Meter Swap 1
� Request Number: 15302
Public Works Division
Service Request
ProMem Address: 6827 East River Rd Reqaested By: Micl�ael Kelley
Department: WA1ER Addres:: No acl�esc provided
ProWena/Iesue: iNSTAL.L AMR ME1ER PI��Numbcr: 763-607-7066
Schednied Dale: 2017-OS-15 Sebednled 1lme: 10:30:00
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ACITON NEEDED:
Created by: Wendy Hi�tt Date Creatad: 2017-OS-12
A ON TAKEN:
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Status: In Progress Snbmitter H�s Been �..
Contacted
Ds�te Completed: Complated by:
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` City of Fridley �v��O�e.I
Water Departrnent '�pS" �
6431 University Avenue NE �D � �� ��
Fridley, MN 55432
763-5723566
��We hereby authorize the City of Fridley and/or its employees to do what is necessary to
repiace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all i�erior
plumbing. (Per City code 402.06) I also hold the City of Fridley and�ts employees harmless for any damages that may occur whife doing this
operation. This to inciude,but not limited to valves,piping,walls,floors or the wrb stop box and service line. In understand 1 am aiso required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old mete�� �O� � ���
Name:_�a1, �/ Address _���� V�,V'C� ri�—
Phone Number ��'������� ate �� ( �� ��
Stgnature_ Witness Signature
OLD METER# � � t � ���
OLD READING ��� I � �O
NEW METER# " ' ���� 2- ��
NEW READING_�/ ,
ERT# � � �� ��� `'�'
FRIDLEY CITY CODE ����,I
CHAP'TER 402.WATER,STORM WATER AND SANITARY SEWER ��'� /°"'
ADMINISTRATION 1,, �,/`��
(Ref Ord No 113,454,565,566,629,638,662,922,988,1144,1156,1191) �'� �� �1
402.5 P£RMfT FEE
Prior to construding or repair of any water of sewer line connecting the existing municipal system and arry house or building for which the
application is made,tfie owner or coMractor sha11 be required to obtain a permit for such connection,and shall pay a permtt fee as provided in
Chapter ii of this Code. After such connection has been made,the Water and Sewer Department shall be notified. I�shall be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable wnnection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
Atter the initial connection has been made to the water service curb stoQ box or the sewer lead at the property line or a water service lead has
been extended to the property line for connection,the applicaM,owner,or occupant or user of such premises shall!�liable for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the pmperly owpec
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the�sts of the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicarit,
owner,occupant or user to perForm standard maintenance of the sewer service line from the premises to the main including debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
g�ade of the land or property. (Ref 638,1156,1191)
Request Number: 7527
Public Works Division
Service Request
Problem Address: 6827 East Riv�er Rd Requested By: Justin Peterson
Department: WATER Address: No address provided
Problem/Issue: Phone Number: 651-492-9253
Scheduled Date: 2014-02-18 Schedufed Time:
ACTION NEEDED: Frozen water service.
Created by: Wendy Hiatt Date Created: 201402-18
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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