Meter Swap � Request Number: 11001
Public Works Division
Service Request
Problem Address: 5451 E Brenner Pass Requested By: Scott Mangen
Department: WATER Address: No address provided
Problem/Issue: INSTALLAMRMET'ER PhoneNumber: 612-396-9355
Scheduled Da :_ 2015-12-18 `� Scheduled Time: 01:00:00
/
ACTTON NEEDED:Install AMR
Created by: Julie Horak Date Created: 2015-12-08
ACTTON TAI�N:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
I��i� -�^S �
• City of Fridley
- . .. _ Watec Qepariment ._. _ :. .. ._ .
6431 Universrq►Avenue NE
Fridley,MN 5543Z
(7fi3�57Z-356G
1/we herehy autharire the�tY af Fridtey a�si/or if,s
employees to do what is necessary ta repface the water meter.I�derstand that the propertY own�
r tine from the main to the premise and a�a�terior pfumbir�. {Per Gtil cade _
402,�6) i.also hold the Gty of�ridtey andjit�employees ha� a�any amages �
wtu'te doing this operadon. This to indude,but not limited to;u���P�Pj�►��►�°°rs°r�e curb
stop box and service line. I under�tand f am alsa required to a�n a Pe�rt p�or t+�anY work,if
neces5ary. �
. �� � ��v
Flnat meter reading(otd meterj - .
Address: � �� ''' ����'
Name: � ' .
Pfione Number
Date: �,�_�v t �
. �
/V _
Signature: .�.-• ; .
Witness 5ignature:
� FRIDlEY CITY CODE
CHAPTER 402.WATER,STORM Wa7Ea,A��NITARY SE1N�R
pDMINISTRATICIN
(Ref Qrd Ka 113�464,565;566,6Z9,fi38,66Z,9Z2,988,1144,1556,119ij
4�2.05.PERMfT FEE � �
Prior to constructing or repair af any water ar sewer line coc�nc�N��e�e�be��uf`�{o'ab�in a permit fior 5uch
oc building far whidti the appiicat�an i$made,the owner ar
wnttecdnn,and shalf pay a permit fee as Psavided in Chapte�11 ofthis Code. After such cannedion h,'e�' �an
made,the iNater and Sewrer Depanm�nt shall be notified. it shalt heunlawful to caver any conneding�
inspection has 6een made and such connecCion and the work indd�t thereto has been approv�f by the Clty as a
proper and su�table rnnnectian.
402.Ob.REPAIRS AND MAINTENANCE TO tONNECifON
se �e curh box orthe sewer fead atthe p�aP�
-A#�r�the-ia'd3a
a
line or a water service ar sewer lead has been e e'�b��n a`�p��Iu°T d to arry water li�ne and�ewer'lines �
or the nccupant or user of such premises shaA b 9�����
neces5ary foc connectian of the prem�s�from tfie main t4�e�r���ner shail be�charg+ed for the�s of the
maintenance service or repairs be perform�d by the City� P P�Y
. maintenance and/or repairs, i�ciudinB a��ne`,c�{a�n�l p�p��use�ta perf8rm�ndard maintQn na ce of
poltcy. It shail 6e the responsi6ifiry of th PP
• the sewer service Gne from the premtses te th��5uch heigh as w�er+sure that�t r mains abo e th�n�hed e .
� wat�r servic�cUrb stop boxfor ogerabihty an _ . . . � . . _:. � =�
_ . . . .._ .. ... ..
Ret 638,��.55�-t��t3:� ._. ._ . ,. _ ....._. ... ....
<..grade�P�tfiie�tarsd or�rdpc�ty.�� _ ..._ ._.