Meter Swap �Q�L�f C�����
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Request Number: 6663
Public Works Division
Service Request
Probiem�ddresa: 720 Rice Creek Terrace Requested By: Judith WaN
Department: WATER Address: No address provided
Probiemilssue: INSTALL METER Phone Numbe�: 763-350-1037
Scheduled Date: 2013-08-14 3cheduled Time: 02:30:00
ACTfON NEEDED:2013 AMR
Created by: Wendy Hiatt / Date Created: 2013-08-09
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ACTION TAKEN: � �
Old meter#32194804 Oid reading 29 New metett�����bvdY�RT#35191416
Status: Comple�ed ResWerrt Contacted C]
Date Completed: 2013-08-14 Completed by: Pete Gunderson
Hours
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City of Fridley
,, Water De�artment
. Address � ^ �i�� 2 Y�
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.. ' Name - �,.C�� a� / � __
Date�_� " �.�'
� Old Meter Number Q�
' Old Meter Reading ��' �
' Replacement No. f d
Replacement Reading d ,
' Replacement Make_�� �
Remarks: ?t �i-� <c� ' _
Signed � �
Request Number: 6663
Public Works Division
Service Request
Problem Address: 720 Rice Creek Terrace Requested By: Judith Wall
Department: WATER Address: No address provided
Problem/Issue: INSTALL METER(WATER) Phone Number: 763-350-1037
Scheduled Dat : 201 -08-14 Scheduled Time: 02:30:00
� �`f`` �
ACTION NEEDED: 2013 AMR `
Created by: Wendy Hiatt Date Created: 2013-0&09
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑ .
Date Completed: Complete
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- City af Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��We hereby autharize the City of Fridley and/or its oWner
employees to do what is necessary to replace the water meter. l understand that the propertY
is fiable for the water line from the main to the premise and afi interior plumqing. �Per City code
402.46) I aiso hald the City af fridley and/its employees harmless for any damages that may occur
while doing this operation. This to include,hut not limited to;valves,piping,wails,floars ar the curb
stop box and service line. !understand 1 am also required tv o6tain a permit prior to any work,if
: necessary. ��� '
1 �
Finaf ineter reading(old meter) �
Name�
Address: ��---. ��
. Date:��... 'L
Phone Nurnber•
signature• ,._�°�_,�—��
Witness Signature:
FRIDI.EY GTY CDDE
CHAPTER a02.WATER,STORM WATER�AND SANtTARY SEWER
ADMINISTRATlaN
(4tef Ord No 113,4b4,565,566,629,638,662,922,988,1144,1156,1191} . _
402.05. PERMIT FEE
Prior to constructing ar repair of any water or sewer line cocont act r shall 6e equiredtoiobtain a permit fo�such
or building for which the applicatian is made,the owner or
connection,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the V1later and Sewer Department shal(be Rotified. It shalt be unlawful to cover any connecting line until an
inspection has 6een made and such connection and the work incident thereto has been appraved by the City as a
propec and suitable connection.
402.Q6.REPAIRS AND MA{NTENANCE TO CONNECTION
After the initial connection has been made ta the water ser�+'sce curb stop box or the sewer le�d at the prope�ty
line 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 shatl be fiabie for ali�epairs required to any water tine and sewer lines
necessary far 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 shalt be charged for the cnsts af the
maintenance and/or repairs, including any necessary�treet repairs,at a rate set annua{{y by an administrative
policy. It shall be the responsibility of the applicant,awner,o�cue�ans��a�ngorp ot cutti g and to ma ntain thef
• the sewer service line from the premises to the main includ�ng d
water service cur6 stop box for operability and at such height as witl ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)