Meter Swap , Request Number: 11629
Public Works Division
Service Request
Problem Address: 7545 Jackson St Requested By: Greg Wolterstorff
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-568-0208
Scheduled Date: 016-07-01 Scheduled'Iime: 02:30:00
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ACTION NEEDED: Stopped meter.Install AMR
Created by: Wendy Hiatt Date Created: 2016-06-24
ACTION TAI�N:
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Status: In Progress 5ubmitter Has Been r,
Contacted
Date Completed: Completed by:
Hours
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� - City of�ridley
- Y . --..• 1�Jat?r Depaftment
r 6431 University Avenue NE - - - � -
Fridley,MN 55432
(763)572-356fi
fJwe her+eby autharize the�tY���4ey andjor its
employe�s to do what is necessary to reptace the water meter,t u���d�t��p�°�'��a"�er
�lia�(�for the v�ater{ine fram the main t�the premise and aq a�terior piornbing. (Per Gty cade
4a2.�) t.atso hnld the C�.y of Er�dley and/it�empioyees l�arm[�ss or any amages a may
while daing this aperation. This to include,but not limited to,ualu�,P�P���•��►�°Q�°!���
stap box and servic+e line. 1 understand 1 am also required to ohtain a Permi�P�pr tu any work,if
necessary.
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pinai meter reading(old meterj .
Name: Address: 1 ✓L�� ��,��3
Phoae Nurnber; [}a : b �"�—�� �
5ignature:
Witness 5ignatare:
fRIDLEY CITY CODE
�HAPTER 40Z.WA'FER,ST�RM Wa'TER,M(0�liTARY SEWER
ADMINISTRATI�FN
(Ref ard Na 113,464,565;�56,6�9,b38,fi62,922,988,1�.44,1156,1191j
40�.�5.FERMiT FEE �
Priur to canst�ucting or sepair af any water ar sewer line cflnnecfing the existing municipa!sy�em and any itaus�
ar 6uilding for which the applicatian is made,the owner or corrtrac�r shal{be required to obtain a petmi�for such
canrrectian,and shall pay a permit fee as pravided in Cfiaptec 11 of d�is Cade. After such cannectian has been
made,the INater and Sewer Depafinent shail be notified. lt sheli 6e untawful to cover any connesking iine usrkil an
inspection has been made and such connection and the work incadent thereto has heen approved by the City as a
proper and surtable tonnectian.
402.US.PEPAtRS AND MAIf�TE11tAi�10E TO�ONNECTION
��q��p;�;r�,��pR��n has hoan rnad�t¢the water service cur6 stoo box ur the sewer lead at the propert'
line or a water service or sewer lead has been extended ta the propertyfine#or cannecfion,the apptica�,owner,
or#he occupant or user af such premises shatl be liabie fdr al1 repahs required t-n eny water tine�nd sewe�lines
necessary for connectian of the premises from the main to the premises, 1f the prape[ty owner requests
rnaintenance 5en+ice or repairs he perfarmed 6y tt�+e Ctyl the prapetly nwnec shall be charged far the c�sks of the
. maintenance and/ar repairs, including any necessary street repairs,at a rate set annually by.an administrative
policy. It shall be the responsihility ofthe applisant,owner,accupant or user to perFarm srandard maintenance of
• the sewer servic�line from the premises ta the main inc(uding de6ris clearing 4r raot cutting and to maintalri the
water servic�curh stop hox for operabilitY and afi such height as wi�ensure that it remains abave the finished .
_„�,acte of'tiri�tarrd or-�ro��t�y.��Re►6�8,;.�55,_:t���:� _. ._ _ ..._ ._..- -. ..._ ...._ . ... . _: .:. � �-�-�-