Meter Swap �
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Request Number: 7059
Public Worlc.s Division
Senrice Request
ProblemAddress: 871 NGssissippi St Requested By: Adam Fuchs
Department: WATER A�ddress: No address provided
Problemllssue: INSTALL ME'1FR Phone Number: 763-772-4632
Scheduled Date: 2013-10-01 Scheduled Time: 01:00:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-09-26
ACTION TAKEN:
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Old meter#32771371 Old reading:40 20 New meter��rrrr(�as body ER?#3515
Status: Comp�eted Resident Contacted O
Date Completed: 2013-10-01 Completed by: Pete Gunderson
Hours
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City of Fridley
Water Department
Address ��� /�,SS►SS il�l�' ��
Name cJ�-S r1�, �Jt?�ro w+ 1�Z.
Date_ � ��`(��
Old Meter Number / ��
Old Meter Reading (,.� j�
Replacement No. � �/'',3 ��
Replacement Reading �
Replacement Make ��3 G-� ,r,..
Remarks: �,.{,�,J /�-,..t.�'�
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Signed
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Request Number: 7059
Public Works Division
Service Request �
ProblemAddress: 871 Mississippi St Requested By: Adam Fuchs
Department: WATER Address: No address provided
Problemllssue: INSTALL METER(WATER) Phone Number: 763-772-4632
Scheduled Date: 2013-10-01 Scheduled Time: t� 3 v
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-09-26
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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. City of Fridley
Water Department
6431 University Avenue NE
-
Fridley,MN 55432
(763)572-3566
��We hereby authorize thi u a°�dith t t e pr perty owner
employees to do what is necessary to replace the water meter. per Ci r.ode
is liable for the water line from the main to the premise and all interior plumbing. ( t11
402.06) I also hold the City of Fridley and/its employees harmleai�f�anYtng��Is,fl ors o the curb
while doing this operation. This to mclude,hut not limited to,v .p P
stop box and service line. i understand I am also required to obtain a permit prior to any work,if
necessary. ` �
Final meter reading(old meter) —
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Address: ��� 1 �sl SS(��
Name• �
Phone Number: Date: v�1�'� —
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Signatyre: ��
Witness Signature:
, FRIDLEY CITY CUDE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988, 1144,1156,1191}
402.05. PERMIT FEE
Prior to constn.�cting or repair of any water or sewer line connectingo shall be equ red to ob ain a permit for such
or building for which the application is made,the owner or contrect
connection,and shall pay a permit fee as P�ali be not'f ed.tlt shall be unlawfui to cover anyconne'cti g�neeuntil an
made,the Water and Sewer Department sh roved by the City as a
inspection has been made and such connection and the work incident thereto has been app
propec and suitable connedion.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb�aP1ne for connection'the appl cant ow er,
Iine or a water service or sewer lead has been extended to the property �
or the occupant or user of such premises shali be liabie for ail repairs required to any wate��ner reduests r��nes
necessary for connection of the premises from the main to the premis o��nehshall be charged for he costs of the
maintenance service or repairs be performed by the City,the property
maintenance and/or repairs, including any necessary st e(t Dcpu�rant or u er to perform standard maintena'nce of
policy. It shall be the responsibility of the applicant,ow � p
• the sewer service line from the premises to the main indud�n aa���ensu e hat t ema ns above the flnished he
water service curh stop box for operability and at such heig
grade af the land or properly. (Ref 638,1156,1191�