Meter Swap .
Request Number: 1137�
.N.
Public Works Division
Service Request
Problem Address: 1310 Skywood Ln Requested By: Joan Bendel
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-571-9055
Schedul Date• 2016-04-20 5cheduled'lime: 01:00:00
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ACTION NEEDED:Install AMR
Created by: Wendy Hiatt Date Created: 2016-04-19
ACTION TAI�N:
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Status: In Progress Resident Contacted [-'
Date Completed: Completed by:
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, ' - City of Frid{ey
- . ._ _..... Wat?r Departtnent
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6431 University Avenue N�
FrRdtey,MN 55432
(7fi3)5723566
I(we here6y authariae d��tiY��dtey and/or its
employees to do what is necessary ta repiace the wate�meter. (understaind that the property awn�'
ic liahle for tf�e water line frQm the main to the premise and all inte�ior plum6ing. (Per City cade
402.Q6) i alsa huld the C�ty of F�idtey andJits empioyees harmless or any amages a may "
white doing this aperatian. This tv indude,but not limited to;uatues,pipinB,���Sr fl��or the curb
sta�hox and senrice line. t understand i am also required to ohtafn a Permit Prior to any work,if
netessary,
E'inal m�ter reading(old meter� � `� v ��
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Name• Address: ,
P6ane Number� aate� ��'�+��"�� -
Signature:
1Nitness Sgnature•
fRIDlE1(C{TY CODE
CHI�ER 40�.WATER,STORM WATER,ANO SANl1'ARY SEWER
ADMlNISTRATtON
(Ref Ord�l0113,454,565;566,6�9,638,56Z,922,988,1144,1156,1191j
4D2.05.P�ERMiT FEE �
Prior to canstructing or repair af any water or sewer liae connectingthe adsting muaicipat system and any house
ar buifding f�or which the applicatian is made,th�owner nr cnntractor 3ha11 be required to a6tain a permit for such
can�tection,and shal{pay a permit fee as prnvided in Chapte�11 af d�is(bde. After such cannectian F►as been
made,the iNater and Sewer DQpartment shall be natifled. It shall he unlawful ta caver any connecting ifne until an
inspection has 6een made and such cannecCion and the wark incident thereto has heen appraved by the Cfty as a
proper and su?ta61e connectian.
402.06.REPAIR5 AND MAINTENANCE TO tdNNECCIl7N
n#��p� . , __�___M,.,a+ the water service curb ston bax or the sewer lead at the propert"-
line or a water service or sewer lead has been extended to the property line fnr cannechnn,the appttcar�,owner,
or the occupant or user of such premises shail be Ita�bte for all repalrs required to any waker line and sewer fin+e�
naces5ary for connection of the premises from the main ta the premises. If the prap�cty awner requests
maiatenance service or repairs 6e performed by the Crty,the praperty owner shall be d�arged far the eo�s of the
. maintenance and/or repairs, inc(uding any necessary street repairs,at a rate set annuaifyby.an administrative
palicy. It shali be the responsi6ility afthe�pplicent,owner,occupantor user ta perform�tandard maintenante af
• the sewer service line from the premises ta the main inctuding debris clearing ar raot cutting and to maintafn the
water service curh stap box for operability and at 5uch height as wiN ensure that it remains above the finished .
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REQUEST FfJR SERVICE REPORT
CITY OF FRIDLEY
Reference No. � Date: � I—�—� �
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Request Type: Entered By:
Department: Citizen Name: �2�'NC.�
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Address: 13�� s��w�� � Phone Number:
���— 51 l � �c�5 S
Scheduled Date: Property Owner:
Location Details: Request Details:
Action Taken: ,
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1 ������- �.��K. �� �P��"c`�-
�b��Z"N�'�Z l�`l�'� � �`�L , � �l l,� C.A-�.�
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Responsible Person.
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Approver: . �
� Completion Date: � `��`-�s Citizen Notified:
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