Meter Swap �—
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��, � Request Number: 6846
Public Works Division
Service Request
Problem A�ddress: 703 Mississippi St Requested By: Dan Johnson
Department: WATER Address: No address provided
Problemllssue: INSTALL METER Phone Number: 763-447-0722
Scheduled Date: 2013-08-30 Scheduled Time: 01:30:00
ACTION.NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Createcl: 2013-08-29
AC'fION TAKEN: �
Old meter#29403595 Old reading 459 30 New meter#44921400 ERT#35159354
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Status: Completed Resident Contacted O
Date Completed: 2013-0&30 Completed by: Pete Gunderson
Hours
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Request Number: 6846
Public Works Division
Service Request ,
Problem Address: 703 Mississippi St Requested By; Dan Johnson
Department: WA1ER Address: No address provided
Problem/Issue: INSTALL METER(WATER) Phone Number: 763-447-0722
Scheduled Date: 2013-08- 0 .� Scheduled Time: 01:30:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-08-29
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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• _ City uf Fridley
� ° Water Department
6431 University Avenue NE
- - Fridley,MN 55432
(763)572-3566
��We hereby autharize the City of Fridiey and/or its oWner
employees to do what is necessary to rep�ace the water meter. 1 understand that the P C�de
is liable for the water line from the main to the premise and all interior plumbing. (
402.06) i also hold the City af Fridley and/its emPloi��a o+valves,qiping,walis,floars or he curb
while doing#his op�ration. This to include,but not
stop box and service line. 1 understand I am also required to obtain a permit prior to any work,if
necessary.
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Final meter reading(oid meter�
Name�
Address:�� �l�1�1��
Phone Number• Date: ����----
Signature:
Witness Signature:
FRIDLEY CITY C4DE
CHAPTER 402.WATER,STORM WATER,AND SANiTARY SEWER
ADMINISTRATIaN
(Ref Ord No 113,454,565,566,629,638,662,922,988�1144,1156,1191)
402.05. PERMIT FEE
Prio�to constructing ar repair of any water ar sewer line conne�ting the existing municipal system and any house '
or building for which the application is made,the awner or contractor shall be required to obtain a permit for such
connection,and shall pay a permit fee as provided in�e�t�t shalt behu�awful to cover any conne7cti g lineeuntil an
made,the Water and Sewer Department shall6e notif
inspection has been made and such cannection and the work incident the�eto has been approved by the City.as a
propec and suitable connection.
402.06.REPAIRS AND MAiNTEh1ANCE TO CONNECTION
After the initial connection has been made to the water senrice curb stop bax or the sewer lead at ti'cant owner,
line or a water service or 5ewer lead 5e b hall be liable for all epap s requi ed to any water�line and sewer lines
or the occupant or user of such prem owner re uests
necessary for connection of the premises from the main ta the premise�s��nehshall be harged for he costs of the
maintenance service or repairs be perfarmed by the City,the property an administrative
maintenance and/or repairs, incf�d0 g he anpl'�cant ownert o cupant or user to perfo m standard maintenance af
policy. It shall be the responsibil� y p
• the sewer service line from the premises to the at such hIe gh as w 11 ensure hat t emains above the finished e
water service curb stop bax for operability and
grade of the land or property. (Ref 638,1156,1191)