Meter Swap = Request Number: 15425
t
Public Works Division
Service Request
Problem Address: 41 Talmedge Way Rcquested By: Ste�e Eich
Department: WA1ER Addresa: No address provic�d
ProMem/Issue: INSTALL AMR ME1ER Phone Number: 763-20$-8283
Sche�ed Date: 201?-OS-23 Schedaled 1lme: 08:00:00
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ACTTON NEEDED:
Created by: Beth Kondrick Date Cre�ed: 2017-OS-18
ACTION T
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Status: In Progress Sabmitter Hsis Been r
Contacted
Date Compfeted: Completed by:
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, City of Fridley
� Water Department
fi431 University Avenue NE
Fridley,MN 55432
763-572-3566
��We hereby authorize the City of Fridley and(or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all ir�#erior
plurn6ing. (Per City code 402.05) f a{so hofd the City of Fridiey and/its employees harmfess for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the wrb stop box and service line. In uoderstand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER Rf.ADING(old metery������
Name: 1.� Address
PhoneNumber���^ L�J ��2��pate �'-��JJ � 1
Signature_ Witness Signature
OLD METER# � // 1 ` � '`-'
OLD READING � � �U
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NEW METER#_������� f
NEW READING�
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ERT# � ���1��
ERlDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j
402.5 PERMlT FEE �
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or buiidin�foi 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
Chepter ii of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shali be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incident tfiereto has been approved by the C'rty as a
proper and suitabie connection.
402.06 REPAIRS AMD MAINTENANCE TO CONNECTtON
After the initial connection has been made to the water senrice curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for connectton,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 oarner
requests maintenance service or repairs be performed b�r the C'rty,the property owaer shall be charged for the wsts of the maintenance and/or
repairs,including 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 senrice line from the premises to the main including debris dearing or
root cutting and to maintain the water service curb stop box fo�operability and at such height as wili ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
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Request for Senrice Report
., � Ci#y of Fridley
Reference No: 601-11-2930 Date: 03/22/11
Request Type= Turn water oFflon Entered By: Wendy Hiatt
Department: Water Citizen Name: Dorine Keck
Address: 41 TALMADGE WAY NE Callback Phone: 763-742-6588
Scheduled Date= 04118111 10=U0 AM � Property Owner:
Location Details: Foreclosure Request Details= Turn water oFF
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Action Taken:
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Responsible Person:
Approver:
Completion Date: �� � Citizen Notiiied
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