Meter Swap � (�yu35� �i�l��C�
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� Request Number: 8256
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� Public Work$ Divisian
Service R�equest
Probtem Address: 236 R1ca Creek BMd Requested By: Pat EMreN
DepartmeM: WATER Address: No address provided
Problemllssus: INSTALLAMR METER Phane Number: 812-723-1072
Scheduled Date; 201407-02 Scheduled T1me: 11:{?0:00
AC7lON NEEDED: 2014 AMR �
Creatad by: Wendy Hlatt Date Created: 201406-26
ACTION TAKEN:
Old mater#35206808 Old reading: 31 10_N�v meter#44921113 ERT�35171617
�tatus: Complefied Re:ident Contact�d O .
Date Completed: 201407-02 Gompleted by: Ryan Johnson
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City of Fridley
Water Department
Address [�����—s-�lC�l� +J��
Name�,/�- ��,'1,c) 1
Date_ � —�--Q�
Old Meter Number �]��j
Old Meter Reading �5
Replacement No. �c�p��j�4�
Replacement Reading_ �
Replacement Make_��(,��
Remarks: � �d PO�p /r'1tsT�
Signed
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Request Number: 8256
Public Works Division
Service Request
Problem Address: 236 Rice Creek Bivd Requested By: Pat Elwell
Department: WATER A�ddress: No address provided
Problemllssue: INSTALLAMR METER Phone Number: 612-723-1072
Schedu 201407- 2 � Sche uled Ti : 11:00:00
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ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 2014-06-26
ACTION TAKENs
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Status: In Progress Resident Contacted ❑
Date Completed: Completed b :
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- _ City of Fridley
� _ � ... __. � Water Department .. _.. _ � _ __ _
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
�/We hereby authori:e the City of Fridley and/or its
employees to do what is necessary to repiace the water meter. I understand that the properly owner
is liable for the water line from the main to the premise and ali interior plumbing. (Per C'aty code
4�2.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may oavr
while doing this operation. This to include,but not limited to;valves,piping,waiis,floors ar the curb
stap box and service line. 1 understand i am aiso required to obtain a permit prior to any work,if
necessary.
F(nal meter reading(old meter)
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Name. +�\/,l 1�.,ti. 'G!�w Address. Z3(o �r�. G'et� 1oI u�
Phone Number: Date: ����I�
Signature:
Witness Signature•
FRIDLEY CITY C�DE
CHAPTER 402.1NATER,STORM WATER,AND SANITARY SEWER
ADMINiSTRATION
(Ref Ord No 113,464,565,565,629,638,662,922,988,1144,1156,1191)
402.05.PERMIT FEE
' Prior to constructing or repair of any water or sewer line connecting the existing municipai system and any house
or buitding for which the application is made,the owner or ctintrador shall be required to obtain a permit for such
connectlon,and shall pay a permit fee as prvvided in Chapter ii of this Cade. After such connection has been
made,the Water and Sewer Department shall be notified. It shall be unlawful to cover any connecting line 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 lead at the property
line or a water service or sewer lead has been extended to the propertylinefor connection,the applicant,owner,
or the occupant or user of such premises shall be liable for all repalrs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. if the propg[ty owner requesis
maintenance service or repairs be performed by the�ty,the property owner shall be charged for the msts of the
maintenance and/or repairs, including any neces5ary street repairs,at a rate set annually by an administrative
policy. it shall be the responslbility of the applicant,owner,occupant or user to perf�rm�tandard maintenance of
� the sewer service line from the prernises ta the main including debris clearfng 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 flnished
grade of the land or property. (Ref 638,1156,1191)