Meter Swap �.
' Request Number: 16111
Public works Division
Service Request
Problem Address: 420 Hugo St Requested By: Tim
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-568-2636
Sc6eduled Date: 2017-06-27 Schedaled'Iime: 07:30:00
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ACIYON NEEDED:
Created by: Beth Konc�ick Date Created: 2017-06-22
� ACTION TAI�N:
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Status: In Progress Submitter Has Been r
Contacted .
Date Completed: Compteted by:
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. City of Fridley �"� �/���
„ Water Department Y�� "lj
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�1'"�e hereby authorixe the Gty of Fridiey and/or its empioyees to do what is necessary to
repiace the water meter. I understand that the property owner is liable far the water{ine from the main to the premise and all interior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/'ns employees hacmless for any damages that may occur while doing this
operation. This to include,but not limited to vaives,piping,walls,floors or the curb stop box and senrice line. tn understand i am afso required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) �� �� � ` D
Name• ���/V, Address 1�V 1 1 Vl�V ✓�•
Phone Number �L�—�1,I� `�� ✓W p� �Q— y� � '� ` �
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�ignature Witness Signature ��
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OLD READING `���� �" �� ��,�
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NEW METER# � L���V��j� �a�,�- 13"t�-
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NEW READIPIG
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEYVER
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 arry water of sewer line connecting the existing munic(pal system and any house or building for which tfie
application is made,the owner or contractor shall be required to obtain a permit for such wnnection,and shall pay a permit fee as providec!in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. It shall be untawful to cover
any connecting fine until an inspection has been made and such connection and the work incident thereto has been approved by the Ctty as a
proper and witable connection.
402.06 REPAIRS AN�MAtNTENAIVCE TO COfYNECTION
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 senrice lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shail be iiable for all repairs
required to any water line and sewer lines necessary for connection af the pcemises from the main to the premises. t�the properry owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance andjor
repairs,including necessary street repairs at a rate set annually by an administrative policy. !C shall be the respo�sibility af the appiicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main induding debris clearing or
root cutting and to maintain the water service curb stop boz for operability and at such height as will ensure that it remains above the�nished
grade of the land or property. (Ref 638,1156,1191)
Request Number: 12004
Public Works Division
Service Request
Problem Address: 420 Hugo St Requested By: Steve
Department: WATER Address: No address�ovi�d
Problem/Issue: GENERAL Phone Number: -�� ���. Z�
Scheduled Date: Schedaled 11me:
ACTION NEEDED:Water in basement. �
Created by: Wendy Hiatt Date Created: 2016-09-19
ACTION T.4I�N:
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......................................................................._.__................................_._-�o.�-euwra��,�.�.I......_.�..�_....__.............................._..�..___.........._........_...___...._...._...............__
Status: In Progress Submitter Has Been �
Contacted
Date Completed: Completed by:
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