Meter Swap r •.
� Request Number: 13025
Public Works Division
Service Request
Problem Address: 7580 Lakeside Rd Requested By: Paula
Departmeat: WATER Addreas: No�ess provided
Pro�em/Issue: INSTALL AMR METER Phone Number: 763-234-7640
Schednled t • 2017-01 25 � SchedWedllme: 09:Oti:00
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ACTION N�EDED:
Crented by: Wendy�iiatt D�e G�e�ed: 2017-01-23
ACTION TAK�N: � �
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Status: �pro�� Sul�mitter Has Been r,
Coatacted
D�te Completed: Completed by:
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Watea-�epartenent � j!i ' �/� �// o J C��
6431 l9niversitg/Avenue NE
� Fridteya MR! 554.32 � )
763-572-3566 5� � },� �
,�S'"�� her�by authorize the Ciiy a#Fridiey and/or its empioyees to slo what is necessary to
replace the water meter. !understand that the property owner is liable for the avater line from the main to the premise and all interior
plurrebing. {Per Crty code 402.06) i also hold the C'oty of Fridley and/its employees harmless foe any slamages that may occur while doing this
operation. This to include,but not limi#ed to valves,piping,waiis,floors or the curb stoP box and service tine. In understand!am also require�
to obtain a permifi prior to arry�ror4c,if aecessary.
FINAL METER READING(old meter) v � 1 `-� � ��
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Name• C�� �►ddress��(.X✓ Lr:`�-I4'�..�( "�. � �
PhaneNumbe����� L�`�— I�jWV Date l'—'�l�-�� ��
Signature �-...-- .�. Wi�ess Seg�atu�e �"'�--�---
OlD METER# _ 3- 1 �o Z� �� g
OLD READtNG� � � J � O V
NEW METER# �`'� i�l��l �'" 1 ��
NEW READIA(G �
ERT#_�L�_� l 1 ��'�
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(itef Ord Pto 113,464,565,56b,629,638,562,922,988,i144,1156,1191]
4Q2.5 PERNIIT FEE
Prior to constructing or repair of any water of sewer{ine connecting the eacisting municipal system and arry house or building for which the
application is made,the owner or corrtractor shal!be required to obtain a permit for such connection,and shall pay a permii fee as provided in•
Chapter 11 of fihis Code. After such connection has been made,the Water and Sewer Departmern shall be nat�fied. it shali be untawfiti to coHer
any connecting line urrtil an inspection has been made and such connection and the work inciderrt thereto has been approred by the City as a
proper and suitable connection.
�02.06 REPAIRS AND MAINTENpAICE TO CONNECTION
After the initial connection has been made to the water senrice curb stop box or the sewer lead at the property line or a water service lead has
been extended#o the property line for connection,the appiicarrt,oarner,or accupant or user of such premises shall be lial�e for ail repalrs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. if tl�e property o�rner
requests maintenance service or repairs be per-Formed by the Gty,the properly owner shali be charged for the costs of the mairiteenance and/or
repairs,including necessary street repairs at a rate set annuaUy by an adminis#raiive poliry. tt shall be the responsbility of the applicarrt,
owner,occupant or user to perForm standarc!maintenance af the sewer service line from the premises to the mai�i�dudirtg debris clearing or
root cutting and to mairrtain the water service svrb stop box for operability and at such height as will ensure that it remair�s above the finished
grade af the land o�p�operty. (Ref 638,1156,1191)
Request Number: 11659
Public Works Division
Service Request
Problem Address: 7580 Lakeside Rd Requested By: Paula
Department: WATER Address: No address provided
Problem/Issue: FIRE HYDRANT Phooe Number: 763-234-7640
Scheduled Date: Scheduled 15me:
ACTION NEEDED:Yellow fire hydrant needs to be painted.
Created by: Wendy Hiatt Date Created: 2016-07-01
ACTION TAI�N:
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Status: In Progress Submitter Has Been C
Contacted
Date Completed: Completed by: `�
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