
Signature ��'-"'—'�--_.. NPrMess Signature_ _
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OLD METER#_ J � �� � ��
OLD READtNG � � � � J �
NEW METfR# t � �� `�' � V�
NEW READING_�.J
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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 ofi any water of sewer line connecting the exisCing municipai system and arry house or building for which the
application is made,the owner or corrtractor shaii be required to obtain a permit for such connedion,and shali pay a permit fee as provicled in
Cha�ter 11 of this Code. After such connection has been made,tfie Water and Sewer Departmerrt sha8 be not�ed. tt shail be unlawfiil to cover
any connecting line until an ir�spection has been made and such connection and the work inciderrt thereio has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the in'etief 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 cannection,the appiicarrt,owner,or accuparrt 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 prem�ses. If the property rnvner
requests maintenance senrice or repairs be performed by the City,the property owner shall be charged for the costs of the mairrtenar�ce and/or
repairs,including necessary street repairs at a rate set annually!ry an administrative poliry. it shaif be the responsbiNty of the applicarrt,
owner,occupant vr user to perform standard maiMenance af the sewer service Iine from the premises to the main indudi�debris dearing or
root cutting and to mairrtain the water service curb stop box 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)
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Request Number: 9889
Public Works Division
5ervice Request
Problem Address: i 343-75th Ave Requested By: Michael Delorme
Department: WATER Address: No address provided
Problem/Lssue: OT�R Phone Number: 763-780-5559
Scheduled Date: 2015-03-24 Scheduled Time: 10:00:00
ACTZON NEEDED:Water meter lealdng at valve.Homeowner said not emergency-no water flooding basement-
going into drain only.Jason W.advised
Created by: Cheryl Pellegrin Date Created: 2015-03-23
ACTION TAI�N:
Crl�rl? ' �
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• Status: in Progress Resident Contacted ❑
Date Completed: Completed by:
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