Meter Swap ' Request Number: 11851
Public Works Division
Service Request
Problem Address: 194 Pearson Way Requested By: Douglas Lindquist
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phane Number: 763-571-8163
Schedaled Date: 2016-OS-12 Scheduled'Iime: 10:30:00
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ACTION NEEDED:AMR
Created by: Wendy Hiatt Date Created: 2016-08-11
ACTION TAI�N:
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Status: In Progress Submitter Has Been �.,
Contacted
Date Completed: Completed by:
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Hiatt,.Wendy
�ubject: Douglas Lindquist, ph#763-571-8163, AMR install
Location: 194 Pearson Way NE
Start: Fri 8/12/2016 10:30 AM
End: Fri 8/12/2016 11:00 AM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: Johnson, Susan E.
Required Attendees: Hiatt, Wendy
1
' - �Ity of Fridiey
_ - -... VSlat��'D�paet�nent
6431 Uni�ers9ty Avanue NE �
Frid{ey,MN 55432
[763)572-3�56fi
tiwe here6y authartze the C�nY vf fridtey andjar its
employeea to do u�that�riecessary tu ceptace the water meter. �U►��'�d that the prop�rtY awner
�lta�le f�r the water line from tf�e main to the premise and a�+�riar piumbing. (Per City code
4{I22.0�) {.alsa huld the City of Fridley ar�df it�emplopees narmiessfo�any damages tt►au ma "
while doing this operatian. 'i'his to include,but nat fimited ta;vahnes,Piping,++�i{s,flaors or the curb
stap bmc and service tine, i understand i am also required ta olrtain a Fermit t�'tort+a any wvriy if
nece�ary. �
_ Einat m�ter readi»g(o{d meter} ��.� �_I ��
Name: (��� ,S �i�rJ�G2 ,�s J Address:J�1 Ll I�°'rs"•• 1•���! .
Phone tVnrnber: �—5�7� -�IU Date: "�a"')�Q
� e
Signature: �
Witness 5ignature•
FAIULEY�ITY C�DE
CHAP"T�R 40Z.WATER,STORM WATEEt,AND SANil'ARY SEWER
ADMINISTRATIQIV
(Ref Drd No 113,4�4,565;556,629,638,56�,92Z,988,1144,1156,1191}
40�.05.PERMIT F�f �
Prior to canstructing or repair of any water or sewer fine conneceingthe e�cisting mun'scipal system and any hause
or buiiding for which the application is made,the awner or ronfiractor sha11 be required to obtain a p�rmi�for such
canrrectian,and shall pay a permrt fee as pravided fi Ghapter 7.1 ofthis Code. After such cannectian bas been
made,the iAlater and Sewer�epartment shall be notified. It shaff he vnlawful to caver any connecting tine until an
inspectinn has been made and su�h connection end the work incide�thereto has 6een appr�ved by the GtY as a
praperand suttable connection.
40Z.06.REP�1iR5 AND MAINTENANCE Ti]C�INt�ECTtQN
-A#�f�iQitia �__�_.._
i rnnnarrin�n�y�w�-�����daflt0�i21Na�2�S�fYtCB CUl'bStQp�YUX QI'C�fB S�W2f�@8d 8tth@ p�0p���
line ur a water sen+ice ar sewer lead has been extended ta the propertyl'me for cannecbon,the appticant,nwner,
or the flccupant ar user af such premises shai!be liable far all repahs required tn any waCer line and sewer iines
necessary for connectian of the premise5 from the main to the pre�ises. If the prapetky awner cequests
maintenance service�r repairs 6e performed hy the C'�tY,the propert9 aw�er shaD be tharged inr the c�sts af the
maintenance andJor repairs, inciuding any necessary street repai�,at a rate sei snnuaf(y by.an admin9strat�re
palicy, tt shafl be the responsihili�ty ofthe applisant,awrier,occupantar user tn perform standard maintenance of
• the sewer service line from the premises ta the main including dehris�learing flr coat cutting and to mamtairi the
water�ervic�cur6 stap box far operab1ity and at suth height a��ili ensure�hat it remains abave the finished .
:::grac�"e of t�i�tarsd ar-�rnp�iiy.�jR�63�S,L�S,���:� _. ._. _ .._ ._.- . . _ .:.._ . _-- �. _.:. _:..: .:_.�.