Meter Swap Request Number: 9373
Public Works Division
Service Request
Problem Address: 6663 Lucia Ln Requested By: Cazl Swanson
Department: WATER Address: No address provided
Problem/Issuec -INSTALL AMR METER Phone Number: 571-9666
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5cheduled I�ate: 2014-1 - 6 � Scheduled Time: 01:30:00
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ACTION NEEDED:AMR
Created by: Wendy Hiatt Date Created: 2014-11-04
ACTION TAI�N:
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5tatus: In Progress Resident Contacted ❑
Date Completed: Completed by:
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. City of Fridley
_ _ , V!lat�r Departmenfi
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6431 University Avenue NE
Fridley,MN 55432
(763�572-3566 �
��We hereby authorize the�tY of Fridiey and/or its
employees to do what is necessary to repiace the water meter, I understand that d�e ProP�Y°�r
water(ine from the main to the premise and all interior plumbing. (Per�ty code
402.06) I also hold the C'ity of Fridley and/it�employees harmiess or any amages may �
while doing this operation. Thts to inrJude,but nat limited to;valv�es►pip��B►�����00rs or the curb
stup box and service line. I understand 1 arn also required to o6tain a permit prior to any wariy if
necessary.
Final meter reading(old meter1 � .
Name•
Address• ln l0 � �11�C-i 0. �-Y1
Phone Number: Date:
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5ignature: �"`x�'`" � ��� ���
Witness Signature:
F DLEY CiTlf CODE
CHAPTER 4�2.WA'tER,STORM WATER,AND SANITAttY SEWER
ADMiNiSTRATtON
(Ref Ord No 113,464,565,566,629,638,G62,922,988,1144,1156,1191)
402.05.PERMIT FEE �
Prior to constructing or repair of any water or sewer line connecting the e�sting municipaf system and any house
or building for which the application is made,the owner or co�tractor sha11 be required ta obtain a permit for such
connection,and shall pay a permit fee as provided fn Chapte�11 of this Code. After such connectian ha�been
madel the Water�nd Sewer Departrnent shai)be notified. It shatl be un{aarful ta caver any 8��by he City as�a n
inspection has been made and such connection and the wark incident thereta has 6een app
proper and suitable connection.
402.�6.REPAIRS AND MAINTENANCE TO CaWNECTtON
���p�p� _____.,,.+.,ttia..��tpi se ce cu�h stoa hnx ur the sewer lead at the propert�
line or a water service or sewer lead has been extended to the prapertyline for cannection,the applicant�owner,
ar the occupant or user of such premises shasl be tiabte for all�epai�s required to arry water line and sewer tines
necessary for connection of the premises from the mai�to the premises. If the prop�tty awner requests
maintenance service or repairs be perfam�►ed hY the�ty,the property awner shall be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annualiy by.an admin'istrative
policy. it shafl be the respansihif'�ty of the applicant,dwner,occupant or use�to perForm standard maintenance af
• the sewer service fine from the premises tu the main including debris clearingor root cutting and to maintain the
water service curb 5top box for aperabitity and at such height as will ensure that it remains above the finished i
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