Meter Swap Request Number: 9393
Public Works Division
Service Request
Problem Address: 1679 Stinson Blvd Requested By: Beth Erickson
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-306-1819
5cheduled Date: 2014-11-07 � Scheduled Time: 02:30:00
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ACTION NEEDED:AMR
Created by: Wendy Hiatt Date Created: 2014-11-OS
ACTION TAI�N:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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,
. � - City of fridley
- _=... iNatPr Departrri�nfi .
..
6431 University Avenue NE
Fridiey,MN 55432
(763)572 3566
1/we hereby authorixe the�tY�F�dfey and/or its
employees to do what is necessary to replace the water meter. I���������°�r
.�, lia e for the water line from the main to the premise and all interior plumbing. (Per Gty code�
402.06) I aisa hold the City af Fridley and/'�employees harmies5fur any damages u�ai may�.v�
while doing this aperation. This to include,but not limited ta;valves�P�p��g,wa��s,fl°°rs or the curb
stop box and service line. f understand f am also required ta obt�n a Permit pnor to any work�ff
eece�ary.
FPnal meter readin@�old meter) � ` � �� �� O
Name. Address:,
)r�7y .sta-����, Bi�_
Rhone Number. Date• (l l� 1 �
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5lgnature:
Witness Signature:
FRtDLEY GTY CODE
C�{qpTpt 402.WA7ER,STORM WATEFt,AN��4NITARY SEWER
ADMINISTRATIUN
(Ref Ord No 113r 464,565,566,629,638,66Z,922,988,1144,1156,1191)
402.05.PERMIT fEE �
� Prior to constructing or repair of any water ur sewer line connecting the existing municipa{system and any house
or buifding for which the app4ication is made,the owner ar cantractor shall be required to obtain a permit for such
connection,and shall pay a permit fee as pravided in Chapte�11 of this Cade. After such connectian has been
made,the Water and Sewer Department shall be notified. It shafl6e uniawfuf to cover any connedfig 4ine until an
inspection has been made ar►d such connection and the work incide�thereto has been appraved by the Gty as a
proper and suitable connection.
402.06.REPAfRS AND MAINTENANCE TQ C�NNECtIaN ,
�b�p� _�___�..,,�+„ttio WarPr senrice curh stop bax or the sewer lead at the propert�
line or a water service or sewer lead has been extended to the praperty Isoe for c4nnectton,the appUcant,nwner,
ar the occupant or user of 5uch premi�es shail be liable far all�epair�required to any water line and sewe�(ines
necessary for connection of the premises from the main to the premises. If the prop�[ty owner requests
maintenance service or repairs 6e performed by the City,the property owner shaH he charged for the casts of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by.an administrative
policy. It shall be the responsihility of the appltcant,owner,occupant or user to perFarm standard maintenance of
• the sewer service line from the premises to the main inciuding debris ctearingor raot cutting and to maintain the
� water service curb stap bax for operability and at such height as wiil ensure that it remains above the flnished
:,. � � .. . .. . . ._
grad'e of tf��lared orprd��rty. (Rei 638,1��5,-1��3:� .. _ .._ ..._ ._. ... . ._.
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