Meter Swap . Request Number: 12704
� Public works Division
Service Request
Problem Address: 7391 Symphouy St Requested By: Willard
Depsrtment: WA'IEEt Addrea:: No address provided
Problem/Iss�u: INSTALL AMR METER P�one Nu�ber: 763-486-6738
Schedaled Date: 2017-01-OS 5c6edaled 11me: 07:30:00
�n S� �7 f
AGIION NEEDED:
Created by: We�y Hi�t Date Created: 201?-01-03
ACTION TAI�N:
Nobody at home.Wendy ealled He rescheduled or 1/S(a3 7:30
�^__�:�:���..____. _ ._ _____
:
St��: In Progress SNbmitter Has Boes r,
Ca�acted
l�te Coe�p►eted: �� �' ' � Compteted by: J�oe Aspenon
Honrs
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/
� Request Numb►er: 12704
Pubtic works Division
Service Request
Problem Address: 7391 Sympho�+St Requested By: Willard
Dep�rtmeet: WATER Addre:s: No ad�ress providcd
Problem/Iss�: INSTALL t1MR METER Pho�Nymber: 763-486-6738
SeUed�led e: 2017 01-04 � Sc6edaled Tt�e: 07:00:00
W �
AGTION NEEDED: '
Cre�ed by: We�y Hiatt DAte Created: 2017-01-03
ACTION TAI�N:
_ �-��A �c�-�--- ��'U d�� - N� l�� �n,� a c� iv�/a wl�'�1��
Q� I�v� R-es�,.,e��
Stat�: tn Progress Sahmitter AsK Been r., "
Co�tActed
Drtte Compieted: i ^—�""'1 7 Completed by:
City of Fridley
Water Department (.`, � �
6431 University Avenue NE �V I �
� , Fridley,MN 55432 � G�3
� 763-572-3566 �j (� � �����
'�/We hereby authorize the City of Fritiley and/or its empioyees to do what is necessary to
replace the wrater meter. !understand Lhat ihe property owner is liable tor the water line from the main to the premise and all i+rterior
piumbing. (Per City code 402.06) i also hold the City of Frid(ey and/its emptoyees harmless for any damages that may occur wbile doing this
operation. This to include,but not limited to valves,piping,walls,ftoors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior ta any work,if necessary.
FtNAL METER READING(o!d meter) `�� "� ��
Name: �'`�4��I�"�G- Address �� 1, � N�► �j '�-.
Phone iYumber /`e�'��{,1�� �o" V p� I" �,'���
+ ' S'gnature Witness Signature -�-''`"
OLD METER#_���' ����
OLD READtN6 ��I �� ��
NEW METER# �' ` ( � � / ��
NEW READING� v
ERT# � ��V �'� ��� ,
FRIDLEY CiTY CI�DE
CHAPT'ER 402.WATER,S70RM WATER AND SANITARY SEWER
ADMlPIlSTRATlON
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the exist(ng municipai system and arry Iwuse or buttding for whic�tlte
application is made,the owner or car�tractor shall be required to obtain a permit for such connedion,and shall pay a permit fee�provided in
Chapter il of this Code. After such connection has been made,the Water and Sewer Departmerrt shaN be notifled. !t shail be unlawful to cover
any connecting line unti(an inspection has been made and such connection and the work inaderrt thereto has been approved 6y the City as a
proper and suitabte oonnectiort. �
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initiaf connection has been made to the water service curb stop box or the sewer kad at the pr'operty line or a water service tead has
been extended to the property line for connection,the appFicarrt,owner,or accupa�tt or user of such premises shat(be liabie for ail 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 C"rty,the property owner shatl be charged for the costs of the mairnenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administratFve policy. It shall be the responsibility of the appticarrt,
owner,occupant or user to perform standard maintenance af the sewer service line from the premises to the main inctuding debris dearing�
root cutting and to maimain The water service curb stop box for operabil'�ty and at such height as will ensure#hat it remair�s above the finished
grade of the land or property. (Ref 638,1156,1191j
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