Meter Swap i�-�a�s��.�-;c�
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Request Number: 9242
Public Works Division
Service Request
Problem Address: 6121 Rainbow Dr Requested By: Roxanne Aubert
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-269-1379
Scheduled Date: 2014-10-24 Scheduled Time: 02:30:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-22
ACTION TAI�N: �
Old meter#98578246 01d reading 101 40 New meter A�FTsed�d b�s ERT#35172380
Status: Completed Resident Contacted I'"
Date Completed: 2Q14-10-24 Completedby: RyanJohnson
Hours
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Request Number: 9242
PubHc Works Division
Service Request
Problem Address: 6121 RainbowDr Requested By: Roxanne Aubert
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-269-1379
Scheduled Date: 2014-10-24 `� Scheduled Time: 02:30:00
� C i
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-22
ACTION TAI�N:
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Status: In Progress Resident Contacted �
Date Completed: Completed by:
• � City of Fridley
- • . V�atpr Department
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6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
I/we hereby authorixe the C�t11 of Fridiey and/or its
- -- employees to do what is�cessary ta replace the water me#er. I understa►id that the property owner
;s iiable_for the water(ine from the main to the premise and al)interiur piumbing. (Per City code
402.06� I alsa hold the City of f�ridley and/its empioyees harmless or any amages t�iat ma -
while doing this operation. This ta inciude,but not limited to;valves�piping,walls,floors ar the tur�►
stop box and service line. I understand I am also required to ohtafn a permit prior to any work,ff
necessary.
Final meter reading(old meterj �� � ���a
Name•
a►aa��• �o� 2� � �� ��
Phone Nu Dat � � �` �
Signature:
Witness Signature:
FRIDLEY GTY CaDE
ER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINiSTRATIUN
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
40Z.05.PERMIT FEE
Prior to constructing or repair af any water ar 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 obtain a permit for such
connectian,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the iNater and Sewer Department shall be notified. It shall be unlawful to cover any conneding 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 suitabie connection. �
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
���b�jpj�j�ppnartinn has���^^���p t^the water service cur6 stop 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 applicant,owner,
or the occupant or user of such premises shall be liable for all�epair�required to any water line and sewer lines
necessary for connection of the premises ftom the main to the premise5. If the prop�tty owner requests
maintenance service or repairs be perFormed by the City,the property owner shall be tharged far the costs of the
. maintenance and/or repairs, including any necessary street repairs,at a rate sef annually by.an administrative
policy. It shall be the responsi6il'rty of the applicant,owner,occupant or user to pe�Farm standard maintenance af
• the sewer service line from the premises to the main including debris clearing flr root cutting and to maintain the
water service curh stop box for operability and at such height as wiil ensure that it remains abave the finished
__ ._ . .__. ...
.,gra�"e di ti��iand or�rop�rty.�jRef 638,-3��5,.:���]:) _. _ _.