Meter Swap ,��
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Request Number: 7084
Public Works Division
Service Request
_. __
Problem Address: 830 66TH AVE NE Requested By: Cory Nelson
Department: WATER Address: $30 66th Ave NE
fridle, MN 55432
Problemllssue: INSTALLAMR METER Phone Number:
Scheduled Date: 2013-10-03 Scheduled Time: 08:00:00
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ACTION NEEDED: AMR
Created by: Jean Michaels Date Created: 2013-10-01
ACTION TAKEN:
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Status: In Progress Residerrt Contacted ❑
Date Completed: Completed by:
Hours
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_ City of Fridley
Water Department
6431 University Avenue NE
- Fridley,MN 55432
(763)572-3566
I/we hereby authorize the City of Fridley and/or its
employees to do what is necessary to replace the water meter. I understand that th�e pr�o�p�e�o�►ner
is liable for the water line from the main to the premeQs h rm�ess for any damjages that may occur
402.06) I afso hold the City of Frid{ey and/its emploY
while doing this operation. This to include,hut not limited to;b�n a p'prm t,pnorsto any wo k if u�
stop box and service line. I understand I am also required to o Pe
necessary. � ��
Final meter reading(old meter) - ���
Name• Address'
��i ��—
. Date• .�-=-- ��
Phone Number•
Signature:
Witness Signature:
�RIDLEY C�TY CODE
CHAPTER 402.WATER,STORM WATER,AND SAT�fTARY SEWER
ADMINIS'CRATION
(Ref Ord No 113,464,565,566,629,638,662,922.988,1144,1156,1191) _
402.a5.PERMIT EEE
Prior to construccing or repair of any water or sewer line connecting the existing municipal system and any house
or building for which the application is made,the owner a ter 11 of this Codee After sue h conne t on has been�ch
connection,and shall pay a permit fee as provided in Chap
made,the Water and Sewer Department shall be notified• It shall be unlawful to cover any oved by the City as an
inspection has been made and such connection and the work incident thereto has been app
proper ar►d suitabte cortnedion•
402.06.REPAIRS AND MAINTENANCE TO CONNECTI�N
After the initial connection has been made to the water service curh stOP'ne forrconnectionl the appl cant owner,
11ae or a water service or sewer lead has been extended to the propertV
or the occupant or user of such premises shall be liable for ati repairs required to any watQ�ner requ�er lines
necessary for connection of the premises fro b� the Citytthe p operty owner hafi be harged far the casts of the
maintenance service or repairs be performed Y an administrative
maintenance and/or repairs, includo g h�a�licasnt aw ert o cupant or user to perfo m standard maintenance of
policy. It shall be the responsibil�ty PP
- the sewer service line from the premises to the ma'i�n n ne d„aa w II ensure hat it ema ns abo e the fin shed e
water service curb stop box for operability and at s g
grade of the land or property. (Ref 635,1156,1191)