Meter Swap )���(.�� ., �I����
Request Number: 8'181
Public Works Division Q�j ` (�
Service Request
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Probtem Address: 437 Rice Creek BMd Requested By: N�Oji
Department: WATER Address: No address provided
Problem/Issue: INSTALLAMR ME'iER Phone Number: 651-353-6908
Scheduled Date: 201406-25 Scheduled Time: 08:00:00
ACTION NEEDED: 2014 AMR "
Created by: Wendy Hiatt Date Created: 201406-23
ACTION 7AKEN:
Old meter#97756979 Old reading: 176 80 I�w meter#44921141 ERT#35191863
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Status: Corr�leted Resident Contacted �
Date Completed: 201406-25 Completed by: Ryan Johnson
Hours
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Request Number: 8181
Public Works Division
Service Request
Problem A�ddress: 437 Rice Creek BMd Requested By: Mr Oji
Department: WATER A�ddress: No address provided
Problem/Issue: INSTALLAMR METER Phone Number: 651-353-6908
Scheduled Date: 201406-25 Sc eduled Time: 08:OO:OQ
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ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 201406-23
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed b :
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- City of Fridiey
--- Water Department
6431 University Avenue PfE
Fridley,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 fram the main to the premise and aii iMeriar plumbing. (Per City code
402.06� I also hoid the City of Fridley and/its employees harmless for any damages that may occur
while doing this operation. This to include,but not limited to;vaives,piping,walls,floors or the curb
stap box and service line. I understand i am afso required to o6tain a permit prior to any work,if
necessary.
Final meter reading(oid meteri �� `E'l�Y ��`� --
Address• '�✓� ���{.- Gru`� 1��1[1-
Name• • �
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Phone Number• Date• �� ��� ` �
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Sig�ature: '
Witness Signature:
� FRIDLEYCITY C�DE
CHAPTER 402.WATER,STORM WATER,AND SANITARY 5EWER
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 house
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 af this Code. After such connection has been
made,the Water and Sewer Department shall be notified. lt 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 connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water senrice 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 connectfon,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 prop��ty owner requests
maintenance service or repairs be perfarmed by the�ty,the property owne�shalt be charged for the costs of the
maintenance a�d/or repairs, including any necessary street repairs,at a rate set annually by an administrative
policy. It shail be the responsibility of the applicant,owne�,occupant or user to perform standard maintenance of
� the sewer service line from the premises to Che 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)
Request Number: 8373
Pubiic Works Division
Service Request
Problem Address: 473 Rice Creek BMd Requested By: Dav�e Reinisch
Department: WATER Address: No address provided.
Problem/Issue: INSTALLAMR METER Phone Number: 763-245-6358
Sched te: 201407-10 �cheduled Time: 02:00:00
I� �
ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 201407-09
ACTION TAKEN:
................................................................................................_..._._..............................................................................................................._...................................................._.._....._........_............__..........._........................................_....__.............._.............._
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Status: In Progress Resident Contacted ❑
Date Completed: Comp�te
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- City af FNdley _ _
• --- Water Department .. _.. -
6431 Universfty Avenue NE
Fridiey,MN 55432
(763)572-3566
i/we hereby autharize the C�ty of Fridley and/�its
empioyees to do what is necessary to repiace the water meter. I understand that the property owner
is liable for the water line from the main to the premise and all irrterior plumbing. (Per C'ity code
�t02.06� I aiso I��td the Gty of Frid{ey and/its employees harmtess for atry damages that may occu�
whife doing this operation. This to include,but not fimited to;�a�ves,p�pi�t�1Nellsr floors or�e curb
stop box and service line. I understand!am also requtred to obtain a permit prior to any work,if
necessary.
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Final meter�eading(o!d meterr ��
Name: Address: �� �-(��t. �� C.��G�
Phone Number. Date: ������
a
5ignature: �
Witness Signature• `
f 1'�� FRiDLEY CITIf C4DE
CH�TBR 402.WATER,ST�RM WATER,AND SANITARY SEINER
ADMINISTRATION
(Ref Ord No 113,464,565,566.629,638,662,922,988,1144,1156,1191)
402.05.PERMIT�EE �
Prior to canstructing or repair of any water ar sewer line connecting the existing municipal system and any hous.e
or building for which the apptication is made,the owner or contrado�shatl be required to ohtain a permit for such
connection,and shall pay a permit fee as provided in Chapter 11 af this Code. After such conneetion has been
made,the Water and Sewer Department shall be notified. it shatt be unlawfuf tu cover any connecting line until an
inspection has been made and such connection and the work incident thereto has been app�oved by the City as a
proper and suitable connection.
402.d6,REPAIRS AND MAINTENANCE TO CONNECTI�N
After the initial cannection has been made to the water service cucb stop box or the sewer lead at t�e propeirty
line or a water senrice or sewer lead has been extended tu the propertyline for connection,the applicant,owner.
or the occupant or user af such premises shall be liable for all�epairs required to any water line and sewer lines
necessary far connection of the premises from the main to the premises. If the prop�cty owner requests
maintenance senrice or rePairs be perEormed by the�ity,the property awner shall be charged for the costs of the
maintenance andJor repairs, induding any necessary st�eet repairs,at a rate set annuaUy by an administrative
policy. It shall be the responsi6ility of the applicant,owner,occupant or user to pe�form standard maintenance of
• the sewer service line fram 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 w(II ensure that it remains above tfie finished
grade of the land or property. (Ref 638,1156,1191)