Meter Swap � Request Number:,�Yr
Public Works Division �y�/ �
Service Request
Problem Address: 1669 Stinson Blvd Requested By: Kristina Hansen
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-703-4543
Scheduled te: 014-11-13 Scheduled Time: 10:00:00
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ACTION NEEDED:AMR
Created by: Wendy Hiatt Date Created: 2014-11-07
ACTION TAI�N:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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Hiatt, Wendy
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Subjec�: AMR INSTALLATION
Location: 1669 Stinson Blvd NE Kristina Hansen 612-703-4543
Start: Thu 11/13/2014 10:00 AM
End: Thu 11/13/2014 10:30 AM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: Pederson, Jessica
Required Attendees: Hiatt, Wendy
1
� - City of Fridley
_ .. �NatPr Dppartrnen�
_ . :. _,. ....._
6431 Univer�ity Avenue NE
Fridley,MN 55432
(763)572-3566
��We herehy authorize the t�tY��+dley and/or its
employees ta do what is necessary to reptaee the water meter. i uriderstand N���Pf0P��11 owner
e water line from the main ta the premise an d a f l interior plum6ing. (Per C�ty code
402.06) 1 alsa fiold the Gty of�rid�ey andiits employees harmless o�any amages a m Y
while doing th+s aperadon. This ta include,but not timited to;vatvps�pipi�g.wa��s�floors ar the curb
�top box a�d servics line. 1 understand 1 am also required to obtain a Permi�priorto any wark,ff
necessary.'
Finaf ineter reading(old meter� ���3 r7
Name•
Address: � �lP� �i�So r, g�vC� —
Phone Namber. �te` f�,!���y
Signature:
Witness Signature:
FRIDLEY CITY CODE
- CHAPTER 40Z.WATER,STORM WATEk,AND SANITARY SEWER
ADMiNfSTRATfON
(Ref Ord No 113r 464,565,566,629,638,662,9ZZ.988,1144,1156,1191)
4d2.05.PERMiT�EE �
� Prior to canstructing or repair of any water o�sewer lina connectingthe existing municipal system and a�ry house
or huitding far which the application is made,the owner or cnntractor shali be tequired to obtain a permit for wck�
connection,and shall pay a permit fee as provided in Chapte�11 of this Code. After 5uch cannedion has been
made,the 1Nater and Sewer Department shall be notified. !t shall be unlawful to cover any connecting line unfii an
inspection has been made and such cannection and the work incident thereto has been apprnved by the City as a
proper and suitabie connection.
402.a6.REPAIRS AND MAINTENANCE TO tONNECTI�N
��Q�� . __�_.,.....Ftie�„�*p�5��ce curh stop bnx or the sewer tead at the propert�
line or a water serrrice ur sewer lead has been e�ended to the propertyfine for connechnn,the applicant,owner,
or the occupant or user of such premises shafl be liabfe for aN�epairs required to any wate�r�li'nera�nqdu e�w�er lines
necessary for connection of the premfses from the main to the premises. lf the prop�tty
maintenance service orrepairs be performed by the City,the property owner shall be tharged for the costs of the
maintenance and/or repairs, including any neces�ary street repairs,at a rate set annuat{y by.an administradve
pollcy. It shal!be the responsihif'�ty of the applicant,owner,occupant a user to perfarm standard maintenance of
• the sewer service line from the pretnises to the main including de6risclearingor raot cutting and to maintain the
- water service curh stop bax�Fur operability and at such height as wilf ensure that it remalns above the finisfied
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