Meter Swap � "
Request Number: 10819
Public Works Division
Service Request
Problem Address: 5482 Meister Rd Requested By: Robert'Ihomasson
Department: WATER Address: 5482 Meister Rd
ProblemfIssue: INSTALL AMR METER Phone Number: 612-227-2698
Scheduled Da� 2015-11-16 Scheduled'I�me: 10:30:00
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ACTION NEEDED:AMR Install
Created by: Chery1 Pellegrin Date Created: 2015-11-12
ACTION TAI�N:
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Status: InProgress ResidentCantacted t�
Date Completed: Completed by:
�'~���5 �r� C/��'n�,;e��
. �
- City of Fridfey
- . . --.. WatPr D�partment
6431 University Avesue N� �
Fridley,MN 55432
(763�5723566
��we hereby authorize th��Y of kidiey and/ar its
employees to do what is necessary to repiace the water meter,I�e���the�°�ownei'
r tine from the main to the premise and atl��{�or plumbi�. {Per GtY c.ade
�02.Q6j f.ats+n h+otd the City of Fridtey and/'�ts employees'harmt� or any amages �Y '
white doing this operat�On. Tf►is ta inrlude,but not limited ta;vawes,pipir�g.wa11�r floors or the curb
W n a rmit prioc#�any worly if
�top box and service line. 1 understand 1 am also required to ai� P�
nece�sary. ;
Final meter reading(o!d meter) . .
Name: Address� � .
Phone Num6erc f3ate: ,
5ignature: "
Witn�sss�gmature• /�a�1 ����...-�-
� txtiDLEY GtTY C�DE
CHAPTER 901.WATER,SfORM WA`(fR,t�SANCfARY SEWER
ADMINiSfRATIQN
(Ref Qrd Nn 113,464,565;566,629,b38,G62,922,988,1144,1156,1191}
402.05.PERM�T FEE �
Priur to constsucting or repair of any water ar sewer line c�nnecting the odsting muni�ipa{system a�►d any house
or hu+tding far which the application is made,the owner ar contrac�a'�hall be reqaired ta obCain a permitfor such
canrtettion,and shali pay a permit fee as Provided in Chapter 11 ofith3�Code. After such cnnnectian has been
em
" made,the Wate�and Sewer Depariment shall be nottf ed. tt shafl6eunlawFui tu caver any�unnectiag line u�i an
Inspection has been made and such cannecdon and the wark inddent thereta has 6eea appmved by the City as a
proper and suatable cannection.
402.06,REPAIRS AND MAINTENANC�TO C�NMECTIQN
' . �---�..,,�+.,+tip�tPr service ai�6 stop bux nr the sewer lead at the pmpert'
-A�e-iA�ia
line ar a water servfce ar sewer fead has heen extended to the propertylme for cannecdon,the appiicant,owne�,
or the ncaipant or user af such premises shal!be liabte for etf�epai�required to a�ry watar i�in�e an�dU��'ne�
necessary for connecti�n of the premises from the main t�e e�re��tn th�e p�'{�p����r�e costs of the
maintenance�ervire or repairs he performed by the City, P P�Y
maintenance and/or repairs, including any nece�ary sh'eet repaiq at a tate Set annually by.an adminisaative
o!i it shall be the responsibi{'stY of the applicant,awner,occup�tar user to perform standard mafntenante�f
P �cY.
the sewer service line from the premises t°tt''e main incfuding de4is dearing ar raot cutting and to maintairi'd1e
_ " ' t as w�ensure that it remains above the fin{shed .
... ...
urat�r senric�cur6 stop boxfor operability and at such he� . ,. _ . _ .. ...... . . ... . . .--
- - .. . . . .._ .
`ReF63�,�#.56;.t�93:� _. ._.. _... ...._ ..�-.-
..,�,ade of t�ie�tarid or ro - -.._ .... ..... ...._ . ... . _
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