Meter Swap i
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Request Number: 8202
Public Works Divls�on
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� Problem Aaddress: 257 69th Ave NE Requested By: PoocheNe Zarr�ce
� QepartmsM: WA1�R Address: P10 aa�ress prrnAded
Problemfksue: INSTALLAMRMElER Phone Number: 783-571-4776
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Scl�eduled Date: 2fl1407-02 Scheduled Time: 07:Q0:�
ACTION NEEDED: Install AMR
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Creatsd 6y: Jupe Horak Date Creatad: 201408-24
ACTtON TAKEN:
Ofd meter#7732674 Old reading 518 70 New meter#44921107 ERT#35172044 •
Status: ComplsUssd Residerrt Contaoted O
Date Completed: 201407-02 Completod by: Ryan Johnsan
Hours
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Request Number: 8202
Public Works Division
Service Request
Problem Address: 257 69th Av�e NE Requested By: Rochelle Zemke
Department: WATER Address: No address provided
Problemllssue: INSTALLAMR METER Phone Number: 763-571-4776
Scheduled Date: 2014-06-26 Scheduled Time: 11:30:00
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ACTION NEEDED: Install AMR v�� !�� � ����-
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Created by: Julie Horak Date Created: 2014-06-24
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Com ed by:
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- City of Fridley
--- Water Department _.._ _
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
I/we hereby authorize the City of Fridley and/or its
employees to do what is necessary to repiace the water meter. I understand that the property owner
is liable for the water line from the main to the premise and all interior plumbing. (Per Gty ccde
402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur
while doing this operation. This to include,hut not limited to;valves,piping,walls,floors or the curb
stop box and service line. I understand t am also required to obtain a permit prioc to any work,if
necessary.
Finai meter reading(old meter) � � " �`�' ��
Name• Address• �� l � `'� �� ;
Phone Number: Date: �� �
Signature:
Witness Si ure:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any hous:e
or building for which the application is made,the owner or contractor shall be required to obtain a permit for such
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 shalt be unlawful to cover any connecting line until an
inspection Fras been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
� After the initial connection has been made to the water service curb stop box or the sewer lead at the praperty
(ine 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 shall 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 prop��ty owner requests
maintenance service or repairs be performed by the City,the property owne�shall be charged for 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 applicant,owner,occupant or user ta 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 land or property. (Ref 638,1156,1191)