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Meter Swap . Request Number: 10303 Public Works Division Service Request Problem Address: 6220 Jupiter Rd Requested By: Joshua Chatham Department: WATER Address: No address provided Problem/Issue: INSTALL AMR METER Phone Number: 763-234-0365 � Scheduled Date: 2Q 15-07-22 Scheduled'I"ime: 10:00:00 !1�''� ` . ACTION NEEDED:AMR Created by: Wendy Hiatt Date Created: 2015-07-13 ACTION TAI�N: �:.. ` ...:. 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Status: In Progress Resident Contacted ❑ Date Completed: Completedby: � 7-�a-�s �� f��� Hiatt;Wendy Subject: Joshua Chatham 763-234-0365 AMR Install for Non Responder list Location: 6220 Jupiter Rd Start: Wed 7/22l2015 10:00 AM End: Wed 7/22/2015 10:30 AM Show Time As: Tentative Recurrence: (none) Meeting Status: Not yet responded Organizer: Hara, Sandra Required Attendees: Hiatt,Wendy 1 . ' - City of Fridley - . :_ :.... W�#?r Qepartment .... . .,._, ._._. 6431 University Avenue NE Fridley,MN 5543Z {763)57Z-3566 iJwe hereby authnrize ihe�tY af Fridiey andioc its employees to do what is necessary ta replace tl�e vrater meter, I�erstand that i�he property uwner water line from the main to the premise and aq i�����'P�urnbing. (Per CitY caie 40Z.a6) I.alsa hold t�e Qty of�ridiey and/it�employees harmies5 r any amages ►na � whife doing this operatiun. '�his ta indude,but nat limited to;++�[r�,p�P�n���,fl0°�°r the curb stop box and sarvice line. 1 understand 1 am also required to o�a Pe��p�or to any work,if netessary. � __ _ _ _ . _ _ final meter reading(old met�r� . � J�� � G.� �- 4�-r��.-� . � z 2 �' J� � ? �r r2� � Name: Address.______�— . �-�� _ z � Y -�"��`'- �,��- � z - i� . Phone Numher• te:_ Signatur • Witness 5ignature: FRIDLEY CITY CODE CHAPTER 40I.WATER,STORM WATER,AND SAIVITARY SEWER ADIVIfN15TRA110N (Ref Ord Na 113,454,565;566,6Z9,638�662,422,988,1144,1156,1191� 4QZ.05.PERMIT�EE � Prior to con�tructing or repair of any water or sewer line connectingthe exi�ting municipal system and any house ar 6uilding for which the applicatian is made,the owner or cnntracror shall be required to abCain a permft for such conrrettian,and shall pay a permit fee as pravided in Chapter 11 of rhis Code. After such cannecdan has been made,the Water and Sewer Department shail be notified. it sha116e uniawful to cover any connecting tine undl an inspection has been made and such connecNon and the work incidentthereto has heen appr�ved by the Ciry as a praper and suita6{e connectton. 40�.06.REPAIRS AND MAINTE�VANCE T�CONNECflQN ����a� --a..},.+tin,.,arPf servlce curh stoa bax oc the sewer lead at the prupe�t' line ar a water setvite or sewer`lead has been extended to the propertylme for connection,the appficant,owner, or the occupant or user af such prem�se�sha!!be Itable f�r alf�epa4s required tu arry water line and sewer lines necessary for connection of the premises from the main to the prem�es. If the prop�tty owner requests maintenance 5ervice or repairs 6e performed by the City,the Properiy owner shall be charged fior the co�ts of the . maintenance and/ar repairs, induding any necessary stceet repairs,at a rate set annually by an administrati+re policy. It shall be the responsibility of the�pp���nt.aWner,accupant or user ta perfocm 5tandard mainkenance of • the sewer service line from the premises to the main induding debris ciearing qr raot cutting and to maintain the water senilc�cur6 stop bvx for operabi4iry and at such height as u�l ensure that it remains above the finished. = _ . .. . - .,. . Re�63�,1#5S,t���:� _. . .. . . . . . grad"e di tt7�land ar�r�pr�t�y.-( - .- .._ ..:• _.... ..._..