Meter Swap �a�g �5-u�2 S2D
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Request Number: 9417
Public Works Division
Service Request
Problem Address: 5925 Main St Requested By: Lechi
Department: WATER Address: No address provided
Problem/Issue: INSTALL AbIIt METER Phone Number: 571-3172
Scheduled Date: 2014-11-10 Scheduled Zime: 11:30:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-11-10
ACTION TAI�N:
Old meter#98449003 Old reading: 1375 40 New meter#44922251 ERT#35171695
Status: Completed Resident Contacted '�""
Date Completed: 2014-11-10 Completed by: Joseph Katzung
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Request Number: 9417
Public Works Division
Service Request
Problem Address: 5925 Main St Requested By: Leclu
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 571-3172
Scheduled Date: 2014-11-10 Scheduled ZSme: 11:30:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-11-10
ACTION TAI�N:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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- City of Fridley
_ _. . iNat!�r Dppattmen� "
6431 University Avenue NE ' �
Fridley,MN 55432
(763)572-3566
��We hereby authorize the�t1►��dley and/or its
employees to du what is necessary to replece the water meter. l undentand��t��ArOP��Y°w'�r
;s tiahi�r the water line from tfie main ta the premise and aq►nterior plumbing. (Per CFty code
402.Ofi� I aisa hold the Giy of Fridley andjits employees harmiessfor any aamages maz mdr�.�.��
while doing this operation. 'M'his tu include,6ut nat limited ta;vah►es►piP��g►����fl0°�or the curb
stop box and service Hne. 1 understand i am also required to obtain a Perm�Pnor ta any woric,if
J necessary.
Final meter reading(old meter) ��`7 .
Name•
Address:,��� � l�OII�r� S�':
. Date: � , 1l�lbl/Cf
phone Number�
Signature:
Witness Signature:
Fit1DLEY CITY CODE
CI{ppTER 402.WATER�STORM WATER,AND�4NITARY SEWER
ADMINISTRA'fION
(Ref Ord No 113�464,565,556,6Z9,638,662,922,988,1144,1156,1191)
4Q2.05.PERMIT FEE �
� Prior to wnstructing or repair of any water or sewer line connecting the existing muniupat system and any hause
or building f�r which the app4ication is made.the owner or contractor shall be required to obtain a permit for such
connection,and shali pay a permit fee as provided in Chapter 11 of this Code. After suth connettian has been
made,tf�e 1Nater and Sewer Department shali be notified. It sha0 be un{awiul to caver any connectinB Gne until an
inspection has bees►made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06.REPAlitS AND MAINTENANCE TO CONNECiI�N
, ___�_�...,,,�,e�.��rp�cprvfce curh stou bnx or the sewer lead at the propert�
- -- - ---�--
-A�Ftb�-iql��.CO[1�c�.a��..•.�••
line or a water service or sewer Vead has been extended to the propertyline for connection,the appiicant�nwner,
or the ocwpa�t or user of such premises sfiail be liable for al(�epein required to any water line and sewe�lines
necessary for connection of the premises from the main to the premises. If the prop�Cry awner requests
maintenance service or repairs 6e perfarmed by the�ty,the property owner shall be cfiarged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by.an administrative
policy. It shail be the responsi6ility of the applicant,owner,accupant or user ta perform standard maintenance af
• the sewer service line from the premises to the ma9n including debris clearing or roat cutting and to maintain the
water service curh stap box far aperability and at such height as wili ensure that it remains above the finished i
- � .. . .- - - � .
,,.gradeditf}�landorprnp�t�ty.-�Rei638,-],LS�-t���:� _. .. .._ ..._ ... .._. ... . _ .