Meter Swap /
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Request Number: 9430
Public Works Division
Service Request
Problem Address: 6040 2nd St Requested By: Rita Wilson
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME'IER P6one Number: 763-754-2626
Scheduled Date: 2014-11-17 Seheduled 13me: 07:30:00
ACITON NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-11-10
ACTION TAKEN: �
Old meter#M672125 Old reading 2316 20 New meter#449219'18 ERT#35172524
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Status: Completed Resident Contacted M"'`
Date Completed: 2014-11-17 Completed by: Joseph Katzung
Hours
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Request Number: 9430
Public Works Division
Service Request
Problem Address: 6040 2nd St Requested By: Rita Wilson
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-754-2626
Scheduled Date: 2014-11-17 Schedul ed Time: 07:30:00
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ACTION NEEDED:2014 AMR
Createdby: WendyHiatt DateCreated: 2014-11-10
ACTION TAI�N:
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5tatus: In Progress Resident Contacted �
Date Completed: Completed by:
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' - City of Fridley
- _. . iNat�r Departm�nfi
.. .., .......
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
I/we her�by authorize the ptY��dley and/or its
employees to do what is necessary to replace the water meter. I wtderstand�at the property owner
���tahtP fi�r the water tine fram the main to the premise and all int�rior plumbing. (Per C'�ty code
402.06) I aisa hold the Gty of Fridley and/its employees harmlessfor any damages inaz mar�.��
while doing this operation. This to include,but not limited to;va(ves.pip��B►���5�floors or the surb
stap box and service line. 1 understand 1 am also required to a6tain a permit Prior to any work,if
necessary.
Final meter reading(old meter) � ��� I�� .
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Name• Address' ����%� — .
Rhone Number: Date� ��� ���/y
[��„"`" � l/" rl..��A��'
Signature:
Witness Signature: �
FRIDLEY CITY CO�E
CI�1ppTER 402.WATER,STORM WATER,AN��4NITARY SEWER
ADMINISTRATIUN
(Ref Ord No 113r 464,565,566,629,638,fi62r 922,988,1144,1156,1191)
4tJ2.05.PERMIT FEE �
Prior to constructing or repair of any water or sewer line connedingthe existing municipal 5ystem and any house
or building for whirh the application is made,the owner or contractar shall be required to obtain a permit for such
connection,and shall pay a permit fee as provided in Chapte�11 of this Code. After such connection has been
made,the Water and Sewer Department shall be notified. It shall be unlawful to cover any connecting line until an
inspection has been made and such connection and the work incide�thereto has been approved by the City as a /
proper and su'�table connectiorr.
402.06.REPAIRS AND MAiNTE1VANCE TO CONNECTION
���p� -----.+�+••+F+Q W ter service cur6 stoa bnx or the sewer lead at the propert�
line or a water service or sewer lead has been extended to the property ime for connechonr the applicant,owner,
ar the occupant or user of such premises shail he liabie far all�epairs required to any water line and sewer lines
necessary for connection of the premises from the main ta the premises. If the prope[ty owner reque�ts
maintenance service or repairs 6e performed by the City,the property awner shall he charged for the casts of the
maintenance and/or repairs, inciuding arry necessary street repairs,at a rate set annually by.an admin'istrative
, policy. It shall be the responsibility of the applicant,owner,occupant or user to perForm standard maintenance of
the sewer service line f�om the premises to the main including debris dearingor root cutting and to maintaln the
. ...
water service cur6�top box for operability and at such height as wiil ensure that it remains abave the finished
. � � .. . .. . . ...
<,.grade af tf��land orprop�rty.�(Re�63�,��5,-t�n� ��
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