Meter Swap � Q�u5-u��aa
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Request Number: 9201 �
Pubhc Works Division
Service Request
Problem Address: 241 Mercury Dr Re.quested By:. Lean Black
Department: WA1ER Address: No address provided
Problem/�ssue: IN5TALL AMR METER Phone Number: 651-233-4306 �
Scheduled Da : 2014-14-20 Schednled'ISme: 10:00:00
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ACIION NEEDED:2014 AMR
Created by: WendyHiatt Date Created: 2014-10-17
ACTION TAI�N:
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Statns: In Progress Resident Contacted ❑
Date Comgleted: Completed by:
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Request Number: 9201
Pubfic Works Division
Service Request
Problem Address: 241 Mercury Dr Requested By: Leon Black
Department: WATER Address: No ad�ess provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 651-233-4306
ScheduledDa : 2014-10-20 Scheduled'I�me: 10:00:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-17
ACTION TAI�N:
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Status: In Progress Resident Contacted �
Date Completed: Completed by:
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- City of Fridley
, +�u�ter Department
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6431 University Avenue NE
Fridley,MN 55432
(763)5T2-3566
Iiwe hereby authorize the�ty of Fridiey and/or fts
employees to do what is necessary to repiace the water meter. I understand that the property owner
_is liable for the water tine from the main to the premise and all interior plumbing. (Per�ity code
�02.Q6) 1 alsa hoid the C'ity of Fridley and/its empioyees harmiess or any amages a m�-
while doieg tfiis uperation. This ta inclede,but not li�►ited to;valves►p�pi�g,wa�ls�floars or the curb
stop box and service line. 1 understand i am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter� ��� ��p
Name• Address._�u � L' `—'�'��� _
Phone Number. Date:, �.(J'�'' '�
Signature:���.������/1 y��'"
1Nitness 5ignature• ���
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FRiDLEY CiTY CODE
CHAPTER 402.WATER,STURM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,454,565,566,5z9,638,662,922,988,1144,1156,1191)
402.05.PERMIT�EE
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 shall be required to nbtain a permit for such
connection,and shall pay a permit fee as pruvided in Chapte�11 of this Code. After such cannection has been
made,the Water and Sewer Department shall be notified. It shalf be untawful to cover any connecting iine untit an
inspection has been made and suth connection and the work incident thereto has been approved by the City as a
proper and suitabie connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTInN
,A�e�tb�i�al.�o�pec#inahas k���r„a�P t�rhe wa er service cu�6 stoa box or the sewer lead at the propert�
line or a water service or sewer lead has been extended to the propertyline for connection,the appiicant�owner,
or the occupant or user of such premises shall be(iable for all�epairs required to any water line and sewer lines
neces5ary for connection of the premises from the main to the premise5. If the propetty owner requests
maintenance service or repairs be performed by tfie City,the property owner shatl he charged for the costs of the
. maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administraUve
policy. It shall be the responsibil'ity of the appficant,owner,uccupant 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 cur6 stop box for operability and at such height as wili ensure that it remains above the finished
, . ._ . . .._. ... .
"'grade di tfie IaRd orprop�t�y.�tRe�63�,1�55,.1�9�:� .. .. . .. . _ .