Meter Swap � c��3�— � � °� � (�D
Request Number: 8173
Public Works Division a"7� � �
_................. .......Service Request
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Probiem Address: 570 Rice Creek BMd Requested By: Gary Alferness
Department: WA'iER Address: 1�address provided
Problem/Issue: INSTALL METER Phone Nurr�er: 572-8130
Scheduled Date: 201406-24 Scheduled Time: 08:30:00
ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 201406-23
ACTION TAKEN:
Old meter#96784231 01d reading: 122 50 New meter#44921149 ERT#35191776
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Status: Completed Resident Contacted ❑
Date Completed: 2014-06-24 Completed by: Pete Gunderson
Hours
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Request Number: 8173
Public Works Division
Service Request
Problem A�ddress: 570 Rice Creek BMd Requested By: Gary AiFemess
Department: WATER Address: No address provided
Problemllssue: INSTALL METER Phone Nurrd�er: 572-8130
Scheduled Date: 201406-24 c - Scheduled Time: 08:30:00
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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 Contaated ❑
Date Completed: Completed by:
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City of Fridley
--� Water Department . _,
6431 University Avenue NE
Fridley,MN 55432
(763)572-356fi
1/we hereby authorize the City of Fridtey and/or its
employees to do what is necessary to repface the water meter. f underst-and that the property owner
is tiable for the water line from the maln to the premise and all interior plumbing. (Per City code
402.06) i also hald the City of Fridley andiits emp{oyees harmfess for any damages that may acur
while doing this operation. This to include,but not limited to;valves,piping,walis,floors or the curb
stop box and service line. 1 understand 1 am a{so required to obtain a permit priar to any work,if
necessary. � ��
F(nal meter reading(old meter) � �
Name: Address: tJ �v 1�...1C.�l.�l�'(� 4��-�_
Phone Num Date: v—� `—��
Slgnature•
Witness Signature:
FRIDIEY C{TY CODE
CHAPTER 402.WATER,S70RM WATER,AND SANITARY SEWER
ADMINIS'f'RAT{ON
(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 ar sewer line connecting the existing municipai system and any house
or building focwhich the application is made,the owner or contrador shall be required to obtain a permit for such
connection,and shal{pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shali be notified. it shall be unlawful to cover any connecting iine 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.REPAlRS AND MAINTENANCE TO CONNECTION
After the initia!connection has been made to the water service curb stop box or the sewer lead at the property
line or a water ser+rice or sewer tead fias been extended to ihe properry t�ne 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 fram the main to the premises. If the prop�[ty owner requests
maintenance service or repairs be performed by the City,the property owner sfiai{be chatged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
poticy. It shall be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
° the sewer service tine from the premises to the main including debris ciearing 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 4and or praperty. (Ref 638,1156,1191�