Meter Swap "-11�31�� `��1$� �0
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Request Number: 8298
Public Works Division ���
Service Request
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Problem Address: 261 Rice Creek Blvd Requested By: Cheryl Hedman
Department: WATER Address: I�address provided
Problemiissue: INSTALLAMR METER Phone Number: 763-5749536
Scheduled Date: 201407-11 Scheduled Time: 11:30:00
ACTION NEEDED: InstaN AMR
Created by: Julie Horak Date Created: 201406-30
ACTION TAKEN:
Old meter#87758282 Old reading: 33 90 New meter#44921920 ERT#35159433
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Status: Completed Resident Contacted O
Date Completed: 201407-11 Completed by: Ryan Johnson
Hours
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. Request Number: 8298
Public Works Division
� Service Request .
Probl�em Address: 261 Rice Creek Blvd Requested By: Cheryl Hedman
Department: WA"IER Address: No address provided
Problemllssue: INSTALLAMR METER Phone Number: 763-574-9536
Scheduled Date: 2014-07-11 Scheduled Time: 11:30:00
ACTION NEEDED: InstallAMR 1 � � ` l �O Q�
Created by: Julie Horak Date Created: 201406-30
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Compieted: Completed by
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. - City of Fridfey _
� . Water Department .. _... �
6431 University Avenue NE-
Fridley,MN 55432
(763)572-3566
f/we hereby authoriYe the City a�f Fridfey and/or its
employees to do what is necessary to repla+ce the water meter. I understand that the properly owner
is fiabte for the water line from the main to the prernise and all interiar piumbing. (Per Ciiy code
40Z.06) 1 alsa ho{d the Gty of Fridley and/its employees hannless for any damages that may occvr
while dang this operation. This to intlude,but not limited to;valves.pip�ng,walls,flears or the curb
stap box and senrice line. i understand 1 am also required to abtain a permit prior to any work,ff
necessary.
Final meter reading(o!d meter) ��� � �"
�f �C.�. �y�c��.1G� �G��
Name• Address� L�D� ,
Phone Number. Date• �`[ ���
Signature:
Witness Signature• �
FRIDLEY CiTY CODE
CHAPTER 402.WATER,STQRM WATER,ANO SANITARY SEWER!
ADMINiSfRATfON
(Ref Ord No 113,4fi4,SbS,566,629,638,662,922,988,1144,1156,1191)
402.05.PERMIT FEE '
Rrior to constructing or repair of any water or sewer line connecfing the existing municipal system and any house
or building for which the application is made,the owner or contractor shall be required to obtain a permit for such
cunnectior►,and shel!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. ft sha11 be unlawful to cover any cdnnecting iine untit an
inspection has bee�made and such connection and the work incident thereto has been apprdved by the City as a
proper and suitabte connection.
4U2.�i.REPAiRS AND MA{NTENANCE TO CONNECTION
After the in'�ia1 connection has been made to the water service curb stop box ar the sewer le�d at the property
line or a water senrice or sewer lead has been extended to the propert�t line for wnnectton,tlte applicant,owner�
or the occupant or user of such premises shaN be liabfe for a{I iepairs required to any water line and sewer lines
necessary for connection of the premises f�am the main to the premises, if the prop�tty owner rc�uests
maintenance service or repalrs be perfo�med by the City,the property ownes shatl be char�ed for the costs of the
maintenance and/or�epairs, including any necessary street repairs,at a rate set annually by an administrative
pulicy. It shall be the responsibility of the applicant,owner,occupant or user to perfarm stan�ard maintenance of
� the sewer service Ilne from the premises ta the main inciuding de6ris clearing or root cutting and to maintain the
water service curb stop box for operability and at such height as wlU ensure that it remains abmve the finished
grade of the land or property. (Ref 638,1156,1191)
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Request Number: 8383
Public Works Division
Service Request
Problem Address: 461 Rice Creek Blud Requested By: Bileh Atr�r
Department: WATER �idress: No address provided
Problemllssue: INSTALLAMR MEIER Phone Number: 651-398-4272
Scheduled ate: 201407-11 Scheduled Time: 10:30:00
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ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 2014-07-10
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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- City of Fridley _ _
• --• Water Department .. -�� -
6431 University Avertue NE
Fridley,MN 55432
(763)572-3566
��W� hereby authorize the�ty of Fridley and/or its
emptoyees ta do what is necessary to replace the water meter. I understand that the prW�ertY cNmer
is liahie for the water line from the main to the�remise and all interiar plumbing. (Per Caty code
40Z.06) I also hoid the C"aty of�ridley and/its employees harmless for any damages that may occur
while doing this operation. This to intlude,6ut not limited to;valves,piping,walls,fioors or the curb
stap box and service line. 1 understand i am also required to obtain a permit prior to any wark,if
necessary.
Fina(meter reading(otd meterj � I � � `�'"
�(�� �`��r� ���c�
Name� Address� ,
Phone Number Date� ����� r -
- � ` �
Signature:
Witness Signature•
FRIDLEY CiTY CpDE
CHAPT 4D2.WATER,STORM WATER,AND SANITARY SEWER
' ADMINISTRATI�N
(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 house
or bui(ding for which the application is made,the owner or contractor shalf be required to obtain a permit for such
connection,and shall pay a permit fee as provided in Chapter 11 of this Code. Afte�such connection has been
made,the Water and Sewer Department shalt 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 cannection.
402.06,REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made ta the water service curb stop box or the sewer lead at the property
iine ar a water service or sewer lead has been extended to the property line for connection,the applirant�awner,
or the occupant or user of such premises sball be liable for atl repairs required to any water line and sewer lines
necessary fur connection of the premises from the main ta the premises. If the prop�[ty uwner 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 st�eet repairs,at a rate set annually by an administrative
policy. it shalt be the responsibility of the applicant,owner,occupant or user to perform standard maintena�e of
' the sewer service line from the premises to the main induding debris dearing ar root cutting and to maintain the
water service curb stop box for aperabil'ityr and at such height as wlil ensure that it remains above the finished
grade of the land or property. (Ref 638,115b,1191}