Meter Swap � . ��.��� y� u ���
01- OI
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� Request Number: 8306
� Public Works Divisiun
Service Request
Prablem A�dtiress: 6720 2nd st NE Requested By: N�s Watren RoUins .
Department: WATER A�ddsess: No addr�s provlded
� Rrobl�mllssue: INSTALLAMRMETER PhoneNumber: 763-5747511
Scheduled Date: 2D1407-03 Scheduled Time: Q1:30:00
i
' ACTtON NEEDED: Instail AMft
Created by: Julie Horak Date Created: 201407-01 �
ACTtON TAKEN:
Otd meter#29154068 Old readir►g�40 New meter#44922079 ERT#35171580
Status: Completed Resident Cor�tacted 0
Date Completed: 2014U7-03 Gompleted by: Ryan Johr�san
Hours
�
Request Number: 8306
Public Works Division
Service Request
Probfem Address: 6720 2nd st NE Requested By: Mrs Warren RoNins
Departmerrt: WATER Address: No address provided
Problemllssue: INSTALLAMR METER Phone'Number: 763-5747511
Scheduled Date: 201407-03 Scheduled Time: 01:30:00
ACTION NEEDED: Install AMR � �� �;i�� ��
c.J
Created by: Julie Horak Date Created: 201407-01
ACTION TAKEN: �
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Status: In Progress Resident Contacted ❑
Date Completed: Complet
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• Cify of Fridtey _
Water Department �. -�. -
6431 UniversityAvenue NE-
Fridley,MN 55432
(763}572-3566
�/We hereby authorize the C�ty of Fridiey and/or its
employees ta do what is necessary to�eplace the water meter. (understand that the property owner
is liable for the water line ftom the main to the premise and all interiar plumbing. (Per Qty code
402.06) I aiso hoid the City of Fridley andJits emp(oyees harmless far any dam�es that may occu�
white doing this operation. This to include,but not limited ta;valves,piping,walis,floors ar the curb
stop box and service line. 1 understand i am also required to obtain a permit prior to any work,if
necessary. � .
final meter reading(old meterj
�� g � �
Name: Address: �( �� �� �
Phone Number: Date: ��y!�
Signature:
W(tness Signature• :
� FRIDLEY CITY C�DE
CH TER 02.WATER�STORM WAT'�R,AND SANITARY SEWER
ADMINISTRATlON
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.05.PERMIT FEE �
Priar to canstnacting or repair of any water or sewer line connecting the existing municipal system and any house
or building for which the application is made,the owner or contractor shall be required ta obtain a permit for such
connection,and shall pay a penr►it fee as provided in Chapter 11 af this Code. after such connection has been
made,the Water and Sewer Department shatl be noti�ied. It shall be unlawful to cover any conneding line until an
inspection has been made and such connection and the work inddent thereto has been approved by the City as a
proper and suitable connection.
402.06.REPA(RS AND MAINTENANCE TO CONNECTlON
After the initial connection has been made to the water service curb stop box or the sewer lead at the property .
line or a water service or sewe�lead has been extended to the propertylinefor connection,the applicant,owner,
or the occupant or user of such premises shail be liable far a!!repairs required to any water line and sewer lines
necessary for connection of the premises from the main to ihe premises. If the prop�[ty owner 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 annually byan administratfve
policy. It shalf be the responsi6ility of the applicant,owner,occupant or user ta pe�form�tandard maintenance of
� the sewer service line frorn the premises to the main including deb�is clearing or root cutting and to maintain the
water service curb stop box for operability and at such height as wfll ensure that it remains above the finished
grade of tFie land or property. (Ref 638,1156,1191)