Meter Swap �2.i 55 --�153 I I p
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Request Number: 9238
Public Works Division
Service Request
Problem Address: 234 Merctiuy Dr Requested By: Ptril Hofstad
Department: WATER Address: No address provided
ProblemlIssue: INSTALL AMR ME'IER Phone Number: 574-9438
Scheduled Date: 2014-10-29 Scheduled Time: 11:00:00
ACITON NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-1D-21
ACTION TAKEN:
Old meter# 17094036 Old reading: 12 20 Newmeter#44921588 ERT#35172510
Status: Compieted Resident Contacted ['"
Date Completed: 2014-10-29 Completed by: RyanJohnson
Hoars
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Request Number: 9238
Public Works Division
Service Request
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_ . Problem Address: 234 Mercury Dr _ Requested By: Phil Hofstad
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER P6one Number: 574-9438
Scheduled Date: 2014-10-29 �� Scheduled Time: 11:00:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-21
ACTION TAI�N:
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Status: In Progress Resident Contacted C!
Date Completed: Complete y:
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� City of Fridley
- _ -_. Wa�kpr Dppartment
._
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��We hereby authortze the tity of Fridley and/ar its
employees to do what is necessary to replace the water meter..I understand that the property owner
is liahle for�he water tine from the main to the premise and all interior plumbing. (Rer City code
402.06� 1 aiso hold the City of Fridiey and/its employees harmle�s ar any amages � a may�c:�P-
while doing this opera�on. This tu include,but not limited ta;+rabes►p�Pi�g.wa��s,floors or the curb
stap box and service line. i understand I am also required to obtain a permit prior to any work,ifi
netessary. , ^ ��
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Final meter reading(old meter) U ��.
Name: Address: � �� ����� ��
Phone Number• ��' '
Signature:
Witness Signature:
FRIDLEY CITY CODE
TER 402.WATER,STORM WATER,AND�1N17ARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,556,629,638,662,922,988,1144,1156,1191)
402.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing munieipal system and any house
or buitding for which the apptication is made,the ownec or contractor shall be required to o6tain a pe[mit for such
connection,and shaN pay a permit fee as provided in Chapte�11 of this Code. After such connection has been
made,the V1later and Sewer Department shall be notified. It shaii be unlawful to cover any connecting line until an
tnspection 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 MAINTENANCE TO CONNECTI�N
�__ .1 }n1�hc unYp
line or a water se�rvice o ewer lead has been extended to the p orpertyiine far eonnection'the appticant�owner,
or the occupant or user of such premises shall be tiable for atl repairs required to any water fine and sewer lines
necessary for connection of the premises from tfie main to the premise�. if the pfopetty owner request�
maintenance seniice or repairs be performed by the City,the property owner shall be charged for the casts of the
. mairitenance and/or repairs, induding any neces�ary st�eet repairs,at a rate 5et annually by.an administrative
poticy. It shall be the responsibility af the applicant,awner,occupant or user to perform standard t�aintenance of
• the sewer service line irom the premises to the main inciuding debrisclearingor raot cutting and to maintain the
water sen�ice cur6 stop box far operability and at such height as will ensure that it remains above the finished
.. __
:"grade df�tt�e land or-prd�er�y.�(ReF 630,-1�5,.t��3:� _. - -