Meter Swap Request Number: 9641
Public Works Division
Service Request
Problem Address: 220 Rice Creek Bl�d Requested By: Lauren Hedhmd
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 619-405-1234
Scheduled Dat • 2015-01- J Scheduled'Iime: 10:00:00
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ACTION NEEDED:AMR install.Renter will be present to let you in.
Created by: Cheryl Pellegrin Date Created: 2014-12-30
ACTION TAI�N:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
Hours U/�;�' / ,�
�/a ��5- � �'�
� - City of Fridley
_ , _._.. iNa#�r Departm�nfi
6431 University Avenue NE � �
Fridley,MN 55432
(763�S7Z-3566
{/w� her�by authorize the Cit�l of F�dley and/or its
employees to do what is necessary to replace the water meter, I u�de�and that the prop��Y°�sr
�liable for the water line frvm the main ta the premise and all interior plumbir�. (Per�ity code
402.06) {also fiold the Gty af�ridley and/it�emptoyees harmiesafor any damages tnai may
while doing this aperadon. This ta include,but not limfted to;vahres►piP��g,wa��s,floors or the cafi
stup box and senrice line. I unders�nd I am also required to ohtain a permit prior to any work,ff
necessary. �
Final meter reading(old meter} C7 . �
Name: Addrpss• �a� � � P C fe�I� R�v�
� Phone Number: Date� �����
`
Signature:
Witness Signature:
FRIDLEY GTY CODE
CHAPTER 40Z WATER,STORM WATER,AND SANtTA�tY SEWER
ADMINISTRATIDN ;
(Ref Ord Na 113,464,565,566,529,638,fi62,922,988,1144,1156,1191)
402.05.PERMIT FEE �
Prior to constructing or repair of any water or sewer line conneeting the existing municipal system and any fiouse
or building for which the applicatian is made,the owner ar contractor shall be required to obtain a permit for suc6
cannection,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the iNater and Sewer Department shall be nat�fied. It shatl be unlawfui to cover any connecting line until an
inspection has been made and suth connection and the work incident thereto has been approved by the City as a
proper and suitable connectian.
402.06.REPAIRS AND MAINTENANCE TO CaNNECTION
���� ___�.,a„+;,rho ��rpr 5ervice cur6 stao bnx or the sewer lead at the propert�
line ora water service or sewer lead has been extended ta the propertyime for cannecdon,the applicant�owner,
or the occupant or user of such premises shall be liable for ail�epairs required to atry wat�r�nee fndu�r lines
necessary for connedion of the premises from the main ta the prernises. If the prop�(ty eq
maintenance servire or repairs 6e performed by the City,the propeti}+owner shall be charged for the costs of the
maintenance and/or repairs, including any necessary street repai�s,at a rate set annualiy by.an adminlstrative
palicy. It shall be the responsibifity afthe appiicant,owner,occupantor use�to perfarm standard maintenance of
• the sewer service line from the premises to the main including debris clearing or roctit cutting and to maintai�the
water service curh stap box far operability and at 5uch height as win ensure that it remains abave the finished
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