Meter Swap .
a�
Request Number: 9758
Public Works Division
Service Request
Problem Address: 6240 5unrise Dr Requested By: Mike Zembal
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-571-5388
Scheduled Date: 2015-02-1 �. Scheduled'ISme: 08:30:00
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ACTION NEEDED:Install AMR
Created by: Julie Horak Date Created: 2015-02-09
ACTION TAI�N:
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Status: 1n Progress Resident Contacted C1 `�`-�
Date Completed: Completed by:
l - City of Fridley
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6431 University Avenue NE
Fndley,MN 55�32
(763�57Z-3566
1/we�"'�� (�.� ��'�`� herehy authorize the�tY vf fridleY and/or its .
employees to do what is necessary to repiace the water meter. 1 understand that the propertY ow�er
�ltahl� or the water line from the main to the premise and afl intenor plumbing. (Per City code
402.06� i afso hold the C'�ty afi Fridley and/its employees hanntess or any amages ma -
while doing this operadon. Th1s to include,but nat limited to;vafves�P�Pi�g►�«S��0°rs or the curb
stop box and ser+rice line. f understand 1 am atso required to obtain a Permi�P�O��°�ny work,if
necessary.
Finaf ineter reading(old meter� 2���4� .
M �Z 2.2w�� Addre�.s: i n�c—�p���,�f1r�
Name•r � :
Phone Num6er• Date� �" � -�
t
Slgnature:
Witness Signature:
i��.�r anr couE
CHAPYER 402.WATER,STORM WATER,AND SANITARY SEWER
" ADMINISTRATIDN
(Ref Ord No 113,464,565,566,629�638,662,922,988,114�,1156,1191)
402.05.PERMIT fEE
Prior to constructing or repair of anY water or sewer line connecting the existing municipaf system and any house
or buiiding for whichthe application is made,the owner or rontractor shatl be required to o6taln a permtt for such
connectian,and shall pay a permit fee as provided in Chapte�11 of this Code. After such cnnnectian has 6een
made,the iNater and Sewer Department shalt be not�fied. It shall be unlawful to cover any connecting line until an
inspection has been made and such connection and the work incident thereto has been apprnved by the�ty as a
. proper and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONN�CTION �
���p�p� __�____.,.,.,*.,thp watP�service cur6 stoo bax flr the sewer lead at the propert�
li�e or a water service or sewer{ead has been extended to the propertyline for connechon,the appllcant,owner,
ar the ocwpant or user of such prem'�ses shall be(iable fnr all�epairs required to any water line and sewer lines
necessary f�r cannectian of the prernises fram the maln ta the premises. If the propg[ty owner requests
maintenante senrice arrepairs be performed by the City,the property owner shaN be tharged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annuat{y by,an adm(nistrative
paticy. It shall be the responsi6it�ty of the applirant,awner,oaupant or user to perform standard maintenance af
� the sewer service line from the premises ta the main induding debri�clearing ar�aot cutting and to maintai�the
water service cur6 stap box for operability and at such height as wi(I ensure that it remains above the�nished
""grade of tf��iarsd or-�rop�tty.-�Re�638,1���,.:t�n3:) _. .� . . . . . .
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