Meter Swap i
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� Request Number: Z
� Public Works Division
- Service Requ�t
P�oblem Address: 6721 2nd St NE ' Requested By: N�ureen 8�qen Dobberstein
i Department: WATER Aaddress: tdo address provided
; ProblerNlssue: INSTALLAMRMETER Phone Number: 763-571-5542
Schetluteci Date: 209407-03 Scheduled Time: 11:30:00
ACTI(}N NEEDED: lnstafl AMR
Created by: Ju�ie Fbrak Date Created: . 201407-01
' ACT10N TAKEN:
Old meter#33695109 Old readin 096 00 New meter#44821650 ERT#35171602
Status: Ca�leted Resident Contacted ❑
Date Completed: 201407-03 Comple#sd by: Ryan Jahr�scm
Hours
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Request Number: 8302
Public Works Division
Service Request
Problem Address: 6721 2nd St NE Requested By: Maureen&Glen Dobberstein
Department: WATER Address: No address provided
Problemllssue: INSTALLAMR METER Phone Number: 763-571-5542
Scheduled Date: 201407-03 Scheduled Time: 11:30:00
ACTION NEEDED: Install AMR �'`�� �Q
� 1/ �.�
Created by: Julie Horak Date Created: 2014-07-01
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Compieted: C mprete y:
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- City af Fridley _
. --. Water Department .. _.. .
6431 University Avenue NE-
Fridley,MN 55432
(763)572-3566
�/We hereby authorize the City of Fridley and/or its
employees to do what is necessary to replace the water meter. I understand that the praperly owner
is liahle for the water line from the main to the premise and all inte�iar piumbing. (Per Gty code
402.06) 1 aiso hold the City of Fridley andJits employees harmless for any damages that may occur
while doing this operation. This to include,6ut not limited to;valves,pipin,g,walls,floors or the curb
stap box and s�rvice tine. 1 understand 1 am also regutred to obtain a permit pNor to any work,if
necessary.
Finaf ineter reading(ofd meter} � l ��`��O
Name• Address•_���� � � ,
Phone Number. Date: . � J f�� -
/
Signature� '
Witness Signature•
FRIDLEY CITY C4DE
C 402,WATER,STORM WATER,AND SANITARY SEWER
ADMiNIS7RATI�N
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144�1156,1191)
402.05. PERMIT FEE �
Prior to constructing or repair of any water or sewe�line connecting the existing municipal system and any haus.e
or building for which the appiicatian is made,the owner or contrador sha�l be required to obtain a permit for such
connection,and shall pay a permit fee as provided in Chapter 11 of this Cade. Afte�such connection has been
made,the Water and Sewer Department shail be notified. It shall be unlawful to cover any connecting line until an
inspection has been made and such connection and the work incident thereto has been approved by the Gty as a
praper and suitable connection.
402.d6.REPAIRS ANQ MAINTENANCE TO CONNECTION
After the initial conne�tion has been made ta the water service turb stop box or the sewer lead at the property
line or a water service or sewer lead has been extended to the property line for connection,the applicant,owner,
or the occupant or user of such premises shall be liabie for all repairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. if the propetty awner requests
maintenance service o�repairs be performed by the City,the property owner shall be charged for the costs of the
maintenance and/or repairs, induding any necessary street repairs,at a rate set annually by an administrative
policy. It shail be the responsibility of the applicant,owner,occupant or user ta pe�forrn standard maintenance of
� the sewer service line from the premises ta the main inciuding dek��is clearing or root cutting and to maintain the
water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the(and or property. (Ref 638,1156,1191)