Meter Swap lI��CX�`�j � ����'�
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Request Number: 8686
Public Works Division
Service Request
Problem Address: 8160 Ruth Circle NE Requested By: Ty Nguyen
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-638-7125
Scheduled Date: 2014-08-OS Scheduled'I3me: 08:30:00
ACITON NEEDED:Install AMR
Created by: Julie Horak Date Created: 2014-08-04
ACTION TAI�N:
Old meter#12134281 Old reading: 580 00 New meter#44921277 ERT#35171708
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Status: Completed Resident Coptacted I""
Date Completed: 2014-0&OS Completed by: Ryan Johnson
Hours
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Request Number: 8686
Public Works Divisioa
Service Request
Problem Address: 8160 Ruth Circle NE Requested By: Ty Nguyen
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-638-7125
Scheduled Date: 2014-08-OS �., Scheduled Time: 08:30:00
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ACTION NEEDED:Install AMR
Created by: Julie Horak Date Created: 2014-08-04
ACTION TAI�N:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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- City of Fridiey
. ' Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
I/we hereby authorize the�ty 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 to the premise and all interior plumbing. (Per City code
402.06) I also hold the City of Fridiey and/its employees harmless ar any amages a may occu l--�
while doing this opera�on. This to inciude,but not limited to;vaives,piping,walls,floors or the curb
stop box and service line. I understand i am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter) � �`� � / o0
Name: Address: ��� ��� ����
Phone Number• Date• v� > ���
Signatur
Witness S ature•
FRIDLEY CITY CADE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATI�M
(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 shail 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
proper and suitable connection.
402.06.REPAIRS AND MAINTENAIVCE TO CONNECTtON
-Af#�r-�h�initaal connection ha�hP�n rnade to�t�e wa*Pr service curb stop box or the sewer lead at the propert�
line or a water service or sewer lead has been extended to the properly line for connectfon,the applicant,owner,
or the occupant or user of such premises shall be liable for all repai�s required to any water line and sewer lines _
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 City,the property owner shall be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
policy. It shall be the responsibility of the applicant,awner,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. �itef t3�,1156,���31) - � -- -