Meter Swap .
Request Number: 10851
Public Works Division
Service Request
Problem Address: 5574 Meister Rd Requested By: Dolores
Department: WATER Address: No address provided
ProblemlLssue: INSTALLAMRMETER PhoneNumber: 574-1999
Scheduled Date: 2015-11-17 � Scheduled Time: 08:30:00
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ACTION NEEDED:AMR
Createdby: WendyHiatt DateCreated: 2015-11-16
ACTION TAI�N:
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Status: In Progress Resident Contacted Cl
Date Completed: Completed by:
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� • City of Fridley
- .... � _ Watpr Deparlment .... . . :_ _. .-.-
6431 Universitlf Avenue N� .
Fridley,MN 55432
(763�57Z�5b6
her�by authorize d���of kidiey andJar ixs
��W� !�atderstand that i�►e ptupertY aw�
employea�to da what�n�cessary to reptace�e water meter, riar plambing. (Per CI�V tao�
r line fram the main ta the prem�e and a�� r any amages �
40Z.Q6) l.also hald the City of Fridiey and(its emplo�ees harn�� � ,� floor�or the surb
wh�le doing this aperadun. Thi�ta ir�ude,but not liinited to,� ►P�P� �
stop bax and service line. l under�ta�l t am at�o required to a1�a P��rt P'�or to any wark,ff
nece�ry, � .
Finai meter reading(old meterl . . �
Name• Addr�ss: , � :
Phone Num6er, ��: .
Signature• � ' .
� '
iNitnnss 5ignature:
� I�tIDLEY CiTlf CODE �
�f{ApTER 402.WA'PER,STdRM WATER,A�SANC[ARY SEINBi
ADMlNfStRATiON
(Ref Ord No 113,454,565;566,tZ9�638,662,92�,988,1144,1156,119I)
dAZ.05.PERMIT FEE • �
Prior ta constructing or repair af any water or sewe�Itne connec�d'�n�e�a�1 b��u`��a abt�atn a petrn(t for�wch
ar building for which t4re apptication is made.the owner or cnn .
conrtection,and shall pay a permit fee as Provided in Chapter il ofd�is Code. After such cannecdan h��`a�
made,the iAlater and Sewer Department shall be notified. lt shail he wlawCul to Caver arry conn�ting
in5pection has 6een made and sudi ca��ec�on and the work inddmt thereto has heen appraved 6y the City as a .
properand suatable connection.
aat.as.�a��allo�nn�uNr�ruANc�to coNn��rna� .
e s rvice cu�t sta hax ar the sewer tead at the prop�t'.
�e-iadla �
line or a water service or sewer lead�es shali be fab{e fot all epa�req�u red arry wat�c line and�ewe�'line5 �
or the o�pant or user af such prem owner i�equests
necessary for connedian af the premfses fr°m the main t�p P�p� nf��an���f�,���of the
maintenance service ar repairs 6e�pe�formed bY the ��t repairs,at a rate�t aanualty by.an admini�trative
maintenance and/or re�ai�s, includinB a�Y n�ary '
policy. It shaii 6e the responsi6itiry of tfie aPP�i maln nctud�ing de6�s cte nng or�rout cutting and to mnafitain d�ef
• the sewer service{ine from the Premises to the ����r��at it rematns above the finished .
_ :.. �- �-
wat�'service�a�rh stop boxfar operablity and at such h . . _ . _ . _ .. ...._ . � - . : ---
- - ' . ._ . .. . -
R�63`d,;.�'S6;.:t�4�:� _. ._ .._. ___ ...� _... ..... ..
"`grade of�ie-tard orprn�ty-
_ ....._. ... . .