Meter Swap ._1��i�--, �Iq ��.-4�
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Request Number: 8272
Public Works Division �/�'��
Service Request
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Problem Address: 560 Rice Creek BMd Requested By: �ria Vye(Daughter Ter�i vaiN meet
you)
Departrr�nt: WATER Addreas: No address provided
Problemllssue: INSTALLAMR METER Phone Number: 612-710-9079(Terri}
Scheduled Date: 201407-11 Scheduled Time: 08:00:00
ACTiON NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 201406-27
ACTION TAKEN: �
Old meter#17874236 Old reading 541 20 New meter#44921188 ERT#35159415
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Status: Completed Resident Contacted ❑
Date Completed: 201407-11 Completed by: Ryan Johnson
Hours
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Request Number: 8272
Public Works Division
Service Request �
Problem Address: 560 Rice Creek Blvd Requested By: �ria Vye(Daughter Terri wili meet
you)
Department: WATER Address: No address provided
Problemllssue: INSTALLAMR ME1�R Phone Number: 612-710-9079(Terri�
Scheduled Da • 2014-07-11 Schedufed Time: 08:00:00
.
ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 2014-06-27
ACTION TAKEN:
_....................................................................................................................................................................................._..�._............................:..................................................................................._..................................._..............._......................................__._
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Status: In Progress Resident Contacted O
Date Completed: Completed
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- City af�ridley
_ � —• Water Department .. _.. .
6431 Universfty Avenue NE�
Fridley,MN 55432
(763}572-3566
IJwe hereby autharize the City of Fridley and/or its
employees to do what is necessary to reptace the water meter. I understand that the property awner
is liable for the water line from the main to the premise and ati interior plumbit�g. (Per City code
402.06) i also hold the City of Fridiey andJits emplayees harmless for arry damages that may occur
wbile doing this operation. This to include,6ut not limited to;valves,piping,walls�fleors o�t�e curb
sta�p�x and service{ine. i understand{arn also required to obtain a permit pNor ta any worlc,ff
necessary.
Final meter reading(old meter) �� � ` 4 ��
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Name• Address•
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Phone Number: Date: _
,
Stgnature:
Nfitness S9gnatnre:
FRIDLEY CITY CaDE
CH R 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
4Q2.05.PERMtT FEE
Prior to constructing or repair of any water or sewer line cannecting the existing municipaf system and any hous.e
or building for which the application is made,the owner or contractor shall be required to obtain a permit for such
connectian,and shall pay a permit fee as provided in Chapter 11 of this Cade. After such connection has been
made,the Water and Sewer Department shail be notified. It shall be unlawful to cover any rnnnecting line until an
Inspection has been made and such connection and the work incident thereto has been approved by the City as a
ptaper and suitable cannection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial conneetion has I�een made tu the water senrice curb stap box or the sewer tead at the property
line ar a water 5ervice or sewer tead has been e�ctended to the property{inafor connection,the applicant,owner.
or the occupant or user of such premises shalf be liable for ail repairs required to any water line and sewer lines
necessary far connection of the premises from the main to the premises. If the prop��ty owner requests
maintenance service o�repairs be performed by the City,the property owner shall be charged for the costs of the
maintenance and/or repairs, induding any necessary street repairs,at a rate set annually 6y an administrative
paticy: {t shall be the respansibi{ity of the applicant,owner,occupant or user ta pertarm standard maintenance af
� the sewer service iine from the premises to the main incfuding deb�is 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)