Meter Swap a�-�''� �
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�� Request Number: 6652
Public Works Division
Service Request
Problem Address: 6860�kley St Requested By: Nancy NGller
Department: WATER Address: No address provided
Problemllssue: INSTALL METER Phone Number: 571-5003
Schedu�d Date: 2013-0&08 Scheduled Time: 01:30:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-0&08
ACTfON TAKEN: V
Oid rr�ter#881982(�Old reading: 173 10 New meter#44248390 ERT#35172503
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Status: Completed Resident Contacted ❑
Date Completed: 2013-0&08 Completed by: Keven Becklin
Hou�s
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Request Number: 6652
Public Works Division
Service Request
Problem Address: 6860�kley St Requested By: Nancy Miller
Department: WAIER Address: No address provided ,
Problemllssue: INSTALL METER(WATER) Phone Number: 571-5003
Scheduled Date: 2013-0&08 Scheduled Time: 01:30:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-08-08
ACTION TAKEN:
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Status: In Progress Resident Contacted �
Date Completed: J I� Campleted by: �
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_ City af Fridley
Water Department
6431 University Avenue NE
Fridfey,MN 55432
(783)572-3566
i/we hereby authorize the C'rty of�ridiey and/or its oWner
employees to da what is necessary to replace the water meter. I understand that thp pC�de
is liabfe far the water line from the main to the premise and afl interior piumbing. (
402.06) I aiso hold the City af Fridley and/its emptoyees harmless for any damages that may occar
. white doing this aperation. This to include,but nat timited to;vatves,piping,u+ralis.floors or the curb
stop box and service line. i understand 1 am also required to obtain a permit prior to any work,if
necessary. �
Final meter reading(old meter� � � � t � `
� �.��ar��. Address•�� CY!-�`tt"'',rc�c' "'°�
Name:� �
PhQne�Iumber• Date.
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ignatur • —
- \� ��r
Wit�ess Signature:_
FRIDLEY CiTY CODE
CHAPTER 4U2.WATER.STORM WATER,Afl1D SANiTARY SE�NER
ADMINISTRATION
(Ref Ord Na 113,4fi4,565,566,629,638,662,922,988,1144,1156,1191)
402.05. PERMIT�EE
Prior to constructing or repair of any water or sewer 4ine connectinga Sh ll 6e equiredto'obta'n a perm'rt for such
or building for which the application is made,the owner or contract
connection.and sha11 pay a permit fee as Phall�be not fed.ttt shalt behunlawful to cover any conne'cti g�in euntii an
made,the Water and Sewer Department s roved by the City as a
inspection has been made and such cannection and the work incident thereto has been app
propec and suitabfe connection.
402.06.REPAfRS AND MAINTENANCE TO CONNECTION
After the initiai connection has been made to the water service curb sCop bax or the sewer lead ati t I cant,owner,
line or a water service or sewer fead has been extended to the property line for connection,the app'
or the occupant or user af such premises shall be liable for aU repair5 required to any wate��Iner reduests r`�nes
necessary fior connection af the premises fram the main to the premis ow,ne shalf be harged for he costs of the
maintenance service or repairs be performed by the City,the propertY
maintenance and/or repairs, inciuding any nei,e�s��awnert occupant or u er to perfo m standard ma s�tenance af
po(�cy. it shalf be the responsibility of the app �
� the sewer servite{ine from the premises to t�a�u h he'gh as w II ensure hat it r�emains abo e the finish d ¢
water service curb sCop bax for aperability an
grade of the land or property. (Ref 638,1156,1191)