Meter Swap ' Request Number: 15149
Public Works Division
Service Request
Problem Address: 6965 Hickory Circle Requested By: Karen Barry
Department: WATER Address: No ad�ess p�ovided
Problem/issue: INSTALL AMR ME1ER Phone Nwmber: 571-2879
Scheduied Date: 20 -OS-12 Schedaled 1lme: �09:00:00
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ACTTON NEEDED:
Created by: Wendy Hiatt Dste Created: 2017-OS-OS
ACTION TAKEN:
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Status: � In Progress Sabmitter Ha�a Been r,
Coutacted
Date Completed: �,_ �� Completed by: C � �
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' City of Fridiey
Water Departrr�ent �� � ��
6431 University Avenue NE
Fridley, MN 55432
763-572-3566
1/we hereby authorize the City of Fridley andjor its employees to do what is necessary to
replace the water r►�eter. 1 understand that the property owner is liable for the water line from the main to the premtse and all interior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may otcur white 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.
FINAL METER READING(old meter)
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Name: ���,U� ���N Address 1.1t L lO J �(G�(O✓y �✓l�l�''i��
PhoneNumber �� t " �r)�� Date ��' �� `� � `
Signature Witness Signature
OLD METER# I,U� �� ✓�IC�
OLD READING �J�� / ��V
NEW METER# � l���� !�
NEW READING �
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FRfDLEY CITY CODE
CHAPTER 4U2.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRA710N
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
P�ior to constructing or repair of any water of sewer line connecting the existtag munic9pal system and arry house or building for which the
applicatPon is made,the owner or wntractor shall be required to obtain a permit for wch c�nnection,and shail pay a permii fee as provided in
Chapter 11 of this Code. After such connection fias been made,the Water and Sewer DepartmeM shall be notified. It shalt be uniawful to cover
any connecting line until an inspection has been made and such connettion and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initiai connection has been made to the water service curb stop box or the sewe�lead at the property line or a water service lead has
been eutended to the property line for connection,the appficant,owner,or occupant or user of such premises shall be fiable tor ali repairs
required to any water line and sewer lines nec+essary for connection of the premtses from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the C'rry,the property owner shaii be charged for the casts af the maimenance andJor
repairs,inciuding necessary street repairs at a rate set annualfy by an adminlstrative poliry. It shall be the responsibi{ity of tfie applicant,
owner,occupant or user to perform standard maintenance of tfie sewer service tine from the premises to the main including defx�is clea�ing or
root cutting and to maintain the water service curb stop box for operabii'�ty and at such height as will ensure that it remains above the flnished
grade of the land or property. (Ref 638,1156,1191)
Request Number: 10738
Pubfic Works Division
Service Request
Problem Address: 6465 Hickory Circle Requested By: David Berry
Department: WATER Address: No address provided
Problem/Issue: STANDPIPE Phone Number: 612-751-6979
Scheduled Date: 2015-11-04 Scheduled Time:
1 � St `
ACTION NEEDED:Mazk standpipe with painUflag.He tlunks it may be in the dri�way.He said lris neighbor's standpipe
is marked with blue paint.(Something to do with sewer project in the azea)and he vwould like his marked as vwe1L
Created by: Wendy Hiatt Date Created: 2015-11-03
ACTION TA,I�N:
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Status: In Progress Resident Contacted C!
Date Completed: Completed by:
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