Meter Swap l�t .,�,�'
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Request Number: 9491
Public Works Division
Service Request
Problem Address: 6055 2 1/2 3t Requested By Kim Berg
Department: WATER Address: No address provided
Problem/Lcsue: INSTALL AMR ME1ER Phone Number: 763-229-8040
Schedul ed Date: 2014-12-OS Schedul ed Ti me: O 1:00:00
ACTION NEEDED:Install AMR
Created by: Julie Horak Date Created: 2014-I 1-17
ACTION TAI�N: ,✓
Old meter#97922238 Old reading:0991 60 New meter#44920896 ERT#35158992
Status: Completed . Resident Contacted I""
Date Completed: 2014-12-OS Completed by: Joseph Katzung
Hours
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Request Number: 9491
Public Works Division
Service Request
Problem Address: 6055 2 1/2 St Requested By: Kim Berg
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-229-8040
5cheduled Date: 2014-12-OS 5cheduled Time: 01:00:00
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ACTION NEEDED:lnstall AMR
Created by: Julie Horak Date Created: 2014-11-17
ACTION TAI�N:
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Status: in Progress Resident Contacted ❑
Date Completed: Completed by: .
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f - City of Fridley
- _ _,.. Wat�r Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
Iiwe hereby authurize the�tY of Fridley and/or its
emptoyees to do what is necessary to reptace the water meter. I understand that the property owner
is li e for the water tine from the main to the premise and a{I interior plumbing. (Per t�ty code
402.06) I also hold the City of Fridley andrts empioyees harmlessfor any damages tnai maY�ific
while doi�g this a�peration. This ta include,but not limited to;+raWes�P�Ping,walls,floors or the curb
stop box and service line. t underttand 1 am atso requ�red to ohtain a t�ecmit Prior to any work,if
necessary.
Finai meter reading(old meter)_��� �
Name: Address: �o�J�s a �1a 5�'
Phone Number: Date: 1�/,!'�y
Signature�
Witness Signature:
FRIDLEY CIIY CODE
CFtppTER 402.WATER,STORM WATER,AIVD SpNiTARY SEWER
ADMINISTRATION
(Ref Ord N�113,464,565,566,5�9,638,662,922,988,1�-�,1155,1191�
4tfZ.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any hause
or building fQr which the application is made,the owner or contractor shall be required to obtain a permit for such
conrrection,and shaf)pay a permit fee as pravided in Chapte�11 of this Code. Atter such cannection has been
made,the iNater and.Sewer Department shafl be notified. ft shall 6e uniawful to cover any connecting tine untit an
Inspection has been made and such connection and the wark incident thereto has Geen appraved by the Ciry as a
praper and suitable connect[on.
40Z.06.REPAfRS AND MAINTENANCE TO CONNECTION
����p� __�____..a,,+„,�,o WarPr servlce curb stoa bnx ur the sewe�lead at the propert�
line or a water service or sewer iead has heen extended to the property line for c4anechon,the applicant,owner,
or the occupant or user of such premises shail be liable for a1f repairs required to any water{9ne and sewec lines
necessary for connection of the premises from the main to the premises. If the prop�ty owner requests
maintenance 5ervice�r repairs be pe�formed by the City�the property owner shall be charged for the costs of the
maintenance and/or repairs, including any necessary street repai�s,at a rate set ant►ually by.an administrative
poticy. It shall be the responsi6iliry of the appli�ant,owner,accupant or user to perform�tandard maintenance of
• the sewer service line from the premises to the main including de6ris ciearing or raot cutting and to maintain the
water servtce cur6 stup bax for o_erability and at such height as will ensure that it remains above the finished
.P . . . . .
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