Meter Swap Request Number: 10109
Public Works Division
Service Request
Problem Address: 1435 Windemere Dr Requested By: Dorothy Brannon
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-438-4264
Scheduled Date: 2015-05-21 Scheduled'ISme: 01:00:00
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ACTION NEEDED:AMR
Created by: Wendy Hiatt Date Created: 2015-OS-19
ACTION TAI�N:
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Status: 1n Progress Resident Contacted ❑
Date Completed: Completed by:
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H�att, Wendy
Subject: Dorothy Brannon, 763-438-4264, AMR Install
Location: 1435 Windemere Dr NE
Start: Thu 5/21/2015 1:00 PM
End: Thu 5/21/2015 1:30 PM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: Johnson, Susan E.
Required Attendees: Hiatt, Wendy
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- City of Fridley
- -.. WatPr Dppartment
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6431 University Avenue NE
Fridley,MN 55432
(763)57Z-3566
��We hereby autharise the��t1►�Fridley and/or its
employees to do what i5 necessary to replace the water meter. I understand that the property owner
is liable for the water line from the main to the premise and all interior plumbing. (Per City code
402.06) I alsa hold the City of Fridley and/its employees harmlessfor any damages tnac may occur
while doing this operation. This ta include,but not limited to;vatves,piping,walis,floors or the curb
stop box and service line. I understand I am also required to ohtain a permit prior to any work,if
necessary.
Final meter reading(old meter)
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Name;/',.�..,,�% -...=,�lG"',=z��ry—'�-Ad�s: L `�� �`� � (��� m�C
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Phone Number: Date:
Signature:
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Witness Signature;��_ -
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-- ' FRIDLEY CITY CUDE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATIt1N
(Ref Ord No 113,464,565;566,6Z9,638,66Z,922,988,1144,1156,1191)
4UZ.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connectingthe existing muni�ipal system and any house
or building for which the application is made,the owner or�ontractor shall be required to obtain a permit for such
connectian,and shali pay a permit fee as provided in Chapte�11 ofthis Code. After such connection has been
made,the 11Vater and Sewer Department shall be notified. It shall be unlawful to cover any connecting line until an
inspection has been made and such cannection and the work incident thereto has 6een apprnved by the City as a
properand suitable connectian.
402.06.REPAIRS AND MAINTENANCE TO CQNNECTION
�1#�r-tbe-iaitialr.oanecuun-has hp°n made to the water service curb stop box or the sewer lead atthe propert�
line or a water service or sewer lead has been extended to the property line for connection,the applicant,owner,
or the occupant or user of such premises shall be liable far all�epairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. if the prope�ty owner requests
maintenance senrice dr repairs be performed by the City,the properly owner shall be charged for the costs of the
maintenance and/or repairs, inciuding any ne�essary 5treet repairs,at a rate set annually by an administrative
policy. It shail be the responsi6ility of the applicant,owner,occupant or user to perform standard maintenance of
• the sewer service(ine from the premises to the main including de6ris clearing or root cutting and to maintain the
water service cur6 stop box for operability and at such height as will ensure that it remains above the finished
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grade of tii�land or-pro�crly.��Re�6�o,-yi-�•, _ _