Meter Swap Request Number: 10823
Public Works Division
Service Request
Problem Address: 5534 Meister Road Requested By:
Department: WATER Address: 5534 Meister Road
Fridley,MN 55432
Problem/Lssue: INSTALL AMR METER Phone Number: 612-483-3251
SchedWed Date: 2015-11-17 Scheduled Time: 0130:00
Q � ��� � �
AC'TION NEEDED:Install AMR Meter
Createdby: BethKondrick D$teCreated: 2015-11-12
ACITON TAI�N:
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5tatus: In Progress Resident Contacted �
Date Compl eted: Completed byc
Hours
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- City of Fridtey
- . . �.... Watpr Department
6431 University Avenue i�E . - . •
Fridley,MN 55432
(763)572-3566
u�e hereby authorize i1���1►idf�dley and/ar fts
employees to do vuhat is necessary ta replace the water meter,I imder�tand that the propertl►uwne�'
vrater line from the main to the premise and a�ht�rior plumbir�. (Per Gty code
4a2.�6� i.ats�o hotd the t�iy of Fridley andi'�ts employees ha� Qr any am�es may "
2
while doing this apera�ion. This to include,but nat fimfted to;v��,P�P��•��►�oors or the curb
stop box and service line. I understand I am aiso repuired to�a Pe�+�P�Or�°any W°rk'�
necessary. �
Final meter reading(old meterl . .
Name. Address: .
Phone Numbe�: Date: .
Signature: �r�
Witne�5ignature: �
� PRfDLEY CITl(CaDE
CH,qpT�tt 40Z.WATER,STDRM WATER►AND SANNC►'ARY SEWER
ADMINiSTRA110N
(Ref Ord Na 113t 464,5651:566r 6�9�638!66Z,922,988!1144�1156�1191)
4�Z.05.RERMfT FEE �
Priar to canstructing or repair of any water or sewer line connectingtl[e e�ddsting rnunicipal5ystem and airy house
or building f��which the application is made,the ownec a te�i of d�i�Ca'dee After such cannedi n h been�ch
conrrecdan,and shall pay a permit fee as Provided m Chap
made,the Water and Sewer Deparlment shall be notifled. It shell 6ewlawful ta eaver any connecting Gne untii an
inspection has 6een made and such conneeCion and the wark inddeot tk�ereCo has 6een apprnved by the City as a
prnper and suitable cannection.
402.06.REPAtRS AND MAINT�NANCE TO CONNECitQN
��q��Q� e service curbsta bnx orthe sewer tead atthe propert'
{ine or a water service nr sewer lead has been extended to the Pro�rtyline#or cannection,the appliant�owner,
or the n�cupant or user af such premtses shail be liable for alI�epa�required to any wator�l'�'n�e a��rn�
neces5ary for connection of the p�em t���bth he Ciityt�P orP�Y aw'ner shall�arged for the costs of the
maintenance service or repairs he perf a �.Q�t repai�at a rate set annually by.an administrative
maintenance and/or repairs, in�fuding anY�Q�� ry
policy. it shall be the responsihil`�ty ofthe applicant,awner,nccup�t�user to perfnrm standard rnaintenance af
the sewer service tine from the premises fo the main including de6�ckaring tir rnat cutdng and tn maintain the
water servic�cur6 stap boxfnr operability and at such height as!n�ensure that it remains a6ave the fiaished . _
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