Meter Swap ��`
� Request Number: 12618
Public works Division
Service Request
Problem Address: 7470 Able St Requested By: Samuel
Department: WATER Addreaa: No�ess provided
Problem/Issue: INSTAL.L AMR METER Phone Number: 763-267-1010
5chedaled 2017-01-OS � Schednled 11me: 11:00:00
. �
ACIION NEEDED:
Created by: Wendy Hiatt Date Created: 2016-12-29
ACIION TAI�N:
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Status: 1n Prog�ress Snbmitter Haa Beea r
Co�acted
D�te Completed: Completed by:
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City of Fridiey � (
Water Department � � � �P�Q
,�� 6431 University Avenue NE
- Fridley,MN 55432 �O�.�(�G} f If� �jJ
763-572-3566
�/We hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liabie for the water line from the main to the premise and all irrterior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its empioyees harmless for any damages that may occur while doing 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 worlc,if necessary.
FINAL METER READING(old meter) _L��� � �K./
Name: `.��'�1~1 V�` Address I��V � W� �
PhoneNumbe�{�J� '�"'l�� L� `� pate � ��"'� � 1
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� S�re�, ` Witness Signature
OLD METER# � `� `�� �� �
OLD READING � � �%-�.� "1���
NEW METER# �� 1�� � � I
NEW READING �
E RT# Y� ����/�� �
FRIDLEY CI7'Y CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMiNISTRATiON
(Ref Ord No 113,464�565,566,629,638,662,92Z,988,1144,1156,1191)
A02.5 PERMIT FEE
Prior to constructing or repair of any water of sewe�line connecting the existing municipal system and any house or building for which the
application is made,the owner or comractor shail be required to obtain a permit for such connection,and shall pay a permit fee as provided irr
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. It shall be unlawful to cover
arry connecting line until an inspection has been made and such connedion and the work incident thereto has been approved by the City as a
proper and witable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the inittal 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
bee�extended to the property line for connection,the applicant,owner,or occuparrt or user of sucF�premises shaii be liable for aD repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. if the propertY aaner
requests maintenance service or repairs be performed by the City,the property owner shail be charged for the costs of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shaii be the responsibi{ity of the applicarn,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to maintain the water service curb stap box for operability end at such height as will ensure that it remains above the�nished
grade of the land or property. (Ref 638,1156,1191)
Request for Service Repart
, Gity of Fridley
Reference No: 601-11-3007 Date: 04125/11
Request Type: Install regular meter Entered By: Wendy Hiatt
Department: Water Citizen Name: Paul MeyerslAgent
Address= 7470 ABLE ST NE Callback Phone: 612-701-5739
Scheduled Date: 04I25111 2:Q0 PM m Property Owner:
Location Dekails: Requesk Details: Reinstall meter_ Make sure water is
on at street_
Action Taken:
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Responsible Person: � �—���
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Approver. �
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Completion Date: �� l� ���� � Citizen Notified
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