Meter Swap ►
' Request Number: 15303
Public works Division
Service Request
_ _ __ _
Problem Address: 60 Logan Pkwy Requested By: Stu
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 651-955-7409
Scheduled Date: 2017-OS-22 Scheduled'ISme: 07:00:00
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ACITON NEEDED:
Created by: Wendy Hiatt Date Created: 2017-OS-12
ACTION TAKEN:
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Status: In Progress Submitter Has Been r
Contacted
Date Completed: Completed by:
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City of Fridley
Water Department ��/-'' _ 6�gZ
6431 University Avenue NE
Fridiey,MN 55432
763-572-3566
I/we fiereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. !understand that the property owner is liable for the water line from the main to the premise 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 occur wfiile doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand i am aiso required
to obtain a permit prior to any work,if necessary.
FINAL METER READITfG(old meter) _ � �l.L� � �(! �t,s
Name: �� Address �� t'►�w� �
Phone Number � � `� �J � � ` �( v C� Date �" �� — 1 �
Signature Witness Signature _�
OLD METER# �`�� �� `� �
OLD READING O�� I �,��
NEW METER# - 1 I 0'���� ��I
NEW READING �-/
�RT# ��.�, � 5 l l�
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANiTARY 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 municipat system and any house or buiiding for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shail pay a permit fee as provided in
Chapter il of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover
any connecting 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 suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer tead at the property line or a water seroice lead has
been extended ta the property line for connection,the applicant,owner,or occupant or user of such premises shall be liabie for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shal{be the responsibility of the appiicant,
owner,occupant or user to perform standard maintenance of the sewer service{ine from the premises to the main including debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
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city of Fridley
� Water De»artment
Address �A' � ��� ,�'��� �
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Name � i
• '_'„'-84
Date_______
Old Meter Number � � � —""
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old Meter Reading
Replacement No. �
Replacement Reading
Replacement Make
�t vC'11'v�0 -
Remarks•
.:�.� nrt�ls��„rfT '� —
Signed ' .
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Ft�e�ererica ,yo. 601-08-0217 ��£�C���� ��( ��3�4�� ����(�
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Setvice Ret�ueste�l trun water on/install meter Date 4/9/OS Time 2:10 PM
. Department Public Works Division Water
Locafion of Seroice need 60 Lo�an Parkway 13E
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Owner or Agent of Property Anthony Nelson Pt�one: {H}� �j'�90-1879
Name of Citizen P�an�: ��j 763-784-1162
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Address
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Det3ils of Ret�uest goreclosed home is being sold @ the end of the month but they would like
� the water turned��;on @ the street � a meter i�qstalled M1 Appoin.tmenC set for � j;;�`
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B��.� Anthony Nelson r.����i�J �'1e���� i,� -
5840 Ea:st River Rd #309 ^�
Fridley MN 55432
R?��aest Taken Sy: Jea� _ _ :
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Departme�t ��i,��
Persan responsibie for request (/��`-' �,�. Title .
_ Action taken (include date &communication with citizen) �
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Signature of person ciearing request