The URL can be used to link to this page

Meter Swap '� 3 ��sw.5i i�rsJ � � INSTALLATlON �.n� AUTOMATIC METER READER FRIDLEY Address �� 0 Name ��tiR�.�i�- Date 1-�J�`� � Old Meter Number �l � Old Meter Reading Replacement No. Replacement Reading � Replacement Make��- ERT# � Replacement ERT# Remarks: �� L--�� `�$a3 Signed: i �.i � Request for Service Report ` Git}+ of Fridley Reference No: 601-11-2839 Date: 02116I11 Request Type: Turn water oFFlon Enkered By: Wendy Hiatt Department: Water Citizen Name: Cindy Kerrigan Address: 290 IRONTUN ST NE Callback Phone: 763-7$5-92$4 Scheduled Date= 02116111 3:15 AM Property Owner: Location Details: """BILL"""' Requexk Details: Shut water oFF_ Leave key Action T aken: �----- ----- -�� --- -- -- -- Lc�.#�r� C�2.��0� �� -uz� O� w��2�, �--�-�- � �� l�� y a_ ��—� � o Responsible Person: � Approver: Completion Date: ` I�� i �Citizen Notified a � � City of Fridley Water Department . 6431 University Avenue NE Fridley MN �5432 (763) 572-3561 Uwe C��n,r�'S ��rr ��,� hereby authorize the City of Fridley andlor its employees to do what is necessary to shut off the water at the curb stop box. I understa�d 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 harmless 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. Name: C,�„�� j��i,rt'►c,�� Address: Z 9'(� Zfv��^- -S=� Phone Number: ��-��i S-- � Date: Z. �l� 1� Signature: / Witness Signature: FRIDLEY CIT�CODE CHAPTER 402.WATER,STORM WATER AND SAIVITA.RY SEWER ADMINISTI2ATION (Ref Ord No 113,464,565,566,629,638,662,422,988, 1144, ll56, 1191) 402.05. PERMIT FEE Prior to consiructing or repair of any water or sewer line connecting the e�sting municipal system and any house or building far 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 ll of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unla�vful 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 inirial connecrion 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 ea�tended 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 connecrion of the premises from the main to the premises. If the property owner requests maintenance services ar 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 repa.irs,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 main including debris clearing or root cutting and to maintain the water service curb stop box for operability and at such height as wiil ensure that it remains above the finished grade of the land or property (Ref 638, 1156, 1191) Requ�est for �erv�ce R�pc�rt Ciiy af Fndl�:y r��,��: ��-��-�a� a��: s,�zsr�at� Request T�►pe� �ai� AMR�er E��d By: aver,dy w�t Departrraes�#: Water Gtiae.�t�a�ne: t�dness� 2�0 tRU1++�IIT�?A1 ST NE Cai�a�c Fhcsne: Sc�duled D�e= Pmperty()wner: L�ac�tican E�ails: R�+quest Detail�= install AMR ,Atti�T�csn: Hamer�wn�had servic�(ea{c so Pete in�a�ed l�R�e he was ther�_ _._�____� -- - _ _ E14d me��r#�7�d�33� Q4d neading: 22267� ' Fde�me#er#:Same New re�c�g:4 ERT#�7�67fi8 � � � I � i � � i j I � � I � ' I � ( � i��$' t7tft-- � Respar��i+�Pe�san: Ap��r. !{cxy Jorgen�____ � _____ ��_M_ Cart�l�da�e: 9l28✓2t111 12:00 PM � �kiaen ldc�ed