Meter Swap ,
' Request Number: 11281
Public Works Division
Service Request
Problem Address: 5539 E Bavarian Pass Requested By: Nicky Wilson
Department; WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-616-4845
Scheduled Date: 2016-04-04 Scheduled Time: 10:00:00
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ACTION NEEDED:AMR
Created by: Wendy Hiatt Date Created: 2016-03-28
ACTION TAKEN:
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Status: In Progress Resident Contacted '�"'"
Date Completed: Completed by:
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, � - City of Fridley
- ._ __.., Watpr Department
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6431 Uni�ersity Avenue NE - -� _
Fridle�,MN 55432
(763}572-3566
i/we 6ere6y authoriae tl�e��11 af Fridiey and/or ifs
employees to do wh�t i�necessary to replace the water meter.I understand that the propertY owner
�liahle for the water line from the main to the premise and aU i�����'P���6i�• (Per L�ty code
402.Q6) I.atsa hald the C�iy of Fridley and jits employees harmlPssfar any amages tnay�� r�
while doing this operation. This to inciude,but not limited to,++afves,pi�ing,wafl��flaors or the cur6
stop box and service line. I understand 1 am also required to aht�n a Permit prior ta anq work,ff
netessary.
. Final meter readtng(old meter� ��� ' � �O
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Name• Address•_ . .
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Phone Num r: ��e' .
Signature• �
Witnt�ss 5ignature:
FRIDLEY GTY CODE .
�HARTER 402.WATEK,STORM WATER,ANO 3ANCTARY SEWER
ADMINISTRATII3N
(Ref Ord No 113,464,565;5fi6,6�9,538,662,922,988,1144,1156,1191J
4(JZA5.PERMIT FEE �
Prior to canstructing or repair af any water ar sewer line connecfingthe existing municipai system and any hause
ar building f4r which the application is made,the owner or cnntractor shall be required to obtain a petmi�for such
canrtectianf and shail pay a permit fee as provided in Chapte�11 ofd�is Cbde. After such cannectian has been
made,the Vrlater and Sewer Depa�tment shall be notifted. It shall 6e unlawful to caver any connecting Gne ur�til an
inspection has 6een made and su�h cannectian and the work incide�rt tl�ereto has been approved by the Qty as a
properand suatable�onnection.
4Q�.06.REPAIRS AND MAtNTENANCE TO�ONI�EC(IQPI
"#��p���,-.__�__�_....M,aa+„+��water service cur6�top bax ar the sewer lead at the propert��
line or a water service or sewer lead has been extended to the propertyl'me for cannectionr the appiicant,owner,
or the occupant or user of such premises shall be liable for alf�epaks required to arry wate�line and sewer lines
necessary for connection of the premises from the main ta the premises. If�the prope(ty awner tequests
maintenance service�r repairs he perforrned by the Cry,the Rropertty owner shall be d�arged for the cflsts of the
. maintenance and/or repairs, including any necessary s�reet repairs,at a rate set annuallyby.an adminlstrative
policy. it shali be the responsihility of the applicant,owner,occupantor user ta perform standard maintenance of
- the sewer service Gne from#re premises ta the main inciuding debris clearing or raot cutting and to main�ain the
water service curh stap box fnr operability and at 5uch height as w�l ensure that it remains abave the finished _
=,.�,acte of�fi�larrd vr�ro��i.y.�{Rc�63��y�.56,_�..���:� _. . ... _. _.._ .... �. ..._ �-- . . ... .. �.._. _:..� :_.�.