Meter Swap � ��� �g���
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Request Number: 6296
' Public Works Division
Service Request
Probiem Address: 568 Rice Creek Terrace Requested By: Betty Carlson
Department: WATER Address: No address provided
Probtemllssue: INSTALL METER Phone Number: 763-571-7725
Scheduled Date: 2013-07-02 Scheduled Time: 08:00:00
ACT10N NEEDED: 2013 AMR Program
Created by: 1Nendy Hiatt Date Created: 2013-06-25
ACTION TAKEN:
OLD METER#180741{�OLD READiN :46 0 NEW METER#44248396 NEW READING: 0 ERT#34277889
Status: Completed Resident Contacted ❑
Date Completed: 2013-07-02 Completed by: Pete Gunderson
Hours
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Request Number: 6296
Pubfic Works Division
Service Request
Problem A�ddress: 568 Rice C�eek Terrace Requested By: Betiy Carlson
Department: WATER Address: No address provided
Problemllssue: INSTALL METER(WATER) Phone Number: 763-571-7725
Scheduled Date: 2013-07-02 Scheduled Time: 08:00:00
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ACTION NEEDED: 2013 AMR Program
Created by: Wendy Hiatt Date Created: 2013-06-25
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 Ur►iversity Avenue NE
Fridley,MN 55432
(763)572-35fi6
��We hereby authorize the City of Fridiey and/ar its
employees to do what is necessary to reptace the water meter. 1 understand that the property owner
is fiable for the water iine from the main to the premise and all interior plumbing. (Per City code
402.06) f aiso hotd the City of Frid{ey and/its empfoyees harmiess for any damages that may occur .
whife doing this operation. 7his to include,but not limited to;�a{ves,piping,walls,flaors or the curb
stop box and service line. I understand 1 am also required to obtain a perrnit prior to any work,if
necessary. .
ter � ��
Final meter rea�in�(�I�me )
Name•
Address: ��-���K ���
Phone Num er• Date: ���-(�
Signature:
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 4Q2.WATER,STORM WATER,AND SANITARY SEWER
AaMtNISTRATION
(Ref Ord No 113,464,565,566,629�638,662,922,988, 1144, 1156,1191)
402.05. PERMtT FEE
Prior to constfucting or repair of any water ar sewer line connecting the existing municipai system and any house
or buiiding for which the application is made,the owner or contractor shall be required to obtain a permit for such
conRection,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shall be notified. it shall be unlawful to cover any connecting tine until an
inspection has been made and such cannection and the wo�k incident thereto has been approved by the City as a
proper and suitable connection.
402.06.REPAIRS AND MAINTENANC�70 CONNECTION
After the initial connectian has been made to the water service curb stop box or the sewer lead at the property
Iine or a water service or sewer lead has been extended to the property line for connection,the applicant,owner,
or the occupant or user of such premises shali be liable for all repairs required to any water tine and sewer lines
necessary for connection of the premises from the main to the premises. If the property owner requests
maintenance service or repairs be performed by the City,the property owner shal{be charged far the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
policy. It shall be the responsibility of the appiicant,awner,occupant or user to perform standard maintenance af
� 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 operabitity and at such height as will ensure that it remai�s above the finished
grade of the land or property. (Ref 638,1156,1191}