Meter Swap . � Request Number: 13019
Public works niv;sion
Service Request
Problem Addreaa: 7513 Central A� Requested By: Melissa Tam
Departmeut: WA1ER Address: No ad�ess pcovided
Proble�n/lssue: INSTAL�;AMR METER PLone Nnmber: 651-503-3324
ScLedn�ed Ihte: 2 1?-01- 8 Sc6edal��1Imc: 11:30:00
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AC!TTON NEEDED:
Create�l by: Wendy Hi�t Date Created: 2017-01 23
AC1IONf TAI�N:
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Status: ' In Progress Submitter Hae Been �.,
Coutscted
Date Co�pteted: ��a„��— �,� Completed by: � 1, ^
al.�--C�
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Watee�e�sartment
6431 lOniversi Avessue�{E �
Fridley, MN 55432 3�'l� ' �`� ��� ""C �
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753-572-3566 ��, � � � �
�l�;e hereby authorize the City af Fridley and/or its empioyees to do what is necessary ta
replace the wafier meter. 1 understand thai ihe property oarner 9s liable for the water{ine feom the main to the premise and alt interior
pluerrbing. (Per City code 402.06j i also hold the C'rty of Fridley andrfis employees harmless for eny damages that may ocair rerhile doing tE»s
operation. This to include,but not lim�#ed to valves,piping,watis,floors or the curb stop box and service line. In undersCand!am also require�
to obtain a permit pr�uc to any�ror4c,if necessary.
Ft1VAL METER READING(o!d meter} _ L v �� � 1�--1J
fllame: {''� �— Address / J l� J �.h=✓\k4'Vbv,
Phone Num 1 `�� '� 32, p� �,'—�.,,v� ��
Signature SGV " W'rtness Signature
OLD METER#__�✓ � � `
OLD READtNG_ / d� ��,C,ed
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NEW METER# � � � 3C�CD .�^ � /���
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NfW READ111}G U
ERT# �� �
FRIDLEY CITY CODE
CHAP7ER 402.WA'fER,STORM WATER AND SANITARY SEWER
ADMtAf ISTRATiOfY
{Ref Ord No 113,464,565,566,629,638,562,9?,Z,9$8,1144,1i56,1191�
402.5 PERMIT FEE
Prior to constructing or repair ofi any water of sewer line connecting the existing munWpal system and arry house o�bu7ding for which the
applicatian is made,the owner or cos�tractor shait be required to abtain a permit for wch connection,and shall pay a permit fee as provided in�
Chapter 11 of this Code. After such canaection has been made,the Water and Sewer Departmerrt shail be notified. lt shall be un(a�uvvful to cover
any connecting Gne urrtil an inspection has been made and such connection and the worlc inciderrt thereto has beeo approved by the City as a
proper and suitable connection.
402.06 REPAiRS AND MAINTENANCE TO CONtrECTfOi�f
Atter the initial connection has been made to the water senrice curb stop box or the sewer lead at the prope�iine�a water senricx lead has
been extended to the property line for connecdon,the appiiqrrt,owner,or atcupani or user of such premises st�al!be liabie for ail repairs
required to any water line and sewer lines necessary for connedion of the premises from the main to the premises. If the property owrier
requests mairrtenance service or repairs he performed by the City,the property owner shaii be charged for the costs of the mairitenance and/or
repairs.including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibiiiry aFthe applicarrt,
owner,occuparrt ar user to perform standard mairitenance of the sewer service line from tf�e premises to the main including debris dearing or
root cuttir�g and to maintain the water service curb sfiop box for operability and at such height as wtll ensure Chat it remairu above the finished
grade of the land or property. (Ref 638,1156,1191)
4'
Request Number: 7572
Public Works Division
Service Request
Problem Address: 7513 Central Av�e Requested By: Tommy Tam
Department: WATER Address: No address provided
Problemllssue: TURN WATER OWOFF(WATER) Phone Number: 763-439-4553
Scheduled Da : 2014-02-28 � Scheduled Time: 10:00:00
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ACTION NEEDED: Turn off water for repair. Permit#2014-00127'""""BILL'"*"
Created by: Wendy Hiatt Date Created: 201402-27
ACTlON TAKEN:
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Status: In Progress Resident Contacted �, "
Date Completed: Completed by:
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