Meter Swap � Request Number: 12983
Public Works Division
Service Request
Problem Address: 1502 N Timber Ridge Requested By: Jay Hoffman
Department: WA1ER AddresS: 1502 N Timber Ridg+e
Fridley,MN 55432
Probfem/�ssne: INSTALL AMR METER PLene Number: 763-571-0918
ScLeduled Dnte: 2017-01-25 Schedeled 11me: 08:30:Q0
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ACIION NEEDED:Install AMR
Created by: Beth Koadrick Date G�e�ed: 2017-01-20
ACTION TAKEN:
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� Status: In Progress Submitter Haa Been r,
Contncted
Date Compieted: Completed by:
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, • Friclley, MN 55432 .,
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�/�e hereby authorize the Cifij of�ridley and/or its empioyees to do what is necessary to
replace the water meter. 1 understand that the propea-ky owner�s liable for the water line from the main to the Premise and al(i�eriar
plumbing. (Per City code 402.06j i also hold the C'dy of Fridley and/its employees harmless#or any slamages that may occur while doing this
operetion. This to fnclude,but not limi#ed to vatves,piping,waiis,tloors or#he surb stop box and service line. In understand 1 am also require�
to obtain a permit prior to any�ror4c,if necessary.
FtNAL METER READING(o!d eter) ��� � �� �
Name: Address ���2- � " ��n� ��, �,
Phone Numbe ���~ J�I�(J 1�GJ Date 1��j^ `�
Signature •_..-�'"�Z--._.. iNitness S'tgnature �`'
OLD METER# � � J J � �
OLD READ1111G�S � G S� �
AiEW METER# �� � �` C) 1 �
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FRIDLEY CITI CODE
CH�P'TER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,529,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair o#any water of sewer{ine wnnecting the existing municipal system and arry house or buildirig for which the
application is made,the awner or corrtractor shall be required to vlrtain a permit fos such coonection,and shall pay a�rmit fee as provided irr
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departme�m shall be notified. tt shall be untawful to c�over
any connecting line urrtif an inspection has been made and such connection and the work incideM thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONMECfIORf
After the initial ca�necfiion has been made to the water service curb stop box or the sewer lead at the property line or a water senrice Iead Nas
been extended to the property line for connection,the appiiprrt,ownes,or occupa+rt or user of such premises shall be i'�abie for ail repairs
required to any water line and sewer lines necessary for connection of the premises from Che main to the premises. If the properly owner
requests mairrtenance service or repairs be perFormed by the C'rty,the properiy owner shaii be charged for#he�of the mairrtenance and/or
repairs,including�ecessary street repairs at a rate set annuaily by an administrative policy. It shall be the responsibili#y of the applicarrt,
owner,occupant or user to perform standard maiMenance of the sewe�service fine from the premises to the main inclutiing debris dearing or
root cutting and to mainfiain the water service curb stop box for operability and at such height as wiii ensure that it remains above the finished
grade of#he fand or property. (Ref 638,1156,1191)
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Request Number: 11574
Public Works Division
Service Request
Problem Address: 1502 N Timber Ridge Requested By: Darrell w�m's Quality Plumbing
Department: WATER Address: No address provided
Problem/Issue: 'NRN WATER ON/OFF Phone Number: 763-424-3258
Scheduled Date: Scheduled'I9me:
ACTION NEEDED:Water shut off.
Created by: Wendy Hiatt Date Created: 2016-06-20
ACTION TAI�N:
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Status• tn Progress Submitter Has Been r,
' Contacted
Date Completed: Completed by:
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