Meter Swap '1CvIG�� - 51 $5��
Request Number: 8211
Public Works Division ����
Service Request O�_ I y
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Problem Address: 205 Rice Creek Blvd Requested By: Curtis Dahlberg
Department: WATER A�ddress: No address provided
Problemllssue: {NSTALLAMR METER Phone Number: 763-432-2706
Scheduled Date: 201406-27 Scheduled Time: 02:00:00
ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 201406-24
ACTION TAKEN:
Old meter#18423297 Old reading: 130 80 New meter#44921903 ERT#35172032
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Status: Completed Resident Contacted ❑
Date Completed: 201406-27 Completed by: Ryan Johnson
Hours
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Request Number: 8211
Public Works Division
Service Request
Problem Address: 205 Rice Creek Blvd Requested By: Curtis Dah�erg
Department: WATER A�ddress: No adciress provided
Problem/Issue: INSTALLAMR METER Phone Number: 763-432-2706
Scheduled Date: 201406-27 Scheduled Time: 02:00:00
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ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 201406-24
ACTION TAKEN: '-
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Status: In Progress Resident Contacted O
Date Completed: Completed
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- City of Fridiey
� - --- Water Department . _... -
6431 University Avenue NE .
Fridley,MN 55432
(763)57Z-3566
1/we hereby authorize the City of Fridley and/or its
employees to do what is necessary to replace the water meter. I understand that the property owner
is liable for the water line from the main to the premise and all interiar plumbing. (Per City code
402.06) 1 also hold the City of Fridiey and/its emptoyees hacmless fo�any damages that may occur
while doing this operation. This to include,but not limited to;valves,pipin,g,walls,floors or the curb
stop box and service line. 1 understand i am also required to obtain a permit prior to any work,if
necessary.
Finai meter reading(old meter) 1��O� ` � O
Name. Address: /•v� ��t e. CYe�-�- ����
Phone Number: Date' V��� (� �L�
- �:
Signature• �
Witness Signature:
FRIDLEY qTY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADM{NISTRAl'ION
(Ref Ord No 113,464,565,566,629,638,662,922,988, 1144,1156,1191)
402.OS.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house
or buitding for which the application is made,the owner or contractor shail 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 shall be unlawFul to cover any connecting fine until an
inspection has 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 fead at the property
line or a water service or sewer lead has been extended to the property tine for connection,the applicant,owner,
or the occupant or user of such premises shall be liable for a)I repairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. if the propecty owner requests
maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annuaily by an administrative
policy. It shal{be the responsibility af the applicent,owne�,occupant or user to perf'orm standard maintenance of
° the sewer service tine 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)