Meter Swap ���'1 S,�f���
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Request Number: 6336
Pubiic Works Division
Service Request
Problem Address: 561 Rice Creek Terrace Requested By: Phil Borer
Department: WATER Address: �� Rice Creek Terrace
Fridley, NNNVV 55432
Problemllssue: INSTALLAMR METER Phone Number:
Scheduled Date: 2013-07-15 Schedu�d Time: 08:00:00
ACT10N NEEDED: InstaA NewAMR
Created by: Jeannie Benson Date Created: 2013-07-01
ACTION TAKEN: �
Old meter#17358026 Old reading 11 New mefier�8ame brass bvdy New reading:0 ERT#34277422
Status: Cornpleted Resident Corrtacted ❑
Date Completed: 2013-07-15 Completed by: Pete Gunderson
Hours
7 �3�(
R�qu�st for Ser�ice Repc�r# •
Cit�r of Fridl��
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Rcquest Type_ �y�3�e.�' Entered By'
Deparkment: ��� l:itizen Name: P���..��R�
Address. ��('�`�� ��. Cailback Photse:
Scheduled Date: Properiy Owr�er:
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�,� ,j�,�y�'"' � .� .)�1� ���of Fridley � j -�y *'')
Water Department �� � c>�`�� l�C�Q�
� 6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
1/we hereby authorize the City of Fridley and/or its
empioyees to do what is necessary to replace the water meter. 1 understand that the property owner
is liable for the water line from the main to the premise and all interior piumbing. (Per City code
402.06) 1 also hotd the Gty of Fridley and/its employees harmless fo�any damages that may occur
while doing this operation. This to include,but not limited to;valves,piping,walis,floors or the curb
� stop box and service line. !understand i am also�equired to obtain a pecmit prior to any work,if
necessary.
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. � Final meter reading(old meter)
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Phone Number: Date: ( � {���
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Signature: ..
. Witness Signature: .
' �RIDIEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANl7ARY SEW�R
�, ADMINIST{tATION
�� (Ref Ord No 113,464,565,566,fi29,638,662,922,988, 1144, 1156, 1191)
�� 402A5. PERMIT FEE
�� Prior to constructing or repair of any water or sewer line connecting the existing rr+unicipal system and any house
'�r or building for which the application is made,the owner or contractor shall be required to obtain a permit for such
�3 connection,and shail pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shalt be noti�ed. It shall be unlawful to cover any connecting line until an
inspection has been made and such connection and the work incident thereto has been approved by the City as a
, proper and suitable connection.
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'r 402.06. REPAIRS AND MAINTENANCE TO CONNECTION
�� After the initial connection has been made to the water service curb stop box or the sewer fead at the property
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,;�� line or a water service or sewer tead has been extended to the property fine far connedian,the app icant,owner,
or the occupant or user of such premises shai{be liable for all repairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. If the property owner requests
maintenance service or repaics be performed by the City,the property owner shaR be charged for the costs of the
�� maintenance a�d/or repairs, including any necessary st�eet repairs,at a rate set annually by an administrative
policy. It shall be the responsibiliry of the applicant,owne�,occupant or user to perform standard maintenance of
• the sewer service line from the premises to the main including debris clearing or root cutting and to maintain the
water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the fand or property. (Ref 638,1156,1191) ,�..
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