Meter Swap ,
Request Number: 10709
Public Works Division
Service Request
Problem Address: 1516 Trapp Ct Requested By: Zak Handahl
Department: WATER Address: No address provided
ProblemlIssue: INSTALL AMR METER Phone Number: 763-360-3012
Scheduled Date: 201 -1 -20 �� SchedW ed Time: 11:00:00
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ACTION NEEDED:Tnstall AMR
Created by: Cheryl Pellegrin Date Created: 2015-10-30
ACTION TAI�N: �G�,�� C>�t O v��' �YJ
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Status: �n Progress Resident Contacted C�
Date Completed: Completed by: , �
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� Request Number: 11770
Public Works Division
Service Request
Problem Address: 1516 Trapp Ct Requested By: Tamara Pearson
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number:
Scheduled Date: 2016-07-27 Scheduled Time:
ACITON NEEDED:AMIZ
Created by: Wendy Hiatt Date Created: 2016-07-27
ACTION TAI�N:
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Status: In Progress Submitter Has Been �
Contacted
Date Completed: Completed by:
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- City of Fridley
- . . �. .. 1�latnr Dppartment
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8431 Universiiy Avenue N�
Fridley,MN 55432
(763}572-3565
�/we f�ereby autharize th���11 of Frldtey and/or ifs
1�� empioye+e�to do what i�necessary ta replae�the water meter.[understand that the propertY awner
_Is�iahie for the water iine from the main to the premise and a��'i�r p�m6ing. (Per[itj►code
�,.�,�C�� �$�` 4U2.06) f.alsa fiold the City of fridfey andJits employees harn�s er any amages a ma "
while doing this aperation. This to icu�Jude,but not limited to;uaf�es,p�P�nB►�f�,�°0�°f���
, ,��Q� �i,�(.�� stop bux and service line. 1 understand 1 am alsu required to�tain a Permrt P�O�t'°�ny wo�lc,if
v t necessary.
s���.(��j�( Final meter reading[old meter)
� �3`�8`� t� , ���� ���
Cl` `'�1�0 `�..� �
Name� Address:_.___,___,-. 5 _ .
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� ��O P6one Numbar Date� 1"� � v .
5ignature: ��
1N'�tne�s Signature• ,
� ��ot�r cmr caoE
CH�ER 402.WA'TER,STCIRM WATER,AFlD SAIVITARY SEWER
ADMlNtSTRATIQN
��� (Ref Ord Na 113,464�565;556,6Z9,63�,fi62,922,g&8,1144,1156,11�1)
(,� 6 �(� )U �tp 48tA5.PERMIT FEE � .
('�, Q(,�2� Prinr ta canstructing or repair af any water or sewer line connectingthe e�asting municipa(system and any house
�p V�� � J or building for which the appGcatian is made,the awner ar cnntractar shatl be reqoired to obtain a permi�fur such
conrtectian,and shall pay a permit fee as pravided i�+ChaPte�11 af tl�i�C�de. After such cannec�ian has been
made,the ih/ater and�ewer Department shall be notifiied. It shali he untarufui to caver any eonnecting fine ur�il an
�-1 (*� (q�C' inspection has been made and such connerxion and tt►e wark incident thereto has 6een aRPrn'�ed by the Cfty as a ,
� I 1 v� V � � praper and s�ita6te cannectian.
5�a� �Z.06.REPA{R5 AND MAIN7ENANCE TO CONNECTICEN '
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s���p�� .. , __�___.�...,�+�,+,6 watpr cervice curh stQo bax ar the sewer lead atthe propect"
line ar a water service ar sewer lead has been extended to the p�o{�rtyiine for connecfion,the apptrant,owner,
or the occupant or user af such premises shail be fiable for a{S�epa�s required to atry w�r IiriQ�nd�ewer I�nes
necessary for connedion of the premises from the main to the premises. If the prap�ty awner requests
maintenance senrice nr repairs be performed by the City,the propt�ty owrre�shal!be tharged for the ca�sts af the
. maintenarice and/or repairs, inc(ud'+ng anY neces�ary street repairs,at a rate set annually by.an administrat7ve
policy. !t shaq be the responsi6ility ofthe applicant,ni�►ner,o�cupant or user tn perform�tandard rnaintenance af
- Che sewer service tine from the premises to the main inclading deh�s clearing ar raot cutting and to mafi�ain the
water sarvic�cur6 stap boxfnr.operability and at 5uch helght as vu�ensure that it remains abave the finished .
,,,g�,acte'ofitir7�ta�d ar�r���Ey.�}Re►63�,���5,-t�93:� _. . .� . � . . ._ "
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