Meter Swap .
�
Request Number: 10773
Public Works Division
Service Request
Problem Address: 5531 E Oberlin Circle Requested By: Suzanne Strand �
Department: WATER Address: No address provided
ProblemJIssue: INSTALL AMR METER Phone Number: 574-0839
Scheduled Date: 2015-11-10 Scheduled Time: 07:00:00
P, � ,
ACTION NEEDED:AMR
Cre�ted byc WendyHiatt Date Created: 2015-11-06
ACTION TAI�N:
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Status: in Progress Resident Contacted �}c:.
Date Completed: Completed by:
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` � City of Fridley
- . : -.... Wat�c D�partmettt
6431 University Avenue NE ._ - .. _ � -
Fridley,MN 55432
[753)572 3566
� ��We her�by authoriie tl���Y�Fridley and/or its
employees to do what i�necessary to replace the wate�meter,l understand that the propetty owner
is ItaMe far the water{ine fi�om the main ta the premis�and a8��rior pluro6ing. (P�UtY code
402.06� I.alsa hnld the Qiy of Fridte�and/its emptayees harml�for any uamag�ma�n�r��
while doin�this operation. This to include,but not limited to;��►P�P��►��►fla0�°���
stop box and service line. 1 understand 1 am also required to d��n a permit prior to anY work►ff
necessary. �
Rnaf ineter reading(otd meter) � �� `�
�j5�` 1 ��,�,�,N
Name: Addres�: �" J °
Pbone Num6er• Date: `;_�v� . .
Signature� .
Witness 5igt►ature:
. fRIDLEY GTY CODE
CHAPTER 40Z.WATER,STORM WATFR,AND SANITARY SEINER
AaMiN15iRA110N
(Ref Ord Na 113r 464,565;5fi6,629,638,66Z,912,988,1144,1156,1191}
402.05.PERMIT�EE �
Prior tu constructing ar repair of arry water or sewer tine�onnectingthe existing mun�cipa(sYstem and any house
or 6uilding for whid�the application is made,the owner or contractor�►atl be tequired ta obtain a petmit fo�suc4�
cannectian.and shall pay a permit fee as pravlded in Chapte�11 of d�is[bde. After sud�connectlon has been
made,the Water and Sewer Deparimeot shall be d he work ndd there or has b en app oved byntheCitY a`an
inspectton has heen made and such cannecCion an
proper and suitable connection.
�oz.o�.��aRs an�o nnA�n��aN�To cor�rt�cno�
����Q� _ �__�___....,ao+n�,p water service curhstov box nr�e_sewer iead atthe propert'
line or a water service nr sewer lead has been extended to the propertyline for cannection,the appiicat�,owner,
or the occupant ar user of such premises shall be liable far all�epal�required to atry water line and sewer lines
necessary for connectian of the premises from the main to the pr�ise� if the prap�tty owner requests
maintenance servfce ar repairs he�e�furmed by the City,the propety�rner shall be cha�ged far the cflsts of the
maintenance and/or repairs, induding any necessarll st�eet rePair�at a�ate set annually by.an administrath+e
policy. It shall be the responsibi�dY of the applicant,awner,nccup�tar t�er tu perfarm Standard maintenanCe af
• the sewer service line from the premises to the main inciuding delm�clearing flr root cutting and to maintatd�e
water ser�ric��cur6 stnp bax for operablity and at such height as!�c�ure that it rematns abaue the finished . _
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'Re�i 63c�,�.�55,_1}�3:� .. . _ . . . . -
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,..grade of tfii�ta�rd orprdp�ty.�t .. _ ._. . . _._.