Meter Swap � o � � ��
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Request Number: 9510
Public Works Division
Service Request
Problem Address: 5924-2nd St Requested By: Kelly Mac
Department: WATER Address: No address provided
Problem/Issue: INSTAL,L AMR ME'IER Phone Number: 612-229-7499
Scheduled Date: 2014-11-24 Scheduled Time: 11:30:00
AC7TON NEEDED:AMR Install.Owners mother will be there to let you in. .
Created by: Cheryl Pellegrin Date Created: 2014-11-19
ACTION TAI�N: �
Old meter#09513350 Old reading 1118 40 Newmeter#44920888 ERT#35158975
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Status: Compieted Resident Contacted I"°`
Date Completed: 2014-11-24 Completed by: Joseph Katzung
Hours
5'3�`�
Request Number: 9510
Public Works Division
Service Request
Problem Address: 5924-2nd St Requested By: Kelly Mac
Department: WATER Address: No adc�ess provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 612-229-7494
Scheduled Date: 2014-11-24 Schednled Time: 11:30:00
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AC1�ON NEEDED:AMR install.Owners mother will be there to let you in.
Created by: Cheryl Pellegrin Date Created: 2014-11-19
ACTION TAI�N:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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- City of Fridley
- ,:_.. UUat!�r Dppartment
. ._ � .. .n.. _.
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��y�� hereby authorize the C�tY of Fr+dley and/or its
emploWees to do what is necessary to repiace the water meter. I understand that the property owner
is iiahle for the water{ine from the main to t1�e premise and all interior plumbing. (Per Gty code
402.06) i aisu hcld the Gty of�rlidley and/its empioyees harmless or any amages�may�. ��
while doing this operadon. This tu include,but not limited to;valves�Pipi�g,wa��s�fla°rs or the wrt
�top 6ox and service fine. i underst�and 1 am afso required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter� � � l � � / �
cl� ,
Name: Address: s(�vZ�( v2�` 5+,
Phone Number Date� «l�.�1 fy
5ignature:
,� ,
,
Wttness Signature:
FRIDLEY CITY C�DE ,
�HppTER�DZ.WATER,STORM WATER,AND�INITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191�
4Q2.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house
ar buiiding for which the applicatian is made,the owner or contractor shall be required Co obtain a permit for such
conrrectian,and shail pay a permit fee as provided➢n Chapter 11 of this Code. After such cannettion has been
made,the Water and Sewer Department shaD be notified. It shail be unlawful to cover any cannecting line untii an
inspection has been made and such connection and the work incident thereto has been approved by the City as a
praper and suitabte connection.
402.06.REPAIRS AND MAINTENANCE 70 CONNECTI�N
��.�b�p����h�n rnade to tt p water service cur6 stov box or the sewer lead at the propert�
4ine or a water service or sewer tead has been extended to the propertyline for connection,the applicant,owner,
or the occupant or user of such premises shafl be{iabfe for all�epair�required to any water{ine and sewer lines
necessary for connection of the premises ftom the main to the premises. If the propetty owner requests
maintenance senrice�r repairs be performed by the City,the prope�ty owner shail 6e chacged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annuaffy by an administrative
po(icy. It shall be the responsi6ility of the appli�ant,awner,accupant or user to perform standard maintenance af
• the sewer service line fsom the premfses ta the ma4n including debris clea�ingor root cutting and to maintain the
water service cur6 stop box for operabifity and at such fie9ght as wiN ensure that it remains above the finished
. . . _ _
.:grade af�tf7�iand orproper�y.�(Re►63�,-1��`5,.��9�) -, . . . . ._