Meter Swap ���� ����
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�� Request Number: 6608
Public Works Division
Service Request
Problem A�ddress: 941 Rice Creek Tenace Requested By: Jane Hayano
Department: WATER Address: No address provided
Problemllssue: INSTALL METER Phone Number: 571-5095
Scheduled Date: 2013-08-12 Scheduled Time: 07:30:00
ACT10N NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-08-05
ACTION TAKEN: / �f V
Old meter#33836235 Ok1 reading 47 ;`�r rr�afitir:Sa�a ERT#35191741
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Status: Completed Resident Corrtacted O
Date Completed: 2d13-0&12 Completed by: Pete Gunderson
Hours
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City ot i�ridl�:
Water Devartment
Address �"`' 1���'� `�' —
Name h��r�:��
Date ����Q�
Old Meter Number � � —
Old Meter Reading C� � f�
Replacement No. '
Replacement Reading �
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Replacement Make
Remarks: l �Y � ��
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Signed
Req uest N u m ber: 6608
Public Works Division
Service Request
Probkm Address: 941 Rice Creek Terrace Requested By: Jane Hayano
Department: WAlER Address: No address provided
Problem/Issue: INSTALL METER(WATER) Phone Number: 571-5095
Scheduled Date: 2013-08-1 � Scheduled Time: 07:30;00 :
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ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-08-05
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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Hiatt, iNendy
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Subject: Jane Hayano, 763-571-5095, AMR @ 7:30 AM
Location: 941 Rice Creek Terrace NE
Start: Mon 8/12/2013 7:30 AM
End: Mon 8/12/2013 8:00 AM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: White, Karen
Required Attendees: Hiatt, Wendy
i
� _ City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��WQ hereby authorize the City of Fridley and/or its �Wner
employees to do what is necessary to replace the water meter. 1 understand that the property
is liabte far the water line from the main to the premise and ail interior plumbing. (Per City cade
402.06) I also hold the�City of Fridley andJits employees harmless far any damages that may occur
while doing this operation. This to include,but not limited to;valves,piping,walls,floars or the curb
stop box and service line. 1 understand 1 am also required ta obtain a permit prior to any work,if
necessary. �w� ��„�� —
—i
Final meter reading(old meter)
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Name� Address,r—
. Date:_��r ��
Phone Number:
Signature: ��� '�"��—
Witness Signa r
FRI�LEY CITY CUDE
CHAPTER 402.WATER,STORM WATER,AND SANtTARY SEWER
• ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144, 1156,1591) -
40Z.05. PERMIT�EE
Prior to constructing or repair of any water or sewer line connn�a�o shall be equ redto�ob ain a permrt for such
or building for which the application is made,the owner or co
connection,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 unlawfut to cover any connecting line unti!an
inspection has been made and such cannection and the work incident thereto has been approved by the City as a
proper and suitable connedion.
402.06.REPAIRS AND MAINTENANCE TO CONNECi'tON
After the initial cdnnection has been made to the water service curb stop box or the sewec lead at t i can��W er,
line or a water service or sewer iead has been extended to the property line for connectian,the app'
or the occupant or user of such premises shaff be liab4e for alt�epairs required to any watowner reduests r��nes
necessary far connection of the premises from the main to the premises. If the property 4
maintenance service or repairs be performed by the City,the property owner shall be charge an admi ist ati ethe
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by.
palicy. !t shalt be the responsibiGty of the applicant,awner,occupant or user to perfarm 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 operability and at such height as wili ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)