Meter Swap ���� ��
�s '`� ��
�� Request Number: 6596
Public Works Division
Service Request
Problem Address: 751 Rice Creek Terrace Requested By: Darlene Halwrsen
Department: WATER Address: No address provided
Problemllssue: INSTAU.METER Phone Number: 571-6899
Scheduled Date: 2013-08-09 Scheduled Time: 02:00:00
ACT10N NEEDED: 2013 AMR
Created by: Wendy i-Gatt Date Created: 013-0&02
ACTION TAKEN:
Old meter#93107420 Old reading:216 0 New meter#44248391 ERT#35191367
Status: Corr�pleted Resident Contacted ❑
Date Completed: 2013-0&09 Completed by: Keven Becldin
Hours .
�
��J
` Request Number: 6596
Public Works Division
Service Request
Problem Address: 751 Rice Creek Terrace Requested By: Darlene HaMorsen
� Department: WAl'ER �dress: No address provided
Problemllssue: 1NSTALL METER(WATER) Phone Number: 571-6899
Scheduled Dat : 2013-08-09 Scheduled Time: 02:00:00
�i`c� �-`clD
ACTION NEEDED: 2013 AMR
Created by: . Wendy Hiatt Date Created: 2013-08-02
ACTION TAKEN:
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Status: In Progress Resident Contacted �
Date Completed: Completed by:
` �� �— ��
_ City af Fridley
Water Department
6431 University Avenue NE
� F�idley,MN 55432
(lfi3)572-3566
`�WQ hereby authorize the City of Fridfey and/or its oWner
employees to do what is necesaary to replace the water meter. 1 understand that the property
is liable for the water fine from the main to the premees harmless fo rany dam�ages that maY or.ceur
402.06) I also hotd the City of�ridley and/its employ � 1� wa��s�flo��'s ar the curb
whi{e doing this operation. This to include,but not lirnited to;vafves,p'p b,
stsp box and service line. i understand I am also required to o6tain a permit prior to any work,if
necessary. r � � ���
Final meter readinE(vl�mete )_
Name: Address: �
Phone Number: Date•
���/
ignature• ,....
Witness Signature: � �
FRfDLEY C1TY CUQE
CHAPTER 4Q2.WATER,STdRM WATER�AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,A64,565,566,629,638,662,922,988,1144, 1156,1191} f _ '
402.45.PERMIT FEE
Pnor to constructing or repair of any water ar sewer line connecting th�ei`�e�emu eapa abt en a permit for such
or building for which the apptication is made,the owner or contractor s �
connection,and shall pay a permit fee as provibe not fed.tit shall be unfawfui to cover any cannelcti g lineeuntil an
made,the 1Nater and Sewer Department shall
inspection has been made and such cannection and the work inddent thereto has been approved by the City as a
proper and suitable connection.
402.p6.REPAIRS�►ND MAtNTENANCE TO CONNECTION
After the initiai cannection has been made to the water service curb stop'ne forrconnection'the appl cant owner,
iine or a water service ar sewer lead has been extended to the prQperty
or the occupant or user of such premises shall be liabie for afl repairs required to any wate��ner reduests r��nes
necessary for connection of the premises from the main to the p�ree�S ow�ner shafl be har ed for t e costs of the
g
maintenance sesvice or repairs be perfarmed by the City,the p P rtY �n administrative
maintenance and[or repairs, incl�d'��ng h�an�licant owneet a cupant or ser to perfo m sta dard maintenance af
paticy. ft shail be the responsib�l�y PP
• the sewer sen►ice line from the premises to the main in�e dn�de�II ensure t at t ema ns above the finished he
water service curb stop box for operabi4ity and at such g
grade of the land or property. (Ref 638,1156,1191)