Meter Swap r Request Number: 12862
.
Pubhc Works Division
Service Request
Problem Addreaa: 7517 Hayes St Requested By: Steve Zacharias
Departmeut: WA1ER A�raa: No adc�esa provided
Preblen�/Is:aes INSTALL AMR METER PLone Nnmber: ?63-783-8264
Se�ednle te: 2 17-01-18 � Se�d�ledllme: 09:OO:dO
AL"IION NEEDED:
Created by: Wendy Hiatt Date Crested: 2fl 11-01-13
AC'II N TAKE
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Shtus: In Progress 5�bmitter Has Beee r;
Conrtaetcd
Date Campleted: Completed by:
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�ec}/or s-r�aoey
Water Departe�nent �/1 � ,^ � �
6431 University Avenue PIE
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Fridley, MN 55432 -��� ���(�g� �d�- �
, ' 763-572-3566
' ��We hereby authorize the City�f Pridley and/or its employees to do what is necessary to
replace the wafier meter. 1 understand that the property owner is liable for the water line from the main to the premisQ and a{I interior
plumbing. (Per City sode 402.06) 1 also hold the C'rry of Fridiey and/its empioyees harmless for any damages that may occur while doing this
operation. This to include,but not limi#ed to valves,piping,walis,flaors o�the curb stop box and service�ine. In anderstand 1 am also required
to obtain a permit prior to any worlc,if necessary.
FINAL METER READING(oid meterj `� � � � 4��Q
Name•� `�-�'rL- ��'�(xN��\.�j Address � �� � �
Phone Number �r���� p� '"� ��— � 1
Signature Wttness Signature
OLD METER# l —I I I � ` �
OLD READING �� � �Z-S�
NEW METER# � �
idEW READtNG l./
E�# � � �� � 12� �
FRIDLEY CITY CODE
CHAPTER 4U2.WATER,STORM WATER AND SANITARY SEWER
ADMINIS7RATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipat system and arry house or building for which the
application is made,the owner or corrtractor shall be required to obtain a permit for such wnnection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. It shail be unlawful to cover
any connecting tine urrtil an inspection has been anade and such connedion and the work inciderrt thereto has been apprrn�e�d by the Gty as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTIQN
After the initial connection has been made to the water service curb stop box or the sewer lead at the propesty Isne or a water seryice Iead has
been extended to the property line for connection,the applicaM,owner,or occupaM or user of such premises shaii be liable for all repairs
required to any water line and sewer li�es necessary for co�nection of the premises frosn the main to the premi�s. If the property onirner
requests maintenance service or repairs be pe�Formed by the City,the property owner shalt be charged for the costs of the mairttenance and/or
repairs,including necessary street repairs at a rate set anouatly by an administrative poliry. it shali be the responsibility af the applicant,
owner,oaupant or user to perform standard maintenance of the sewer service line from the p�emises to the main indudirig debris clearing or
root cutting and to mairrtain 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)
Request Number: 6450
Pubiic Works Division
Service Request
Problem Address: 7517 Hayes St Requested By: Steve Zacharias
Department: WATER Address: No address provided
Problemlissue: WATER SERVICE LEAK(WATER) Phone Number: 763-783-8264
Scheduled Date: Scheduled Time:
ACTION NEEDED: Check water bubbling up in street
Created by: Wendy Hiatt Date Created: 2013-07-19
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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