Meter Swap 1�������C�
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Request Number: 6735
Public Works Division
Service Request
Problem A�ddresa: 991 Pandora Dr Requested By: Jason Best
Department: WATER A�ddress: No address provided
Problem/Issue: INSTALL METER Phone Number: 612-4148240
Scheduled Date: 2013-0&21 Scheduled Time: 07:30:00
ACTION NEEDEO; 2013 AMR
Created by: Wendy I-�att Date Created: 2013-08-16
ACTION TAKEN: � �
Old meter#34210891 Old reading 61 3 New meter: Sa�brass body ERT#35172458
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Status: Completed Resident Contacted O
Date Completed: 2013-08-21 Completed by: Pete Gunderson
Hours
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City ot Fridley
�ater De�mrtment
Address �� 1 ����� �`
Name V� �L�'r
Date "t � L ` ��
Old Meter Number ������
Old Meter Reading � —
Replacement No. �`�� ����
Replacement Reading
Replacement Make �_�``��
Remarks: ��� �'`�
Signed _
Request Number: 6735
Public Works Division
Service Request
Problem Address: 991 Pandora Dr Requssted By: Jason Best
Department: WATER Address: No address provided
Probtemllssue: INSTALL METER(WA7ER) Phone Number: 612-4148240
Scheduled�pate: 2 13-0&21 Scheduled Time: 07:30:00
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-08-16
ACTION TAKEN:
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Status: In Progress Resident Contacted O
Date Completed: Completed by:
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- City af Fridley
Water Oepartment
643].University Avenue NE
Fridley,MN 55432
(763j 572-3566
I/we
hereby authorize the City of Fridiey andf 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 a(I interior pturrtbing. (Per Ciiy code
402.06j I also hold the Gity of Fridley and/its emplayees harmless for any damages tf►at may occur
while daing#his operation. This to include,hut not limited to;vatves,piping,wails,flours or the curb
stop box and service line. !understand I am also required to o6tain a permit prior to any wark,if
, necessary. ��
Fina!meter reading(old meterj n '
Name:
Address:�_ ��� --
Pho�e Num6er•
Date: �~--�=---=--�
Signature '�--'""
Witness Signature:
FRIDLEY CIT11 CODE
CHAPTER 402.WATER,STORM WA'tER,AND SANlTARY SEWER
ADMINISTRATIQN
(Ref Ord No 113,464,565,566+629,638,662,922,988,1144,1156,1191} -
402.a5.PERMIT FEE
Prior to constructing or repair of any water or sewer(ine connn�(�o shail be equiredto btain a permit for such
or building for which the apptication is made,the owner or co
canrtection,and shall pay a permit fee as provided in Chapter 11 of this Code. After such cannection has been
made,the V1later and Sewer Department shall be notified. (t shalt be unlawf�tl to cover any�oved b` h City as a�
inspection has been made and such connection and the work incident thereto has been app Y
propec and suitable connection.
402.06.REPAlRS AND MAIN7ENANCE TD CONNECTlON
After the initia!connection has been made to the water service curb stop box or the sewer iead at t(�n��Wner,
{ine or a water service or sewer tead has been extended to the propertV 1+ne for connection,the app"
or the occupant or user of such premises shali be liable for all iepairs required to any wate��ner reduesCs r��nes
necessary for connection of the premises from the main to the premises. if the property 4
maintenance service�r repairs be performed by the Csty,e t�eraps,at a ate set ai nua ly byan adm nistrative he
maintenance and/or repairs, incfuding any necessary P
poticy. It shatl be the responsibility of the applicant,�n�udinC deb i�s lea ing orroot c tt ng and to mai tain thef
• the sewer service Ime from the premises to the main i g
water service curb stop box for operability and at such height as wiU ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)