Meter Swap t Request Number: 15139
Public Works Division
Service Request
Problem Address: 6918 Hickory Dt Requested By: Rich
Department: WA'IER Addresa: No address ptovided
Problem/Issue: INSTALL AMR METER Phone Number: 571-8562
' Sc6ednle�Dxte: 2017-OS-OS �chednled'Ilme: 11:30:00
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AC"rION NEEDED:
Created by: Wendy Hiatt Date CreAted: 2017-OS-04
ACIION TAI�N: -�
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Status: In Progress ��tter Has Been r,
Co�acted
Date Compteted: ����� (� Completed by: ���
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� City of Fridley � � ��f�
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
UWe hereby authorize the Clty of Fridley and/or i�employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from tfie main to the premise and all irnerior
plumbing. (Per City code 402.06) f aiso hold tfie City af Fridiey and/its employees harmless for a�y damages that may ocwr whila cfoing this
operation. This to include,but not limited to valves,piping,Mral{s,floors or the curb stop box and service line. In understand I am also required
to obtain a permit prior to any work,ff necessary.
F{NAL METER READIN�(oid meter) � ����O�
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Name•
Phone Number � V r ���� Date �� �— ��
Signature Witness Signature
OLD METER# �����-�V C��
OLD READING ` ���`�v
NEW METER# ��������
NEW READING v
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANI7ARY SEWER
ADMINISTRATION
(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 municipal system arnl arry house or buiiding for which the
applicatton is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter li of this Code. After such connedion has been made,the Water and Sewer Department shall be notttied. It shall be unlawful to cover
any connecti�g 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 suiWble connection.
402.06 REPAIRS AND MAINTENANCE TO COIVNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be IiaWe for al{repairs
required to any water line and sewer lines necessary for cannection of tfie premises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the City.the property owner shali be charged for the costs 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 applicant,
owner,occupant or user to perForm standard maintenance of the sewer sQrvice line from the premises to the main inciuding debris clearing or
root cutting and to maintain the water senrice curb stop box for operability and at such hetght as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
Request Number: 8908
Public Works Division
Service Request
Problem Address: 6918 Hickory Dr Requested By: Elieen Hanheu�ln
Department: WATER Address: No address provided
Problem/Issue: WATERODOR PhoneNumber: 571-8562
Scheduled Date: �.014-09-10 � Scheduled Time: 10:00:00
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ACTION NEEDED:Water has smelly odor.Please check.
Created by: Wendy Hiatt Date Created: 2014-09-09
ACTION TAI�N:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by: