Meter Swap v Request Number: 12870
Public works Division
Service Request
Pro�em Address: 1400 Fireside Dr Requested By: Alex Thiebold
Dep�rtment: WATER Addresa: No address providcd
Problem/Issue: INSTAL,L AMR ME1ER Phone Nnmber: 763-784•?626
Sehed�ed Dste: 2017-01-2 � Sc6edde�'Iime: 01:00:00
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ACIION NEEDED:
Created by; Wendy Hiatt Date Crerted: 2017-01-13
ACIION T.�I�N:
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Status: In Progress 3nl�tter H�u Beee [_'
£ont�cte�
D�e Compteted: I''����� Co�leted by: •� �vY
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���/or rr�aoey
Water Departrnent � Q� - �� �'L�'� Q ' (�ol�.
6431 Universetv,Avenue NE
. Fridley, MN 55432 �� �
• � 753-572-3566 �L �
��We hereqy authorize the City of Fridley and/or'sts employees to s10 what is 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 interior
plumbing. (Per City dode 402.06j i also hold the C'tty of F�idley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand i am also required
to obtain a permit prior to any work,if necessary.
FIAIAL METER READING(old meter) � ��S ��
Name:i�� �� 'e,�0` Address__� �'��� ��5 4�� �r
Phone Nurr�r �� l _ ��L j `' �(Q�-(Q Date �'� v'-_�'—"�,�f
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Signature Witness Signature ✓
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OLD METER# � ���
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OlD READtNG_ t E�J �S 2�
NEW METER# �'`i� I ' �� 1 5
NEW READtNG � �
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINIS7'RATIfJN
(Ref Ord No 113,464,565,566,529,638,662,9Z2,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipai system and am�house or buitding fo�which the
application is made,the owner or contractor shail be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmer�t shall be notified. it shall be untawful to cover
any conneding line until an irtspectio�has been made and such connection and the woric inciderrt thereto has been approved by the Crty as a
proper and suitabie connection.
402.06 REPAiRS AND MAINTENAIYCE T�COMNECTION
After the initial connectio�has been made to the water service curb stop box or the sewer lead at the property line or a water service Iead fws
bee�extended to the psoperty{ine for connection,the appiicarit,owner,or accupant or user of such premises shali be liabie for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to tfie premises. if the property owner
requests mairrtenance service or repairs be perforrned by the City,the property owner shaii be charged for the costs of the mairrtenance andjor
repairs,including necessary street repairs at a rate set annuaily by an administrative poliry. It shail be the responsibility of the applicant,
owner,occuparrt or user to perform standard mairitenance of the sewer secvice line from the premises to tfie main including debris dearing 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
grade of the land or property. (Ref 638,1156,1191?
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Request Number: 11339
Public Works Division
Service Request
Problem Address: 1400 Fireside Dr Requested By: Alex lhiebold
Department: WA'IER Address: No address provided
Problem/Issue: WATER SERVICE LEAK Phone Number:
5cheduled te• �� 5chedWedlSme:
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AC'TION NEEDED:Service leak.Turn off water.
Created by: Wendy Hiatt Date Created: 2016-04-08
ACTION TAI�N:
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Status: In Progress Resident Contacted C1
Date Completed: Completed by:
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