Meter Swap �
Request Number: 10822
Public Works Division
Service Request
Problem A,ddress: 5582 Meister Road Reqnested By:
Department: WATER Address: 5582 Meister Road
Fridley,MN 55432
ProblemlIssue: INSTALL AMR METER Phone Number: 763-571-4375
Scheduled �te: 20 5-11-18 �—�..� �5cheduled Time: 01:30:00
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ACTION NEEDED:AMR Install
Createdby: BethKondrick � DateCreated: 2015-11-12
ACTION TAi�N:
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Status: Tn Progress Resident Contacted ❑
Date Completed: Completed py:
Hours
1..��S _ S _ !�r U�Anr�[l
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• - City of Fridley
- .... _ . Watet De,partment ._. - -- -. �- -
6431 University Avenue NE
Fridley,MN 55432
(763�57Z-�566
I/we hereby authoriie ti���11 of Fridley and/ar it�
employees to do what i�necessary to replace the water meter,I�e����e p�Dperty owner
water line from the main ta ttre premise and a�ir�e��or p{umbii�• {Pe��t11� _
402.Q6) I.aisa hotd the Qty of Cridiey andi'�s employees ha� rany ama� ma
while dning this aperadon. This to include,but not limited ta,+ral�s►P�p��B.��+fl°°rs or the curb
stop box and service Une. I understand 1 am also requined to d�a Pe�rt P�pr�D any worly ff
necessary.
Rnal meter readtng(old meter) . .
Name� Address•
Phone Number: Date: .
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53gnature: �
INitness 5ignature: �
� FRIDLEY dTY CODE
CHPcPTER 4D2.WATER,570RM WATER,AND SANITARY SEWER
ADMINfSTRA110N
(Ref Ord No 113,464,565;566,GZ9,638166Z,922,988,1144,1156,1141�
4A2.05.PERMIT FEE .
Priar to construcNng or repair af any water or sewer line cronnectingthe existing municipal system and any hause
ar 6uitding fa�whidt the application is made,the owner or contrac�r shall be required to obtain a permft for such
conrrection,and shall pay a pe,�mit fee as Provided in�hapter ii ofitl�is Code. After such cannectian has b�n
made,the 1Nater and Sewer Depar[menne�hon and the work ndde�thereto,h 6een approved by ifie C�ty as an
inspection has heen made and such can
proper and su�table rnnnection.
40Z.06.REPAfRS AND MAINTENANCE'f0'�ONNECTIQN
e rvice curhst box orthe sewer lead atthe propert"
,P1��@JI71#�GCOt1
line or a water service ar sewer lead has been extended to the prop�rtyline for cannectlnn,the appli�nt,owner,
or the nca�pant or user af such premtses shatl be liable for all�epa�s�equired to a�ry wate�r���u�line�
necessary for connectian af the prernfses f�'om the main to the pre�ises, lf the prop�tty
maintenance 5ervite or repairs 6e performed hY the City,the propety owner shall be tharged for the costs of the
. maintenance and/or repairs, incfuding anV�e''��awner,occup�tor use�ta perform Standard rnaintenante of
policy. It shail bethe responsi6ifdY ofthe�pp `
• the sewer 5ervice line fram the premises ta the main includi g���ure that�ema ns abonvde th fin hied e
- and at suth heigh _ . . .- . �
wat�r servic�cur6 stop boxfor operabiliry.. . _. _ . _ .. :......... ... . . . -
'ftef 63�,�3,56;t��3:� .._ _ . _ . .. . .._.-.
._ ._ ...._ ... _._. _.... .
..,. �de of t�i�lar�d orpr���rty.-� _ _..._ . . .
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