Meter Swap Request Number: 9686
Public Works Division
Service Request
Problem Address: 6161 Sunrise Dr Requested By: Sandi Haza
Department: WATER Address: No address provided
Problem/�ssue: READ METER Phone Number:
Scheduled Date: Scheduled Time:
ACTION NEEDED:Wake up meter for reading.ERT#35171975
Created by: WendyHiatt Date Created: 2015-01-15
ACTION TAI�N:
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Statns: 1nProgress ResidentContacted �
Date Completed: Completed by:
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Request Number: 9429
Public works Division
Service Request
Problem Address: 6161 Sunrise Dr Requested By: Tony Zabinski
Department: WATER Address: No adckess provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 763-221-9307
ScheduledDa : 2014-11-13 5chedWed'Iime: 01:30:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-11-10
ACTION TAKEN:
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Status: In Progress Resident Contacted [�
Date Completed: Completed by:
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� - City of Fridley
_ ., iNater Dppartm�nt
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6431 University Avenue NE
Fridley,MN 55432
(763)5T2-3566
I/we hereby authorize the t�t1►of Fridley and/or its
employees to do what is netessary to replace the water meter, I understand that the property owner
�1ia61e fgr the water line from the main to the premise and all interior plumbing. (Per Ciiy cade
402.06) 1 alsa hold the City of Fridley and/it�employees harmiessfar any damages�naz maY��.�.��
while doing this aperation. 7his ta include,but not limited ta;valves,piping,walls,floors or the curb
stop box and service line. i understand i am also required to ohtaln a permit prior to any wark,ff
nece5sary.
Final meter reading(old meter� ���� � _!�
Name•
Addr�ss• �4�5�.►r�s� �+� -—
Phone Number: Date: I l`1 !��l
5ignature•
Witneu Signature: ,
FRiDLEY GTY CODE
CHpp'TER 4D2.WATER,STORM WA'1'ER.AND�4NITARY SEWER
ADM{NtSi'RATION
(Ref Ord N�113,464,565,566,629,6381662,922,988,1144,1�56,1191)
4t)2.�5.PERMIT FEE �
n prior to constructing ar sepair of any vuater or sewer line connecting the existing municipal system and any house
or 6uilding fo�which the applicatian is made,the owner or contraetor shall be required to obtain a permit for such
connectian,and shall pay a permit fee as pravided in Chapter 11 of this Code. After 5uch connection has been
made,the Iflfater and Sewer Depattment shalf be notified. It shall be unlawful to cover any connecting line unti!an
lnspection has been made and such connection and the work incidentthereto has been approved by the City as a
proper and suitable connectlon.
402.06.REPAIRS AND MA1111SENANCE TO C�NNECiION
��A��� . �____.,,,,�,.tho WarPr cprvice curh stop bnx or the sewer lead at the propert'
fine ora water service ar sewer lead has been extended to the propertyline for connection,the applicant�owner,
ar the occupant or user of such premises shall be liable for all�epairs required to any water line and sewer(ines .
necessary for cannection of the premi5es from the main to the premises. If the prop�[ty awner requests
malntenance servire or repairs be performed by the City�the Property uwner shall be charged for the wsts of the
maintenance and/or repairs, inciuding any necessary street repairs,at a rate set annual{y by.an adm(nSsttative
policy. It shali be the responsibility of the applirant,awner,occupant ar user to perform standard maintenance af
• the sewer service line from the premises to the ma9n inc{uding de6ris ct�aring or raat cutting and to maintain the
� water service curb s�ap box for operability and at such height as wiil ensure that it remains abuve the�nished .
. � .. . .. . .�._
:..grade of�tfi�land or�roper�y.-(Rei 635,1��5,-t���� -. . . :_ .