Meter Swap .. Request Number: 16009
Public Works Division
Service Request
Problem Address: 560 Lafayette St Requested By: Joanne Benson
Departmeet: WA'IER Address: No address provided
Problem/Issue: INSTAL,L AMR METER Phone Number: 763-784-9361
ScheduledDst • , 2017-06-16 � ,y �he�1lme: 08:30:00
r
ACTTON NEEDED:
Created by: Wendy Hiatt Ds�te Created: 2017-06-15
ACTION TAI�N:
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Status: In Pro�ess Submitter Iins Been r
Contacted
Date Completed: � _ I � ` I� Completed by: ` Q�L�
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�'�y o���aaoey c�
. uvater Departrra�erat / Z
.� 6431 lJniversity Averoue NE ��J�
Fe�odley,MN 55432
7C3-572-3566
��°Ne hereby authorize the C'ity of Prid(ey and/or its employees to do what is necessary to
replace fihe water meter. (understand that the property owner is liabie for the water line from#he main to the premise and ali interior
plurnbing. (Per�ity code 40Z.06j 1 also hold the Crty of Fridiey andrts employees harmtess for any damages that may occur whQe doing this
operation. This to include,but not limited to valves,piping,watis,floors or the curb stop box and senrice line. In understand!am also requirE
to ohtain a permit prior to asry wortc,if necessary.
FINAL METER READING(oid meterj � � ,/ �`�� v
Name• �OGlY1'1'�����Q,�, h Address v � �1-.
Phone lYum ��Q�3'� l�V-1'���`r ` Date 1.�. "'� `�Q "—' �,�
`�.6isnature _.�/!1Q/)^--� Witness Signature
IT=
OLD METER# �� `�✓ �� � � V/
OLD READlNG 1���� � � �
NEW METER# � -I���Q�� �
NE111/READING �
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FRIDLEY CITY CODE
CHAPTER 402.WATER,STORIII�WATER AND SANITARY SEWER
ADMINISTRAT(ON
(itef 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 o�F sewer iine connecting the existing municipal system and any house ar building for which the
application is made,the owner or contractor shall be required to abtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. it shall be unlawful Co cover
any connecting line urrti!an inspection has been made and such connection and the work incident thereto has been approved by the C'ity as a
proper and suitabfe co�nection.
402.06 REPAIRS AIYD MAINTENANCE TO CONNECTION
After the initiai connection has been made to the water service curb stop box or the sewer lead at the property line or a water servi�tead has
been extended#o the property line for connection,the app(icarrt,owner,or occupant ar user of such premises shall be liable irn all repairs
required to any water line and sewer lines necessary for conneetion of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be performed by the�ty,the property owner shall be charged for the cosis of the maiMenance and/or
repairs,inctuding necessary street repairs at a rate set annual{y f�y an administrative poliry. !t shall be the responsibility o�F the applicant,
owner,occupant or user to perForm standard mairitenance of the sewer service line from the premises to the main including debris dearing or
root cutting and to mairrtain the water service curb stop box for operabitity and at such height as wiil ensure that it remains above the finishet!
grade af the land or property. (Ref 638,1156,1191)
Request Number: 8615
Public Works Division
Service Request
Problem Address: 560 Lafayette St Requested By: JoAnne Benson
Department: WATER Address: No address provided
Problem/Issue: WATER MAIN BREAK Phone Number: 763-784-9361
Scheduled Date: SchedW ed'Ilme:
ACTION NEEDED:Water coming out of curb.
Created by: Wendy Hiatt Date Created: 2014-07-25
ACTION TAI�N:
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Status: In Progess Resident Contacted �
Date Completed: Completed by:
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