Meter Swap Request Number: 10833
Pubfic Works Division
Service Request
Problem Address: 5415 W Bavarian Pass Requested By: Richzrd Eisner
Department: WATER Address: 5415 W Bavarian Pass
Problem/Issue: INSTALL AMR METER Phone Number: 763-571-3120
ScheduledDate: 2015-11-18 � ScheduledTSme: 08:30:00
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ACTION NEEDED:AMR Install.Owner has two meters inside lus home.One belongs to homeowners association for
watering outside,etc.and the other is for his pwn unit
Created by: Cheryl Pellegrin Date Created: 2015-11-13
ACTION TAI�N: �
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Status: InProgress ResidentContacted ❑
Date Completed: Completed by:
,�- ��-�� f-�,., ���ll
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� - City of Fridley
- . : � --..�. Wat?r Department �
6431 University Avenue N� �
Fridiey,MN 5543Z
(763�572-3566
� f/.we hec+eby authorize 11��Y af Fridley and jor i�s
employees ta do what i�necessary to reptace the water meteu I��nd t�at the prn�rhl�
r line fram the main ta�e pnemise and aM i►�iior plemt�+�8. (Per UtY code _
qU2,06) 1 at�o hald the Cify af Eridteq andrts employees ha� or any amaB� ��Y
white doi�this aperadon. This ta i�ude,6ut not!'un�ted to,+���►P�f�•�,�aors ar�curb
stop bo�c and service line. I understand 1 am afso requi r e d ta abt�'+a P�n"�P�o�'�0'any worly ff
necessary. �
Flnat meter readtng(otd meter} . . �
Name• Address: � :
Phune Num6er. ��: ,
S' atures �
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Witness5igaature•
� FRIDLEY tlTY CODE
CHAPTER 4U2.WATEEt,SCORM WATER,ANO 3ANITARY SEIIVLR
ADMINfSTRA710N
(Ref Ord No 113r 464,565;566,��9,638,562,�22,988,1144,1156,1191)
402.05.PERMR FEE • �
Prior to canstructing or repalr of any water or sewer line coc��n��a�e�ste�requ red t obtaln a petmit for sUck'
nr buifding for which t t�e app tica tia n i s m a d e,t h e n w n e r o r �
canrrection,and sha{I pay a permit fee as Provided in Chapte�il ofd�i�Code. After such cannectian has been
made,the Water and Sewer Depafinent���D�and the work ndd�t thereto,has heen pp�by�he�+�an .
inspecdon has been made and such canne
properand suitable connection.
402.06.i�EPA1R5 AND MAIN1ENl4NCE TO C�NNECTIUN �
senrice cu�6 st bax ar the sewer lead at the prop�t".
��er'�th�ipj#� ' - mAnler,
line or a water service or sewer lead has Shen be;,�b��a th r������y��.tne and sew�'line$
ar the nceupant qr user af 5ucb premf ses oym��ques�
necessary for c�nnectian oF the premises from the main to�e propety owner shall be charged fnr the costs of the
maintenaace senrice or repairs be performed bY tt►e C�Y�
maintenance andJor repairs, induding any necessary sh'eet cepai�at a rate set anaually by�n administrativve
poUcy. it shall be the responsibiliry ofthe appficant,ownet,��P�►t��r to perfosm sta+�td t�ainkenante af
. the sewet seniic�tine�rom ttte premises ta the mainch heUidi g��encure that it remaitns ab etthe fln�i h'ed Q.-_ . .. .
� water�ervic��cur6�top boxfor uperabitity and at su � . .. _ . _ � ...._.. . . . .__
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"`graife af t�ie-tarrci orpro�[Y•-t
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