Meter Swap , Request Number: 12789
Public Works Division
Setvice Request
_ _ _ _
Probiem Address: 7380 Lyric Ln Requested By: Vera Schmidt
Department: WA1ER Address: No address provided
Problero/LSsue: INSTALL AMR METER Phone Nwnber: 763-780-7146
Schedul ed Date: 2017-01-13 Schedul ed T3 me: 07:00:00
, � ` � � �
ACITON NEEDED:
Created by: Wendy Hiatt Date Created: 2017-01-09
ACTT N TAI�N: � � - ' ;.....__ _.�
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Status: In Progress Submitter Aas Been r
Contacted
Date Completed: Completed by:
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City of Fridley
So ► � 5' �
Water Department
- 6431 University Avenue NE 2 ' �_��c.���v .-�I
' Fridley, MN 55432 �
763-572-3566
1/we hereby authorize the City of Fridley and/or its empioyees to do what is necessary to
repiace the water meter. 1 understand that tfie property owner is liable for the water line from the main to the premise and all interior
piumbing. (Per City code 4U2.Q6) l also hotd the City of Fridley and/its employees harmtess for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,watls,floors or the curb stop box and service line. fn understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) �`� �� ���--} �'
Name: \,!� ��..��� +-`�.� �r-�i_� '��rv'�,1 t��Address r_� •� , ''`� i.'�y i�W t.-� l., �'„�.
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Phone Piumber �Y� ,.1� �� ` � ���� � � ,�� '��
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�Signature . ;.1 ( f ''....�, �,t!„� � `�, Witness5ignature l./
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OLD METER# � .� =� ��-- � �
OLD READING �) �>.� � �� �
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NEW METER# 1 � � � I��� �
NEW READING �
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ERT#
FRIDLEY CITY CODE
CHAPTER 402.WA7ER,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 municipal system and any house or buiiding for which the
appiication is made,the owner or contractor shali be required to obtain a permit for such connection,and shail pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,Che 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 connedion.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connedion has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line fior connection,the applicant,owner,or occupant or user of such premises shall be liable 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,inc�uding necessary street repairs at a rate set annuaNy by an administrative poliry. It shaii be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line 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 fieight as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
Request for Service Report
� Ci#y of Fridley
Reierence No: 601-11-3078 Date: 06/01/11
Requesk Type= Turn water ofilon Entered By: Wendy Hiatk
Department: Water Citizen Name: Vera Schmidt
Address: 7380 LYRIC LN NE Callback Phone: 763•780-7146
Scheduled Dake= 06102f11 7:30 AM =�� Property Owner:
Location Details: ""BILL"" Request Dekails= Shut water oFfllearre key
Permit#2011-00730
Action Taken:
S�'1L� w�� `���a�-' o �� -� �t �� � � � b S�fo s0.
LC-� � "f,C r �,,,• �. � � �c (k�e Q c,.c�e�. �� � �-Pc�`� lI� �c�
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Responsible Person: ;;}� ' � �_�
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Approver:
Completion Date: � � Citizen Notified
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City of Fridley
Water Department
6431 University Avenue NE
Fridley MN 55432
(763) 572-3561
. 9 , f
Uwe �-�lh�l(Lt i �;7 hereby authorize the City of Fridley and/or its
employees to do what is necessary to shut off the water at the curb stop box. I u.nderstarid
that the property owner is liable for the water line from the main to the premise. (Per
City code 402.06) I also hold the City of Fridley and/or its employees haamless for any
damages that may occur while doing this operation. This to include, but not limited to,
sod, yard, landscaping, trees, shrubs, driveways, sidewalks or the curb stop box and
service line. I understand I am also required to obtain a permit prior to any work.
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Name: �''�=-1f��'� �-�'t r�;1 t�,� Address:� r, i �:t, z.U�
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Phane Number: 7���� --�� �� Date: � _ / �
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Signature: i L. � C__.�- �� �
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Witness Signature: �.� �-��
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SER'ER
ADNIINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988, 1144, 1156, 1191)
402.05. PERNIIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any
house or building for which the application is made,the owner or contractor shall be required to obtam a
permit for such connection,and shall pay a permit fee as provided in Chapter 11 of this Code. Af�er 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 i_nitial connection has been made to the water service curb stop box or the sewer lead at the
property line or a water service or sewer lead has been e�ended to the property line for connection,the
applicant, owner,or the occupant or user of such premises shall be liable for all repairs required to any
water line and any sewer lines necessary for connection of the premises from the main to the premises. If
the property owner requests maintenance services or repairs be performed by the City,the property owner
shall be charged for the costs of the maintenance and/or repairs,including any necessary street repairs,at a
rate set annually by an administrarive policy. It shall be the responsibility of the applicant,owner,occupant
or user to perform standard maintenance of the sewer service line 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 ens�e that it remains above the finished grade of the land or property: (Ref b38, 1156, 1191)