Meter Swap �.
Request Number: 9658
Public Works Division
Service Request
Problem Address: 6250 Rainbow Dr Requested By: Ridwan
Department: WATER Address: No address provided
Problem/lssue: INSTALL AMR METER Phone Number: 612-227-5522
Scheduled Date: 2015-01-09 Scheduled TSme: 09:00:00
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ACTION NEEDED:AMR
Created by: Wendy Hiatt Date Created: 2015-01-OS
ACTION TAI�N:
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Status: InProgress ResidentContacted �,
Date Completed: Completed by:
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- City of Fridley
_ '_: _.., iNa#�r Dppartmenfi . . ... :. _, �.-._
6431 University Avenue NE
Fridley,MN 55432
(?63157Z-3566
��We her�by authoriie the�tY��dley and/ar its
emplayees to do what is necessary to replace the water meter. I urtd��nd d�at d�pr°perty°Wn�r
er line from the main t�the premise and all int�rior plumbing. (Per C'it�►code
402.06) I alsafiold the Gty of Fridley and/its empioyees harmless or any amages ma , "
w hi le do ing t his apera don. T h i s t o i n d u d e,b u t n a t l i m i t ed tn;vahres,piR��g►wa��5►floors or the cu�b
�top bax and service line. I understand 1 am also required to o6tain a permit prior to any work,ff
necessary. .
Final meter reading(old meter)���..�--�------
Name: Address: :
„�r
Phone Number �t�'
5ignature• .�l 1 c�4 1l,(c,�(�M e�
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iNitneSs Signature: �
FRIDLEY CITY tODE
CFIApTER 402.WA7'ER,STORM WATER►MID SANiTARY SEWER
ADMINISTRATION ��
(Ref ard Nfl 113,4fi4,565,566,629,638,662,922,988,1144,1156��.191)
40Z.05.PERMIT FEE . --
Prior to constructing or repair of any vuater or sewer line connecting the existing municipai system and any house
or building for which the applicatian is made,the owner ar cnntraetor shall be required ta obtain a permit for 5uch
caanectiun,and shall pay a permit fee as provided in Chapte�11 of thi�Code. After such cannectiun has been
made,the Water and Sewer Depa�tment shall be notified. It shall be unlawful to cover any cunnecting tine unfil an
inspection has been made and such connection and the wark incide�rt thereto has been approved 6y�e Ctry as a
proper and suitable conrtection.
407.06.REPAIRS AND��AlNTEIVANCE TO CONNECT�ON
-A#t�!-tw�iGi#ia
� --- a +�+ti�W�+Pr service curh stau box or the sewer lead at the propert�
line or a water service or sewer lead has been extended to the property�me for cannechon,the applicant�owner,
or the occupant or user o'F 5uch premises shall be liable for all�epairs required to arry water line and sewer lines
neces5ary for connection of the p�emises from the main ta the premise�. If the propetty awner requests
"���k' maiatenance service ar repairs be perfarmed by the City,the propetty owner shall be tharged for the costs of the
�� " maintenance and/or repairs, including any necessary street repairs,at a rate set annuafly by.an adminlstrative
� policy. it shali be the resporui6ility of the applicant,owner,occupant or use�ta perform standard maintenance of
the sewer 5ervice line from the Rremises tn the main including debri�ckaring or root cutting and to maintain the ^ �.
water service cur6 stop box for operabiliry and at 5uch height as wili ensure that it remains above the finished - ;�r�
y - � � ' .. . .. � . . . .
"grade of tfi�larn3 vr�rop�rty.-(Ae�635,3��5,_�.���:) .. . _ :._ ..._ ._. _.... ..._..
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