Meter Swap --1��3� — 51�� Cs�t�
Request Number: 8146
Public Works Division O3"''�'
Service Request 1 � �
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Problem Address: 289 Rice Creek Bivd Requested By: Ronald Simmons
Department: WATER Address: No address provided
Problemllssue: INSTALLAMR METER Phone Number: 571-8525
Scheduled Date: 2014-06-23 Scheduled Time: 01:30:00 "
ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 201406-19 �
ACTION TAKEN:
Old Meter#15154940 Old reading: 123 40 New meter#44921054 ERT#35171862 •
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Status: Completed Resident Contacted ❑
Date Compieted: 2014-06-23 Completed by: Ryan Johnson
Hours
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Request Number: 8146
Pubiic Works Division
Service Request
28
Problem Address: �Bb�Rice Creek BMd Requested By:
Department: WATER Address: No address provided
Problem/Issue: INSTALLAMR METER Phone Number: 571-8525
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Scheduled Date: 20140fi-23 Scheduled 1'ime: 01:30:00
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ACTION NEEDED: 2014 AMR
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Created by: Wendy Hiatt Date Created: 2014-06-19
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
Fridley,MN 55432
(763)572-3566
I/we hereby authorize the City of Fridley andior its
empioyees to do what is necessary to replace 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 City code
402.06) I also hold the City of Fr�dley and/its employees harmiess for any damages that may occur
while doing this operation. This to include,but not limited to;valves,piping,walis,floors or the curb
stop box and service line. i understand i am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter) ��� � "
Name:
naa�$q ������ 1�-t G� �e�C.� �l U�
Phone Numb •
Date• "' `"��" �
.
Signature:
Witness Signature:
' FRIOLEY CITY CODE
CHA .WATER,ST�RM 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 hous.e
or building for which the application is made,the owner or contractor shali be required ta abtain a permlt 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 shaH be unlaev�ul to cover any connecting line unti4 an
inspection has been made and such connection and the work incident thereto has been approved by the City as a.
proper and suitable connectian. �
;° .
402.06. REPAIRS AND MAINTENANCE TO CONNECTION � 'u
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 tine for connection,the applicant,owner,
or the occupant or user of such premises shall 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�iy owner requests
maintenance service or repairs be performed by the City,the property owne�shal{be charged for the costs of the �'�� �
maintenance and/or repairs, +ncluding any necessary street repairs,at a rate set annualty by an administrative
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 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)