Meter Swap �l (� 53� -- �I �� (�C�
Request Number: 8153
Public Works Division ��� � �
Service Request j '
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Problem Address: 425 Rice Creek Blvd Requested By: Jerry Maeckelbergh
Depa�tment: WATER A�ddress: I�address provided
Problemlissue: INSTALI.AMR METER Phone Number: 574-9580
Scheduled Date: 201406-24 Scheduled Time: 07:00:00
ACTtON NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 201406-20
ACTION TAKEN:
Old meter#32771370 Old reading 8�140 New meter#44921146 ERT#35191825
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Status: Cornpleted Resident Contacted ❑
Date Completed: 2014-06-24 Completed by: Ryan Johnson
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City ot �ridley �
Water DeDartment
Address �,2_S�_��Ge G..�-� ��UC�
Name_ �2�--�-��7�- yl2c�c� .��''�
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Date �`�" C�6
Old Meter Number C9 �.. � � ta�
Old Meter Reading �d �7 E- '?. �
Replacement No. `?j �.7� f j�Q
Replacement Reading �c.�CJG'�408
Replacement Make � �
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Request Number: 8153
Public Works Division
Service Request
Problem A�ddress: 425 Rice Creek Blvd Requested By: Jerry Maeckelbergh
Department: WATER Address: No address provided
Problemllssue: INSTALLAMR METER Phone Number: 5749580
Scheduled Date: 2014-06-24 Scheduled Time: 07:00:00
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ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 2014-06-20
ACTION TAKEN:
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Status: In Progress Resident Contacted O
Date Compieted: Compteted by:
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1 - City of Fridley
Water Department
6431 University Avenue NE
Fridiey,MN 55432
(763)572-3566
��We hereby authorize the City of Fridley and/or its
employees to do what is necessary to replace the water meter. i understand that the property owner
is liable for the water line from the main ta the premise and ali interior plumbing. (Per City code
402.06) I aiso hold the City of Fridiey and/its employees harmless for any damages that may ouur
while doing this operation. This to include,but not limited to;vaives,piping,walis,floors or the curb
stop box and service line. I understand 1 am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter) l��' ' , ( �O
Name• Address. ��� � ��� [��'vD
Phone Number: D te� �''��"�' l
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Signature•
Witness Signature:
FRIDLEY CITY 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 municipal system and any hou5e
or building for which the application 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 connection and the work incident thereto has been approved by the City as a
praper and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONPIECTION
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 line 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 propetly owner requests
maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the
maintenance andJor repairs, incfuding any necessary�treet repairs,at a rate 5et 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)