Meter Swap Request Number: 10867
Public Works Division
Service Request
Problem Address: 5420 Meister Rd �.equested By: Georgene Hatch
Department: WA1ER Address: No address provided
Problem/Issue: ' INSTALL AMR ME1ER Phone Number: 612-267-1353
ScheduledDate: t 2015-11-19 Scheduledlime: 08:30:00
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ACTION NEEDED:Install AMR-Please note she has an additional association meter also. '
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Created by: Julie Horak Date Created: 2015-11-17
ACTION TAI�N: °
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Status: In Progess Resident Contacted r
Date Completed: Completed by:
l�`��- ( 5 �v-or. U�ir,,-,��
- City of Fridley
- : -... WatPr D�partment
6431 Uni�e�sity Avenue NE �
Fridley,MN 55432
�763)57Z-3566
�/We hereby authorize tl►e C�11 of kidley andJor ifs
employees to do what is necessary to replace the water meter,E u����t the property owner
the water line from the main to the premise and a8����"P�m6ing. (Per Ciql cade
402,06) !.alsa hald the(�ty of fridley and/its emptoyees ha� or any ama�ges �Y ^ .
wfiile doing this operation. This to indude�but not timited ta;��►P�P�°�►�����OOrs°r��
stop box and service line. 1 understand 1 am also required to��a P@�rt P�or to any work,if
nece�sery.
Final meter reading(old met�r) . . :
Name: Address: . ,
Phone Numher• ��:
5�nature: .
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Wltn�ss 5ignature::f .
FRIDLEY CITY CODE �
CHApTER�U2.WATER,STORM WATER►1mW0 SANITARY SEWER
AaMiNISTRATION
(Ref Ord Na 113,4fi4,5fi5;566,629,638r 662,922,988,1144,1156,1191)
402.05.PERMIT FEE •
Prior to canstructing or repair of any water or sewer tine connectingthe odsting municipat system and any house
ar buiiding for whict�the application is made,the owner ar contractw shall be required to abtafn a petmit for wch
cannecdon,and shali pay a permit fee as pravided in Chapter 11 of dus tbde. After suth cannectian has been :
made,the iNater and Sewer Department shall be notifled. It shali heunlawFul to caver any�nnecting line u�il an
inspection has 6een made and such cannec�on and the work incide�d thereto has heen approved by.the C�ty as a
properand sWtabte rnnnection.
402.06.REPAIRS AND MAINTEIVANCE TO tONNECTIQN
��p�� , __�___�.,as t„+�,a water service curhstao box arthe sewer lead atthe propert'
line or a water service nr sewer lead has been extended to the proPertV line for connection.the applicant,owner,
or the nccupant or user of such premises shail be liable far aif�epa�required to any water line and sewer lines
necessary fo�cannectian of the premises from the main ta the pre�ises, if tfre prop�tty owner requests
maintenance servire�r repairs ae performed hy the City,the propaty rnaner shall be rharged far the co�ts of the
maintenance and/or repairs, induding any neces�ary street repairs,at a rate set annuaily by an admintstrative
policy. It shali be the responsihi�rtY of the appiicant,awner,occuP�t ot user ta perform standard maint�ance af
• the sewer service line from the premise5 ta the main inciuding de6�clearing flr root cutting and to main�ain the
water servic��wr6 stap box for aperability and at such height as w�ensure that it remains abave the finished .
grade oft���tatrd nr�rop�ty.�(Ref 635,��55,.1.���� _- - . . .