Meter Swap '11���5 �' � )��17(�
Request Number: 8159
Public Works Division V 3���
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Problem Address: 269 Rice Creek Blv+d Requested By: Hazei Falldin
Department: WATER A�ddress: No address provided
Problem/Issue: INSTALLAMR METER Phone Number: 763-5749549
Scheduled Date: 201406-26 Scheduled Time: 10:30:00
ACTION NEEDED: instaa AMR
Created by: Julie Horak Date Created: 201406-20
ACTION TAKEN:
Old meter#1548344�Id readin 02 140 New meter#44921128 ERT#35191827
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Status: Completed Resident Contacted ❑
Date Completed: 20'1406-26 Completed by: Ryan Johnson
Hours
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�" Request Number: 8159
Public Works Division
Service Request
Problem Address: 269 Rice Creek Blvd Requested By: Hazel Falldin
Department: WATER A�ddress: No address provided
Problemllssue: INSTALLAMR METER Phone Number: 763-5749549
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Scheduled Date: 2014-06-26 Scheduled Time: 10:30:00
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ACTION NEEDED: Install AMR
Created by: Julie Horak Date Created: 201406-20
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed
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City of Fridley
- - --- Water Department --. -
6431 University Avenue NE
Fridiey,MN 55432
(763)57Z-3566
��We hereby authorize the Cily of 6r+dley and/or its
employees to do what is necessary to replace the water meter. 1 understand that the property owner
is liable for the water line from the main to the premise and ali interior plumbing. (Per City code
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 inciude,but not iimited to;vaives,piping,wa11s,floors or the curb
stop box and service tine. 1 understand!am aiso required to o6taln a perrnit prior to any work,if
necessary. � � ��
Final meter reading(old meter) � �
Name• Address:,��� I ��w ��� ���
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Phone Num Date:
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5lgnature:
Witness Signature:
FRIDLEY CITY C�DE
CHA 402.WATER,STORM WATER,AND SANITARY SEWER
ADM{NISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144, 1156,1191)
402.05. PERMIT FEE
Prtoc to constructing or repair of any water or sewer line connecting the existing municipal system and any hous.e
or building for which the appiication 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 shall be unlawful to cover any connecting line until an
inspection has been made and such tonnection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06.REPAIRS AND MAlN7ENANCE 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)ead has been extended to the property line for connection,the appticant,owner,
or the occupant or user of such premises shalt 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 prope[ty owner requests
maintenance service or repairs be performed by the City,the property owner shali be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrat[ve
policy. It shall be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
• the sewer service line from the premises to the main including debris ciearing or root cutting and to maintain the
water service curb stop box for operability and at such height as witi ensure that it remains abo�e the fmished
grade of the land or property. (Ref 638,1156,1191)