Meter Swap � ' Request Number: 11302
Public Works Division
Service Request
Problem Address: 8316 East River Rd Requested By: Bernard Born
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 784-7081
Scheduled ate: 2016-03-31 Scheduled'ISme: 11:00:00
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ACITON NEEDED:AMR
Created by: Wendy Hiatt Date Created: 2016-03-30
ACTION TAI�N:
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Status: InProgress ResidentContacted I''
Date Completed: Completed by:
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� - City uf Fridiey
- _ . . _ Watpr Uepartment . . _ _: ...._
6431 University Avenue NE
Fridley,MN 55432
{7b3�572-3566
�/we hereby authorize d���Y°f����Y andiar its
employees to do what i�necessary to replaee the water meter. �u����at the property uwne�
�sli�ahle far the water tine from the main to the premise and a����ior plum6ing. (Per C'itY code
402.06) l.alsa hold the[�ty of Fridley and/`�employees harmle�sfar any damages tnac maY�u�
white doing this aperatian. This to indude,but not limfted to;++a�►P�p���•�►�OO�or the cur6
�tap box and service line. 1 understand 1 am also repuired to abtain a permit prior to any wark,if
necessary.
, Fnal meter reading(old meter} � � � `�T'✓ .
Name: Address: ���`�✓ �T'�\� �
Phona Number: Date: � `� . .
. �����
Signatare:
Witness 5ignature: �"A�% �-�
FRIDtEY CITY CODE .
CHAPTER 402.WATEa,ST�RM WATER,ANO SANITARY SEWER
AaMtMSTRAI'iUN
(Ref Ord Nn 113,464,565;566,5Z9,538,562,9ZZ,988,1144,1156,1191)
402.05.PfRMiT FE£ � _
Priar to canstructing or repair of any water ar sewer line connectingfhe e�dsting municipat system and any hause
ar 6uilding for which the app6cation is made,the owner or cnntractar shali be required ta o6tain a permit for such
wnrrection,and shal)pay a permit fee as pravided in Chapter 11 of this tbde. After such cannectian has been
made,the 1Nater and Sewer Department shall be n,otified. It sha!!he unlawful to cflver any connecting line until an
inspection has been made and such conne�Cion and the work incide�thereto has heen app�oved by the[�.y as a
proper and surtable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTIiJN
8���iA�. . �--�-----,a�+�+fie water serviee eurh stao box ar the sewer lead at the pra�rt'` `
line or a water service or sewer lead has been extended to the propertyline for cannection,the applicant,owner,
or the occupant or user af such premise3 shail be liable for ali�epalr��equired to arry water line and sewer lin�
necessary for connection of the premises from the maln ta the pr�ises. If the prope(ky owne.r requests
maiatenan�e 5eniice�r repairs he perfurmerl by the Cdy,the properly owner shall be charged far the r�sts of the
. maintenance and/ar r�pairs, inc(uding any necessary street repairs,at a rate set aanually by.an adminlstrative
policy. It shall be the responsihility afthe applicantf owner,accupant or user ta perform standard main#enance of
• the sewer service lin$from the premises ta the main including de6ri�clearing flr root cutting and to mafitairi the
water service cur6 stop box for operability and at such height as w�f ensure tf�et it rematns abave the Bnished .
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