Meter Swap C
Request Number: 15360
Public works Division
Service Request
Problem A�ddress: 7162 Riverview Terr Requested By: Louis Moore
Department: WA'1FR Address: No address�ovided
Problem/Issae: INSTALL AMR METER P6onc Number: b51-334-6170
Scheduled Date: 2017-OS-17 Scheduled'Iime: 10:30:00
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AC'IION NEEDED:Rescheduled from missed�pt
Created by: Beth Kondrick Date Created: 2017-OS-15
ACTION TAI�N:
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5tatus: In Progress Submitter Has Been r
Contacted
Date Compteted: � _ ��..- t� Completed by: ��' �
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City of Fridley C�� � 2/ �
Water Department
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6431 University Avenue NE
Fridley,MN 55432
763-572-3566
�1M+e hereby authorize the City of Fridley and/or its employees to do what is necessary to
repiace the water meter. t undentand that the property owner is liabfe for the water fine from the main to the premise and all ir�terior
piumbi�g. (Per City code 402.06] I also hold the City of Fridley and/its employees harmless for any damages that may occur white doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) � � 1 � O v
+ � �A
Name: ✓�1J�Ih '�'`0 0�"e Address � ��� �1�°�-'T Vt'e1v..s �'°�1�.
Phorie Number __ lS�J�""3 3�'���� (� Date �'� 1� � ��
Signature Witness Signature +
OLD METER# �v�� / �� �
OLD READING � ✓� ��d y ,
NEW METER# ` I�CD � � J�
NEW READING �
ERT# � � � � i � � I
FRlDLEY C{TY 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 construct)ng or repair of any water of sewer line connecting the existing municipal system and ar�y house or building for which the
application is made,the owner or contractor shali be required to obtain a permit for such connectto�,and shall pay a permit fee as provided in
Chapter li of this Code. After such connection has been made,the Water and Sewer Departmerrt shaN be natified. 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 CONNECTtON
After the initial connection has been made to the water service curb stop box or the seMrer 4ead at the property line or a water senrice fead has
been extended to the property line for connection,the applicant,owner,or occuparit or user of such premises shall6e liabte 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 Cty,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annua!{y by an administrative pofiry. It shali be the respor�sibility of the applicarrt,
owner,occupant or user to perform standard maintenance of the sewer service tine from the premtses to the main includi�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 remair�s above the fieished
grade of the fand or property. (Ref 638,1156,1191)
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� -� ` City of Fridley
Water Department
6431 University Avenue NE
Fridley MN 55432
(763) 572-3561
Uwe hereby authorize the Cify of Fridley and/or its
employees to do what is necessary to shut offthe water at the curb stop box. I understa�d
that the property owner is liable for the water line from the mai.n to the premise. (Per
City code 402.06) I also hold the City of Fridley andlor its employees harrnless 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 obtai.n a permit prior to any work.
Name: Address: �l� 1`���.�v� ��-
Phone N �+er: �(l�" ��"1 `' ��� Date: �'� "�
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Signature:�= -�.;'� � ,r� �`" { � �.,..L..,, �
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�� Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SAATITA.RY SEWER
ADNIDVISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988, 1144, 1156, 1191)
402.05. PERMI'I'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 sha11 be required to obtam a
permit for such connection,and shall pay a permit fee as provided in Chapter 11 of this Code. ARer such
connection has been made,the Water and Sewer Departiment shall be notified. It shall be unlawfut to cover
any connectimg line until an inspection Y�as been made and such connection and the work incident thereto
has been approved by the City as a pmper and suitable connection.
402.06. REPAIRS AND MA,INTENANCE T�CONNECTION
After the inidal 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 extended to the property line for cwmection,the ,,'` '
a�
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 necessaty for connection of the premises from the main to the premises. If
the property owner requests maintenance sezvices ar repairs be performed by the City,the property owner
shall be chazged for the costs of the maintenance and/or repairs,including any necessary street repairs,at a
rate set annually by an administrative 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 ma.in including
debris clearing or root cutting and to maintain the water service curb stop box for operability and at such
. height as will ensm�e that it remaains above the finished grade of the land or property: (Itef 638, 1156, 1191j
Request Number: 11815
Public Works Division
Service Request
Problem Address: 7162 RiverviewTerrace Requested By: Lewis Moore
Department: WATER Address: 7162 Riverview Terrace
Fridley,MN 55432
Problem/Issue: WATER SERVICE LEAK Phone Number: 816-569-5365
Scheduled Date: 2016-08-08 Scheduled 15me: 09:00:00
ACITON NEEDED:Updated work order-Check for water service leak
Created by: Beth Kondrick Date Created: 2016-08-03
ACTION TAI�N:
Reschedule to Monday-Homeowner will not be home{�1(`'�IGU�s. �j�(',1C.. r .� �tA�h I�J��� ,
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Status: In Progress Submitter Has Been r,
Contacted
Date Completed: Completed by:
Hours
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