Meter Swap Request Number: 9062
Public Works Division
Service Request
Problem Address: 5457.East Danube�d__ Requested By: William Brown.... �.,_, _.. _. .
Department: WATER Address: No address provided
Problem/Lssue: INSTALL AMR METER Phone Number: 651-210-0424
Scheduled Date�_ 2014-10-07 Scheduled TSme: 01:00:00
1 �.�s D�-E- `� �
ACTION NEEDED:Install AMR
. Created by: Julie Horak Date Created: 2014-10-06
ACTION TAI�N:
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Status: In Progress ' Resident Contacted ❑
Date Completed: Completed by:
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� - City of Fridley
-- Water Department
~ 6431 University Avenue NE - -� —•-��-�-_.__
Fridley,MN 55432
(763)572-3566
1/we hereby authorize the�t1f af Fridiey and/or its
empioyaes to do what is necessary ta replace the water n�etes. 1 understand that the propert►r owner
•��:�t,le�,
r the water line from the main to the premise and ail i�rterior plumhing. CPer Ci�Y code
q02.06� i aiso hold the Gty of Fridley andiits employees harmless or any amaBes ma�
while doing this operation. This to includel but not limited to;valv�s�PiP��g►�►aUs,floors or the curb
stop 6ox and service line. f understand i am afso required to otrtain a pern�it txior to any worlc,if
necessary. � �
Final meter reading(old meter)
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Name•
Address• � `� � _ � t�
Phone Number: Date:_��'�'( ` -
Signature• ^�'''�'� �
Witness Signature•
FRIDLEY ClT1(C�DE
CH TER 4U2.WA7'ER,STOttM WATEtt,AN�SA►Nil'ARY SEWER
ADMINISTRATION
(Ref Ord No 113r 464,565,566,6Z9,638,662,922,988,1144,1156,1191)
402.05.PERMIT�EE .-
Priar to constructing or repair of any water or sewer line con n a�or shall be�eguiredto,obt in a permit forsuch
or building for which the appfication is made,the owner or co
connectian,and shal!pay a permit fee as provided in Chapter 11 of this Code, After such connectton has been
made,the Water and Sewer Department shall be notified. It shall be unlawfut to cnver any connecting line untii an
inspection has been made and such conneetion and the wark incident thereta has heen approved by the City as a
proper and suitabie connectian.
AOZ.�r.REPAIRS AND MAIN7ENANCE TO CONNECt10N
����� senrice curb sta bnx or the sewer lead at the propert�
line or a waCer service ar sewer lead has been extended to the property line for connection,the appiicant,owner,
or the occupant or user of such premises shat!be liable for all�epairs required to any wate�r�era�ndUeeSw�er tines
necessary for connection of the premises from the main to the premises. if the prop�tty 4
maintenance service or repairs be performed 6y the City,the property uwner shaft be charged for the costs of the
maintenance and/or repairs, 9nclud'+ng any necessary street repairs,at a rate set an�uafty by an administrative
poficy. it shail be the responsibility of the applicant,owner,occupant or user to perForm standard maintenance of
• the sewer service line from the premises to the main including debris clearing or root cutting and to maintain the
vvater service cur6 stop box far operability and ai such height as wifl ensure that it remains above the finished
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grad"e of tfie�tand or-proge�ty.�(Ref 638,-3,�5,.t3n�:) .... .. .:. ..... .... -- -- ._ .