Meter Swap �
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1,.��(S Request Number: 8007
Public Works Division ��p, a ���
Service Request •`�(7
Problem Address: 4796 2nd St Requested By: Mary Ann Cook
Department: WATER �Idress: No address provided
Problemllssue: INSTALLAMR METER Phone Numbe�: 572-8959
Scheduled Date: 201406-05 ' Scheduled Time: 12:30:00
ACTION NEEDED: Change old meter
Created by: Wendy Hiatt Date Created: 201406-05
ACTION TAKEN:
Old meter#84902608 Old reading• 1183 60 New meter#44921610 ERT#35160101
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Status: Completed Resident Contacted ❑
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Date Completed: 201406-05 Completed by: Pete Gunderson
Hours
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Request Number: 8007
Public Works Division
Service Request
Problem Address: 4716 2nd St Requested By: Mary Ann Cook
Department: WATER Address: No address provided
Problemllssue: INSTALLAMR METER Phone Number. 572-8959
Scheduled Date: 2014-06-05 Scheduled Time: 12:30:00
ACTION NEEDED: Change old meter
Created by: Wendy Hiatt Date Createtl: 2014-06-05
ACTiON TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Com leted by:
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. City of Fridley
Water Department
6431 University Avenue NE
� Fridley,MN 55432
� (763)572-3566
��� � We hereby authorize the tity of Fridley and/or its
��' ' � / o what is necessary to replace the water meter. I understand that the propertY cwner
employees to d
�1C�,�j �, is Itable for the water line from the main to the premees harmlesstfo rany dam'ages that may occur
�/J � 402.06) I also hold the City of Fridley and/rts employ ited to;valves,piping►�+►alls,floors or the curb
` '������ whiie doing this operation. This to include,but not lim
�"���- stop box and service line. i understand I am also required to obtain a permit prior ta any work,if
necessary. ���
� Final meter reading(old meter) �
O'4` � �
� �,� Address• � � �
� Name:
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Phone Number: 7��'i -ri '�a�- .��i�ate: �__� "
Signature•
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402•WATER,STORM WATER,AND SANITARY SEWER
ADMINlSTRp►TION
(Ref Ord No 113,464,565,566,629,638,66Z,922,988,1144,1156,1191) _
402.05. PERMIT FEE
Prior to constructing or repair of a�y water or sewer line connecti�o sha i be equ red to'ob ain a permit for such
or building for which the application�s made,the owner or contra
connection,and shall pay a permit fee as P��i�be n tified.tit shall be unlawful to cover any conne'cti g lineeuntil an
made,the 1Nater and Sewer Department sha roved by the City as a
inspection has been made and such connection and the work incident thereto has been app
proper and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at t i�n�OWner,
line or a water service or sewer lead h e b ha��be I ab(e far all repap srr�equi ed to any water I ne and sewer lines
or the occupant or user of such premis
necessary for connection of the premises fram the main to the premis o��ner hall be harged for the costs of the
maintenance service or repairs be performed�y the�ty,the property
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
policy. It shall be the responsibility of the applicant,owner,occupans lear nr torp ootcutti B and to mai tain thef
• the sewer senrice line from the premises to th�main including debn B
water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 635,1156,1191)
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