Meter Swap I(����U�3`�`�
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Request Number: 9313
Public works Division
Service Request
Problem Address: 6100 RainbowDr Requested By: Carol Bistodeau
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-442-2924
Scheduled Date: 2014-I 1-04 Scheduled'I3me: 08:00:00
ACTION NEEDED:AMR install.Appt made by Dom►a Bistodeau for owner Carol
Created by: Cheryl Pellegrin Date Created: 2014-10-29
ACTION TAI�N:
Old meter#8085975 Old reading 628 9 Newmeter#44921200 ERT#35171803
Status: Completed Resident Contacted !�
DateCompleted: 2014-11-04 Completedby: RyanJohnson
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Request Number: 931`3
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Public Works Division
Service Request ;
Problem Address: 6100 Rainbow Dr. Requested By: Cazo1 Bistodeau `!+
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Department: WATER Address: No address provided ''''`
ProblemlLcsue: INSTALL AMR METER Phone Number: 763-442-2924
Sc��11ed Date: 2014-11-04 Scheduled Time: 08:00:00
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ACTION NEEDED:AMR install.Appt made by Donna Bistodeau for owner Carol
Created by: Cheryl Pellegrin , Date Created: 2014-10-29
ACTION TAI�N:
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Status: Tn Progress Resident Contacted C7 F
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Date Completed: Completed by:
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� City of Fridley y
_ .:: 1Natpr QppartmenY . � _ ,
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6431 University Avenue NE �
Fridley,MN 55432
, (763)572-3566
i/we hereby authorixe the t+h+�Fridley andJor its
employees to do what is necessary to replace the water meter. 1 understand that the PfoPert�+°wner .
is liabie for the water iine fram the main ta the premise and ail interior piumbing. (Per f�ty code
402.06J I also hotd�e Gty of Fridley and/its empioyees hatmfess�or any aamages t�i"iat ma '
while doing this aperation. This ta include,but nat fimited to;valves,Pipi�g,auaNS,fl+oars or the curb
�top box and servic�line, i understand i am also required to abtain a permit prior to any work,ff
necessary.
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Final meter reading(otd met�r����/
Name• Address• �D� K Gi i��Cl� ��.
Phone Num6er. �t�; ��/��j�
Signature:� ��"
Witness Sigt�ature: �
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FRIDLEY CltY CQUE
CNAPTER 402.WA7'ER,STORM WATER,ANQSANiTARY 5EWER
I�DMINISTRA7IDN
(Ref Ord Na 113,464,565,556,629,638,65Z,922,988,1144,1556,1191)
402.OS.PERMIT FEE �
Prior to constructing or repair of any water or sewer tine connecting the e�asting municipat system and any house
or building for which the spplicatian is made,the awner or contractor shail be required to ohtain a permit for such
connectian,and shall pay a permit fee as provided in Chapter 11 of this Code. After such c�nnectian has been
made,the vVater and Sewer Department shall be notifted. it shall be unlaurful to cover any connecting line until an
inspection has been made and suzh connection and the work incident theretu has been approved by the City as a
proper and suitahte c�nnaction.
4Q2.06.REPAiRS AND MAINTENANCE TO CQNNECTION _
��p��;F�:,,�ti��►,opn�,adP to#he w�ter service curh stop bnx or the sewer lead at the propert� :
(iae or a water service ar sewer lead has been e�ended to the prop�rtyline for connection�the applicant,owner, ��
ar the�cciipant or user of such premises shail be liabie far all�epairs required to arry water line and sewer linez '
necessary far connection af the premises fram the main ta the premi�. ff the prop�ity awner requests
maiotenance service ar repairs be perFormed hY the Ctty,the property awnec shal{be cftiarged for the c4sts of the
. maintenance and/or repairs, induding any necessary street repairs,at a rate set annuaily by.an admini5trative
policy. It shal!be thP responsihility of the appticant,owner,occupant o�user to perFarm standard maintenance of
• the sewer service iine from the premises to th ain inciuding debrisclearingor roat cutting and to maintain the
� water service curb stop box for opera61ity,�ini�tch height as wip ensure that it remafns a6ove tf�e finished _ ._. .
. _._ . . . . ,.
:::graite df�t'rie la�d orproper�y.�jRe#63�,_��5,-t�_3.) _� _ . .. _.
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