Meter Swap i Q�.� —�I�ry ��c�
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Request Number: 9287
Public Works Division
Service Request
Problem Address: 6009 2nd St Requested By: Don&Mary Fornme
Department: WA'IER Address: No address provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 574-9214
Scheduled Date: 2014-10-28 Scheduled TSme: 08:30:00
ACTION NEEDED:2014 AMR `
Created by: Wendy Hiatt Date Created: 2014-10-27
ACTION TAI�N:
Old meter#23182646 Old reading 447 20 New meter#44921065 ERT#35172478
Status: Completed Resident Contacted I"'
DateCompleted: 2014-10-28 Completedby: RyanJohnson
Hours
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Public Works Division
Service Request
Problem Address: 6009 2nd St Requested By: Don&Mary Fornme
Department: WATER Addresss No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 574-9214
Scheduled Date: 2014-10-28 Scheduled Time: 08:30:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-27
ACTION TAI�N:
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Status: 1n Progress Resident Contacted Cl
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Date Completed: Completed
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- C'ity of Fridley
, _- . _, , - :: .. _. Wa�r appartmen�t _ . . __.. . _..., .
._ . _, ......_
6431 University Avenue NE
Fridley,MN 55432
(763)57Z-35fi6
I/we hereby authortze the�t11 uf Fridtey and/ar its
ernpioyees to do wfiat is netessary to repiace the water meter. i understand that the property owi►er
�s liable for the water tine from the main ta the premise and all interiar plumbing. (Per City code
402.06) I alsrr hold tfie�ty of f-ridley andiits empioyees fiarmfess o�anyaamages ►a ma -
while doing this operation. This to inciudel but nat limited to;vahres,piping,walls,floors nr the curb
stop box and service line. 1 understand i am also required to o6tain a permit prior to any worlc�if
necessary.
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�naf ineter reading(old meter)
Name• Address. (f/t��� l� ��
Phone Number. Date: L`�����` �
Signaivre: �- �
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 4�2.WATER,STORM WATER,AND SANITARY SEWER
ADMINiSTRA710N
(Ref Qrd Na 113,464,565,5fi6,629,638,fi6Z,922,988,1144,1156,1191)
40Z.05.PERMIT FEE �
Prior to constructing or repalr of any water or sewer line connectingthe existing municipai system and any house
or 6uilding for whidt the application is made,the owner or contractor shall be required to obtain a permit for such
connection,and shail pay a permit fee as provided in Chapter 11 of this Code. After such connectian has 6een
made,the 1Nater and Sewer Department shaii be notified. ft shail be unlawful to tover any�onnecting line until an
inspection has been made and such connection and the work incident thereto has been approved by the City as a
praper and suitab{e connectfan.
402.06.REPAlRS AND MAINTENANCE TO CONNECi'ION
��p���n��a h k .,M��a r�thp�ater service cur6 staa hox or the sewer lead at the propert�
line or a water service or s�wer{ead has been extended to the propetty line far cunnection,the applicant,uwner,
ar the occupant or user of such prem'�ses shatf be liable for alf�epairs required to any water line and sewer lines
necessary for connection af the premises from the main ta the premises. if the prop�tty owner requests
maintenance service ac repairs be performed 6y the C(ty,the propeitty awner shali 6e charged fnr the costs of the
. maintenance and/or repairs,,inciuding any necessary street repairs,at a rate set annuat{y by an administrative
policy. It shall be the respansibility of the applicant,owner,occupant or user to perFnrm�tandard maintenance of
• the sewer service line from the premises ta the main inctuding dehris clearing or raot cutting and to maintaia the
water service curh stnp box for uperability and at such height as wiN ensure that it remains above the finished
. . _ .. ._ .. . .._. . ._. �
:.'gracC"e of�t'ri�land orpro�et�y.�(Ref 630,-1�55,.t.�n�:� -- -