Meter Swap i c�c��5—��� ��o
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Request Number: 9424
Public Works Division
Service Request
Problem Address: 5834 2 1/2 St Requested By: Deborah Gabrielson
Department: WATER Address: No address provided
Problem/Lcsue: INSTALL AMIt METER Phone Number: b 12-840-3354
Scheduled Date: 2014-i 1-12 Scheduled�ime: 11:30:00
ACTION NEEDED:2014�
Created by: Wendy Hiatt Date Created: 2014-11-10
ACTTON TAKEN:
Old meter#33574524 Old reading 331150 Newmeter#44922236 ERTE35171718
Status: Completed Resident Contacted r
Date Completed: 2014-11-12 Comptetedby: JosephKatzung
Hours
�U�
Request Number: 9424
PubHc Works Division
5ervice Request
Problem Address: 5834 2 112 St Requested By: Deborah Gabrielson
Department: WATER Address: No address provided
ProblemlIssue: INSTALL AMR ME'TER Phone Number: 612-840-3354
Scheduled Date: 20 4- 1-12 � Scheduled'ITi e: 11:30:00
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ACTION NEEDED:2014 AMR
Createdby: WendyHiatt Date Created: 2014-11-10
ACTION TAI�N:
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Status: In Progress Resident Contacted ❑
Date Completed: • Completed by:
11`�v�l�� � � �" ..
�r�`�
� - City of Fridley
- _ __ .. W�t�r Departm�nt
... .. _, .,._.
6431 Uniyersity Avenue NE
Fridley,MN 55432
(763)572-3566
I/we hereby authort:e the C�tY��dley andJar its
empluyees to do what is necessary ta replace the water meter. I�de��������o�er
w er line from the main to the premise and atl interior plumbing. (Per City code
402.06) 1 alsa hold the Qty of Fridtey and/'�empfoyees harm�ss ar any amages may
while doing this aperation. This to include,but nat limited to;vaiwes�Pipi�g,a���s�fl'DOrs°r the sufi
stop bax and service line. i understand I arn also required to obtaln a Permit Pnor t�any wark,if
necessary.
Fina!meter ceading toid meter) .
Name:
Address• N �1/� �.
Phone Number: Date:,_ i�'����� __
5ignature•
Witness Signature: '
FRIpLEY UTY CODE
CHppTER 40Z WATER,STORN�WATER►A13D SAMITARY SEWER
ADMINISTRATION
(Ref Ord No 113{464,565,566,629,638,662,422,988,1144,1156,1191�
40Z.05.PERMIT fEE �
� Prior to constructing ar repair of any water or sewer line connecting the e�dsttnB municipal system and any house
or building for which the�application is made,the owner ar contractor st�all be required to o6tain a permit for such
cannection,and shall pay a permit fee as provided in Chapte�11 of this Code. After such connedian has been
made,the 1Afater and Sewer Depa�tment shaU be notified. ft sha{f be unlawtul to cflver a�y 4nn�ed�i�n�e�a�a n
inspec tion ha s b e e n m a d e a n d s u ch connecCion and the work incident thereto has been app
proper and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
����p��� ---—,a�+�+�+�Water servlce curh stop bnx or the sewer lead at the propert�
iine or a water service nr sewer lead has been e�ended to the property�ine for connecfion,the appiicant�owner,
or the occupant or user of such prerriises shal(be Itable for all�epairs required to any water line and sewer lines
necessary for connectiun of the premises from the main to the premiset. If the prop�tty owner requests
maintenance service or repairs be performed by the Ctty,the property awner shalt be drarged for the costs of the
maintenance and/or repairs, incfuding any neces�ary street repairs,at a rate set annually by.an administrative
palicy. It shall be the responsihit'rry of the applicant,ovuner,occupant�use�ta perfarm standard maintenance of
the sewer service(ine from the premises to the main including debris clearing ar roat cutting and to maintain the
� water service cur6 stop box for operabil'dy and at suth he9ght as will ensure that it remains abave the finished
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