Meter Swap � ` Request Number: 15417
Public Works Division
Service Request
Problem Address: 181 Hartman Circle Requested By: Joyce Gudding
Departme�: WATER Addreas: No address provided
Problem/Issne: INSTALL AMR METER Phone Number: 612-747-7857
Scheduled Date: 2017-05-18 6edal ed'If ine: 10:00:00
ACTTON NEEDED:Rescheduled from missed appt
Created by: Beth Kondrick Date Created: 2017-OS-17
ACTION TAI�N: ��1�� ' " \-V ----
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Status: In Progress 5ubmitter Has Been r
Coutacted
DAte Completed: �_ ��i t Completed by: ���
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City of Fridte ��� � �� � �� �� '
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z Watec Departrnent � �� ��J�i,
6431 University Avenue NE ����
Fridley,MN 55432
763-572-3566
1/we hereby authorize the City of Fridley and/or its employees to do what is necessary to
repiate the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all iMerio�
plumbing. (Per City code 402.06) I aiso hold the City of Fridley andrts employees harmless for arry damages that may oavr while doing this
operation. This to include,but not limited to valves,piping,wails,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.
FINAL METER READIPIG(old meterj � 4� �i �V
Name: ` U(S � Address �.� (, ��.Y`Z'1/vLEL ��V �`P
Pbone Number �� `" C l��' 1 Date � "" 1,� � t� l
Signature Witness Signature ��
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OLD METER# �✓ �����
OLD READING �� � �� U
NEW METER# � 16�� - loL�
NEW READING v
ERT# � I !O� I � ��
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AMD SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,454,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of arry water of sewer line connecting the existing municipat system and any house or 6uildtng for which the
application is made,the owner or contractor shall be required to obtain a permlt for such connect+on,and sfialf pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerit shall be not�ed. R shall be unlawful to cover
any connecting line unti{an inspection has been made and such connection and the work incident thereto has been appro�d by the City as a
proper and suitable connection.
402.06 REPAIRS APtD MAfPfTE1YAf110E TO CONNECTIOPI •
After the initiai connection has been made to the water service curb stop bax or the sewer lead at the property{ine or a water service fead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water{ine and sewer tines necessary for connection of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the C�ty,the property awner shall be charged for the casts of tfie maintenance and/or
repairs,including necessary street repairs at a rate set annually by an admi�istrative policy. It shall be the responsibility of the applicaM,
o+arner,occupant or user io perfarm standard mairrtenance of tfie sewer service line from the premises to the main indudtng debris clea�ing 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 finisfied
grade of the land or property. (Ref 638,1156,1191)
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Request Number: 6129
Public Works Division
Service Request
Problem Address: 181 Hartman Circle Requested By: Joyce Guddig
Department: WATER Address: No address provided
Problem/Issue: OTHER(WATER) Phone Number. 3 � r��
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Scheduled Date: Scheduled Time:
ACTION NEEDED: Clean up yard from previous water main break
Created by: Wendy Hiatt Date Created: 2013-05-08
CTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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