Meter Swap ,��ou� � �� ��3c�
Request Number: 8136
- Public Works Division � J �"1
Service Request
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Problem A�ddress: 551 Rice Creek Blvd Requested By: Mr Skumautz
Department: WATER /�ddress: No address provided
Problsmlissue: INSTALLAMR METER Phone Number: 572-2083
Scheduled Date: 2014-06-24 Scheduled Time: Q2:00:00
ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 201406-19
ACTION TAKEN:
Old meter#16228284 Old reading: 11 60 New meter#44921538 ERT#35160162
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Status: Completed Resident Contacted O
Date Completed: 201406-24 Completed by: Pete Gunderson
Hours
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Request Number: 8136
Public Works Division
Service Request
Problem Address: 551 Rice Creek BMd Requested By: Mr Skumaufiz
Depa�tment: WATER Address: No address provided
Problem/Issue: INSTALLAMR METER Phone Number: 572-2083
Scheduled Date: 201406-24 Scheduled Time: 02:00:00
ACTION NEEDED: 2014 AMR
(�.Q . c��� � a ��
Created by: Wendy Hiatt Date Created: 201406-19 �
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ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed b :
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• - City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(T63)572-3556
��We hereby authorize the City of Fridfey and/ar 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 all interior plumbing. (Per City c�le
40Z.06) I also hold 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
stop box and service line. I understand 1 am also�equired to obtain a permit prior to any work,if
necessary. , �
Finai meter reading(old meter) _� � �- l� �
Name� Address� ��, ��(�` 42����U�
Phone Number: Date: LY��_``��
Signature• F
Witness Signature:
FRID�EY CITY CODE
CHAPTER 402.WATER,ST�3RM 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 consCructing or repair of any water or sewer line connecting the existing municipal system and any house
or building for which the appiication is made,the owner or contractor shall be required to obtain a permit for such
connection,and shaN pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shaN be notified. It shall be unlawful to cover any connecting line uptil an
inspection has been made and�uch connection and the wark incident thereto has been approved by the City as a
propec and suitabfe connection.
�
402.06.REPAfRS AND MA{N'�'ENANCE TO CONNECTI�3N
After the initial connection has been made to the water seniice curb stop box or the sewer fead at the property
line or a water service or sewer lead has been extended to the property line for connection,the appficant,owner,
or the occupant or user of such premises shall be liable for alf�epairs required to any water tine and sewer{ines
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�ty,the property owner shalt be charged for the costs of the
maintenance andJor repairs, including any necessary street repairs,at a rate set annuaiiy by an administrative
policy. tt 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)