Meter Swap I U�05` H5y0�Q
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Request Number: 9254
Public Works Division
Service Request
Problem Address: 6161 RainbowDr Requested By: Norman Pomerleau
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-571-2731
Scheduled Date: 2014-10-29 Scheduled 1Yme: 02:00:00
ACTION NEEDED:Install Amr
Created by: Cheryl Pellegrin Date Created: 2014-10-22
ACTION TAI�N:
Old meter#28387510 Old reading: 97 70 Newmeter#44921180 ERT#35171655
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Status: Completed Resident Contacted 1!
Date Completed: 2014-10-29 Completed by: Ryan Johnson
Hours
3'1
Request Number: 9254
Public Works Division
Service Req�st
ProblemAddress: 6161 RainbowDr RequestedBy: NormanPomerleau
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-571-2731
Scheduled Date: 2014-10-29 �,�/ Scheduled Time: 02:00:00
(,"\ � �
ACTION NEEDED:Install Amr
Created by: Cheryl Pellegrin Date Created: 2014-10-22
ACTION TAI�N:
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Status: In Progress Resident Contacted [�
Date Completed: Completed y:
l. a-2�J��
- City of Fridiey
. -
. . _,_ V4'ai�r�iepartment
. ._ -
6431 University Avenue NE � ��
Fridtey,MN 55432
(lfi3)STI-3566
IJwe hereby autharize the tihl of frid[ey a�dJor its
employees to do what is necessary ta replace the water meter. i understand that the property owner
is liable for the water line fram the main to the premise and al)interior plum6ing. (Per Ciry cade
402.06) 1 aisa hoid the City of Fridfey andJits employees harmless or any amages a ma -
while dotng this aperation. this to ir�lude,but nat timited to;vah►es�PiPing,wall�,flaors or the curb
stop box and sarvice line. I understand 1 am also required to a6tafn a permit prior to any work,if
necessary.
Final meter reading(old meter) ``�' �� �� �
Name•
Address• �L�_ �'�6� �
Phone Number: Date� 1� ��j�
Signature•
Witness Signature�
FRIDLEIf CITY CODE
4Q2.WATER,STURM WA7EFt,AN�5�4NITARY SEWER
ADMINISTRATION
� (Ref�rd Na 113,464,565,566,629,638,662,922,988,1144,1156,1191}
402.05.PERMi7 FEE
Prior to constructing or repair of any water tir sewer line connecting the existing municipal system and any house
or building for which the application is made,the awner or contractorshall be required to obtain a permit for such
connectian,and shall pay a permit fee as pravided in Chapter 11 ofi this Code. After such connection has been
made,the 1Nater and Sewer Department shatl be natified. It shall be unlawful to cover any connecting line until an
Inspection has been made and such cannection and the wark incident thereta has 6een approved by the City as a
proper and suitabie connection.
402.06.REPAIRS AND MAINTENANCE TO C�NNECTION
�b�����..kee..M��+p tn#hp water ser�rice cur6 stoa bux or the sewer lead at the propert�
li�e or a water servite ur sewer lead has been extended Co the propertyline for connection,the applicant,owner,
or the ocwpant or user of such premises shail be liable for afl�epairs required to arry water tine and sewer lines
necessary for connect4an af the premises from the main tu the premises. If the prop�tty awner requests
maintenance service or repairs be performed by the Ciry,the property awner shall be charged for the costs of the
. maintenance and/or repairs, including any necessary street repairs,at a rate set annua{ly by an administraUve
policy. It shall he the respansi6itiry af the applicantr owner,occupant or user to perfarm standard maintenance of
� the sewer service line from the premises to the maln inciuding debrisclearingar root cutting and to maintain the
water senrice cur6 stap bax for operabitity and at such height as wiN ensure that it remains above the finished
:,,g�ad"e of�ti��ia�d orprop�r�y.�(Re�63�,-1��5,.1.��3:� _.. . _ ' _.