Meter Swap • �
Request Number:10802
Public Works Division
Sen�ice Request
Problem Address: 1546 N Oberlin Circle Requested By:
Department: WATER Address: 1546 N Oberlin Circle
Fridley,MN 55432
FroblemlIssue: INSTALL AMR METER Phone Number: 651-270-6480
Scheduled Date: 2015-11-19 Scheduled T'ime: 08:00:00
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ACTION NEEDED:Install AMR Meter
Created by: Beth Kondrick Date Created: 2015-11-09
ACTION TAI�N: �
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Status: 1n Progress Resident Contacted ❑
Date Completed: Completed by:
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- City of Fridley
- . : _.... INatPr Departrnent
6431 University Avenue NE
Fridtey,MN 55432
(763�572-�566 -
I/we hereby authori=e��Y�Fridley and/or it�
employees to da what is nec�ssary to rep{ace the water meter.I w�derstand that the propertY Qw�'
r line fram the main to the premise and aU��rior plumbing. (Per Ciq►cade
402.06) I.alsa hold the City af Fridley and/'�ts empioyees harn� or any amages ma +
while doing this operation. Thi�ta indude,6ut not limfted to,����A�pi�►�Is,floors or the curb
stop bax and service line. t understand 1 am atso required to al�a Permit prior ta any work,if
necessary.
Final meter readirtg(old meter) . .
Name: Address: � .
Phone Num6er, �e: .
� 9 �� . �
Signature• �
Witness 5ignature•
FRIDLEY CITY CODE ,
CHAPTER 40Z.WATER,STORM WATER,AND SANRARY SEWER
ADMINISTRATION
�Ref Ord No 113,464,565;556,629,638!66Z,9I2,988,1144,1156,1191)
40Z.05.PERMIT FEE �
Prior to consiructing or repair of any water or sewer ltne cannectingthe e�dsting municipal system and am house
ar huitding far which the appGcation is made,the owner or eontracta�rall be required to obtain a permit for wch
wnttection,and shall pay a permit fee as provlded in Chapter il of d�is Code. After such connec�'►has bee�
made,the Water and Sewer Department 5hat4 ba d t�h�e work ndd uthereto,h 6een ppronved by the CitY as an
lnspection ha�been made and such cannection
properartd suitable rnnnectinn. ,
402.06.REPAIRS AND MAlNTEIVANCE TO CONNECiIQN .
_ ____��,.,.+�,o�.,�rPr service curh stop 1wx nr the Sewer tead at the pmpe�t'
-A�e-iail�al-coa � � lia owner,
line or a water service nr sewer lead has 6een extended to the propertyime for connechon, e apR �
or the ncaipant or user af such premises shali be liable fior al(�epa�required to a�ry wat����e���1°�
necessary for cannectian ofthe premises from the maln ta the pr�aises. If the propgtty
mainteoance service or repairs 6e performed 6y the City,the prap�ty owner shall ba tharged for the wsts of the
maintenance and/ar repairs, including any nei�{�oW�t occup or user ta perfarm 5tandard maintenance°f
. palicy. it shall be the responsi6ility af the aPP
• the sewer servic�line from the premises to the main includt g���ure that�t ema nsnabo e th flni hied e
wat�r serv�c�cur�stap boxfar operability and at 5uch height_ . . , . . _ .. ....__ . . --- . . .. : ._
- - `Aei 638,�3�55,-t.#n�� ._. . _ . ._ . .._ . . . ..-.-
.... .de of tfii�tarrd or�rn��rty.-� .._._ ..._ ._.. _... _.... .
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