Meter Swap Request Number: 8507
Public Works Division
Service Request
Problem Address: 1450 66th Ave NE Requested By: Sue Krichen
Department: WATER A�ddress: No address provided
Problemllssue: INSTALLAMR METER Phone Number: 763-5749596
Scheduled Date: 2014-07-23 _-/ Scheduled Time: 01:30:00
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ACTION NEEDED: Install AMR
Created by: Julie Horak Date Created: 2014-07-18
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Complete
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- - City of Fridiey _
. _. Water Department .. --- . .
64�1 University Avenue NE-
Fridley,MN 55432
__ _ _ _ _.__ _ _ _ _ (763)572-3�56 _
t/we hereby authorize the City af fridley and/or its
employees to do what i�necessary to replace the water meter. I understand that the property awner
is liable for the water line from the main to the premise and ali interiar plumbing. (Per C'ity code
402.06J I alsa hold the .t".ity of Fridley and/fts employees harmless for any dama,ges that may oaur
while doing this operation. This to in�lude,but not limited to;va�ves.plping�wa��s,floors or the curb
stap box and service iine. 1 understand 1 am also required to obtain a permit prior to any v+Rork„if
necessary.
Finaf ineter reading(old meter) ���� � ��
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Name• Address:_�, L�V ,
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Phone Num Date•
Signature:.
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Witness Signature: .
FRIDLEY pTY Cp[iE
CHAP 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRA710N
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1141)
402.05.PERMR FEE �
Prior to canstructing or repair of any water or sewer line connecting the e�sting municipal system and any hous.e
or building for which the appiication is made,the owner or contracto�shall be required to obtain a pemTit for such
cortnectinn,and shatl pay a permit fee as provided in Chapter 11 of this Cade. After such conneetion has been
made,the Water and Sewer Department shall be notified. It shall be uniawful to cover any connecting line until an
inspection has been made and such cnnnection and the work inddent thereto has been approved by the City as a
proper and sultable connection.
402.�'i.REPAIRS AND MAINTENANCE TO CONNECTION
Afte�the initial connection has been made to the water service curb stop box or the sewer lead at the property
line or a water service or sewer lead has been extended to the property Iine for connection,the applicant,owner,
or the occupant or user of such premises shall be liable for all repaia required to any water line and sewer lines
necessary for connection of the premises from the main ta the premises. tf the prope�ty owner�equests
maintenance service or repairs be performed by the�iry,the property awner shali be diarged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually ay.an administrative
palicy, it shall be the responsibility af the applicant,owner,occupant or user ta perform standard maintenance of
' the sewer senrice 11ne from the premises ta the main including debri�clearing or root cutting and to maintain the
untcr mnriro ninc�tnn hnY fnr nnPrallilitV�Ild 3t SI1C{7�121��1t d5 VIl�{�et15Uf@ tt18t It f2(118�f15 8�10V@ tfl@ fllllStt2(�