Meter Swap �-'�t�y�1 `��`�
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Request Number: 7067
Public Works Division
Service Request
ProblemAddress: 6651 Jackson St Requested By: bls Drangeid
Department: WATER Address: No address provided
Problemllssue: {NSTAL�METER Phone Number: 5740121
Scheduled Date: 2013-09-30 Scheduled Time: 02:00:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-09-27
ACTION TAKEN:
Old meter#99541983 Old reading 99 0 New meter#44920802 ERT#35172513
Status: Completed Resident Contacted ❑
Date Completed: 2013-09-30 Completed by: Pete Gunderson
Hours :
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Request Number: 7067
Public Works Division
Service Request
Problem Address: 6651 Jackson St Requested By: Ms Drangeid
Department: WATER Address: No address provided
Problem/Issue: INSTALL METER(WATER) Phone Number: 574-0121
Scheduled Date: 2013-09-30 � Scheduled Time: 02:00:00
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ACTION NEEDED: 2013 AMR .
Created by: Wendy Hiatt Date Created: 2013-09-27
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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_ City of F�idley
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 the property owner
is liable for the water line from the main to the premise and ali interiorn��amages that may occur
402.06) i afso hotd the City of Fridley and/its emplQYees harmless for a ytn �"S'�ao�ar the curb
while doing this cperation. This ta include,but not limited to;valves,pip���p�or to any work,if
stop box and service line. I understand I am also required to obtain a pe
necessary. ^- � �� .
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Final meter reading(old meter)
�_�.�11 '100�5'
Name: Address:
Date: 4~�"� t
Pho�e Number: �
Signature�
Witness Signature:
FRIDLEY GTY C�DE
CHApTER 402.WATER.STORM WATER,AND SANfTARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191) _
402.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line co�necting the existing municipal system and any house .
or building for which the application is made,the owner or cantractor shall be required to obtain a permit for such
connection,and shall pay a permit fee as proji be not fed.tlt shall be unlawful to cover any conne'cti g lineeuntil an
made,the Water and Sewer Department sha roved by the City as a
inspection has been made and such connection and the work incident thereto has been app
proper and suitabie connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at t i�n�oW er,
the app'
line or a water service or f such Ir em se s hall be 1 able for all epap s req i ed to any waiter�line and sewer lines
or the occupant or use�o p owner re uests
necessary for connection of the premises from the main t��e p operty owner shall be charged for the costs of the
maintenance service or repairs be performed by the City,
maintenance and/or repairs, including any necessary st e�t o pu�rant or user to perfo m standa d ma ntenance af
poficy. It sha11 be the respos►sibil'�ty of the applicant,aw , p
• the sewer service line from the premises to th�main including deb�is ciearing or root cutting and to maintaln the
water service curh stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)