Meter Swap 1���3� - �1��00
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Request Number: 8304
Public Works Division ���'`
Service Request
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Problem Add�ess: 276 Rice Creek BMd. Requested By: Lisa C�eason
Department: WATER A�ddress: No address provided
Problemllssue: {NSTAILAMR METER Phone Number: 1+763-434-1818
Scheduled Date: 201407-10 Scheduled Time: 10:00:00
ACTION NEEDED: AMR install
Created by: Cheryl Pellegrin Date Created: 201407-01
ACTION TAKEN: �
Ofd meter#85689085 Old reading 203 60 New meter#44922009 ERT#35159582
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Status: Completed Resident Contacted O
Date Completed: 201407-10 Completed by: Ryan Johnson
Hours
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Request Number: 8304
Public Works Division
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Service Request
Problem Address: 276 Rice Creek BMd. Requested By: Lisa Gleason
Department: WATER Address: No address provided
Problemllssue: INSTALLAMR METER Phane Number: 1+763-434-1818
Scheduled Date: 201407-10 Scheduled Ti 10:00:00
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ACTION NEEDED: AMR install
Created by: Cheryl Pellegrin Date Created: 201407-01
ACTION TAKEN:
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Status: In Progress Resident Contacted �
Date Completed: Co let
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- City of Fridiey _ _
. . __. Water Department . _.. .
6431 UniversityAvenue 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 replace the water meter. I understand that tfie propertY o�me�
Is fiabie for the water line from the main to the premise and ati interior ptumbing. (Per City code
402.06) i aiso hatd the City of Fridiey and/ii�empiayees harm{ess far any tlamages tfiat may occur
while doing this operation. This to include,but not limited to;valves,piping,walls,fluors o�the curb
stap box and s�rvice line. 1 understar►d 1 am also�equired to ebtain a permit prtor to any work�if
necessary,
� ��33 �Co0
Finai meter reading(old meter�
Z7(� �c�c. Cru.� �U�t
Name• Address• ,
Phone Number �t�: .���j�
Signature•
Witness Signature•
FRIDLEY CITIf 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 munlcipal system and any hout.e
or building for which the applicatlon is made,the owner or cantractor shall be required to obtafn a permit for such
connection,and shaii pay a permit fee as pravided in Chapter 11 of this Code. After such connection has been
made,the Water and 5ewer Department shali be notified. it shall be unlawFul ta cover any connecting line until an
inspection has been made and such connection and the work incident thereto has been approved by the Gty 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 property Ilne for connectfon,the appticant,owner,
or the occupant or user of such premises shalf be fiable for aif�epairs required to arry water line and sewer lines
necessary for connection of the premises frorn the main ta the premises, tf the propgtty owner cequests
maintenance serrrice or repairs be perfc�rmed by the�ty,the property uwner shal{be charged for the costs of the
maintenance and(or repairs, including any neceuary street repairs,at a rate set annually by an admin'�strative
policy. it shail be the responsibility of the applicant,owner,occupant or user to perform�tandard maintenance of
� the sewer service 11ne from the premises to the main lncluding deb�is clearing or roat cutting and to maintain the
water service curb stop box for operability and at such height as w(II ensure that it remains above the flnished
grade of the land or property. (Ref 638,1156,1191)