Meter Swap Request Number: 10846
Public Works Division
Service Request
Problem Address: 5417 W Bavarian Pass Requested By:
Department: WATER Address: 5417 W BavarianPass
Fridley,MN 55432
Problem/Issue: INSTALL AMRMETER Phone Nnmber: 763-572-0683
Scheduled Date• 2015-11-19 Scheduled Time: 10:00:00
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ACTION NEEDED:Install AMR meter
Created by: Beth Kondrick Date Created: 2015-11-13
ACTION TAI�N:
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Status: 1n Progress Resident Contacted �
Date Completed: Completed by:
�l��-+s ��, a���{1�
, � - City of Fridiey
_ . .. � <<..,. WatprDepartrnent .
6431 University Avenue d� . .. - .. _. �
Fridley,MN 5S43Z
(763)57Z-'�566
. ��We herehy autho�ize ii��fil of Fridley andJor its
employees to do wh�t i�necessary to r+eplace the water meter,I�derstand that tbe properttf ownrx
water Iine from the main ta the premise and a��rior piumb[ng. (Per t�tp c�
902.06) 1 also hold the[�ty of Fridtey and/its emp�oyees ha� tir any am�es ma �
2 walis�floors or the curb
while doing this aperati�n. This to indude,but not limlted to;��►�►P!P��
stop box and service line. I understand 1 am also required to abt�a Pe��p�Or�a°y vr°�'ff
necessary. .
. Final meter reading(old meter) . . �
Name: Addres� � :
Phone Num6er: �e: ,
.
Signature: �
Witness 5ignature:
� ERIDLEY CITY CODE �
CH1tPTER 402.WATER,STORM WATER,ANO 3ANtTARY SEWER
AaMINiSTRATItIN
(Ref Ord No 113,464,565;566�fi�9,638,fi62,9I2,988,1144,1156,1191)
40Z.Q5.PERMiT FEE • �
Priar to construc�ting or repalr af any water or sewer 6ne connectingthe e�dsttng muniapal Nstem and a[ry hause
or building for whi�the application is made,the nwner or cantracta'shall be required to obtaln a petmit for wch
conrtecdon,and sha{)pay a p
��{�Q as provided in Chapter 11 oftl�rs tbde. After such cannedian has been
made,the iNater and 5ewer D�a��t 5hall be noflfied. It shall 6e unlawtul tu caver any connecking line untii an
inspection has been made and such cannecdon and the work incid�t thereto has 6een approved by the Ci�►as a
- prnper and stHtable connection.
401.a6.REPAIRS AND MAtNTENANCE TO CQNNECi1C1N . �
e service tu�h s hox ar the sewer lead at the propert'�
-A#�E-ititt�
Une ar a water service or sewer lead has 5�II be liable fior alf'repa�s reqiu red tv anY water I�ne and�ew�r I�nes �
or the occuPant ar user af such p��►�� oymer req�e�
neces5ary for connectian of the premfses fram the main t��e ro��1�n����b�a�ged fnr the ca�ts uf t�e
maintenance 5ervice or repairs be performed by the�e�t r paiq at a rate set annually by.an administradve
maintenance and(or repairs� induding any necessaN
poUcy. It shail bethe responsi6il'dy ofthe aPP�ic�nt�awner,occup�►tor userta perfarm�tandard matnt�nance af
• the se�rer service line from the premises ta�tte�5uth he�i�g����n�at t r�ma nsnabove the fian�hed e . ... .
� wat�r servic��cur6 stop hoxfnr operabNiry and a . . .. . . _ . •- . . ._._
_ . ._ . .._ . .. -
R�6;�,'1.�a5,_t#�1�:� .. ._ .. . _._. . _.... .
,..grade�f�i�tand orprdp�i.y-
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