Meter Swap �7�-u�� 7�a
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Request Number: 9282
Public�Vorks Division
Service Request
Problem Address: 6024 2 1/2 St Requested By: Robert Warolin
Department: WATER Address: No address provided
ProblemJIssue: INSTALLAMRMEIER PhoneNumber: 571-2304
Scheduled Date: 2014-10-28 Scheduled Time: 09:00:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-27
ACTION TAI�N:
Old meter#36720030 Old readin 184 270 New meter#44921066 ERT#35172496
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Status: Completed Residen4 Contacted 1"'
Date Completed: 2014-10-28 Completed by: Ryan Johnson
Hours
343
.
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Public Works Division
5ervice Request
Problem Address: 6024 Z ll2 St Requested By: Robert Wazolin
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME'1�R Phone Number: 571-2304
ScheduledDate: 2014-10-28 � Scheduled'I�me: 09:00:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-27
ACTION TAI�N:
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Status: in Progress Resident Contacted C3
Date Completed: Co lete by
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- City of Fridley
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6431 University Avenue NE ��
Fridley,MN 55432
(7fi3)572-356fi
I/we hereby authori:e the t�fi►��dley andjar its
emp{oyees to do what is necessary to repface the water meter. I understand that the propert�r owner
�is liable for the water iine fram the main ta the premise and al)interior plumbing. (Per Cty cade
402.06) i afsa hafd the Gty of f�ridley andJits employees harmless or any amages�ma -
while doing this operation. This to in�lude,but not limited to;valves,Riping,walls,flours or the carb
stop box and service line. {understand 1 am also required to ohta(n a permit Rriw'to any work,if
necessary.
final meter reading(old mecer� �� ` ��o
Name: Address:.���� �,� ��'""
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Phone Number• ��e' V�--�c'u. �-f------�.
5ignature: � �
Witness Signature•
�RIDLEY CITY C�DE
4Q�.WATER,STDRM WATEtt,ANQ SANITARY SEWER
ADMINtSTRATION
(Ref Ord M�a 113,464,565,566,629,638,652,922,988,1144,1155,1191)
40Z.05.PERMIT FEE �
Prior to constructing or sepair of any water or sewer line connecting the existing municipa!system and any house
ar buitding far which the application is made,the owner or contractar shaA 6e required to abtain a permit for sucEt
cannectinn,and shal!pay a permit fee as pruvided in Chapter 11 of this Code. After such cannection has been
made,the UVater and Sewer Department shaU be notffied. tt shaA he unlawful to cover any�onneding tine until an
inspection has been made and such conneeCion and the work incident thereta has 6een approved by the City as a
proper and suitable connectian.
402=06.REPAIRS AND MAINTENANCE TO CQNNECTION
�.��p��;µa�+�,,.,�,���,�„madP t�thP water service wrh stap bnx or the sewer tead at the propert�
line or a water service or sawer lead has been extended to the propertyline for connection.the applicant,nwner,
or the�ccupant or user of such premises shalf be fiabte for alf repairs required to any water tine and sewer lines
necessary fior connection af the premises from the main ta the premises. ff the prope�ty owner requests
maintenance service or repairs be performed by the City,the properly awner shaii be t�+arged for the costs of the
. maintenance and/or repairs, including any necessary street repairs,at a rate set annualfy by.an administrative
po[icy. It shail be the responsihil'rty of the applicant,owner,occupant or user to�erfarm standard maintenartce of
• the sewer service line from the premises to the main inciuding debrisclearingor roat cutting and to maintain the
water service cur6 stap box for operability and at such height as wiq ensure that it remains abave the finished
. . . _ .. . .__ . -- w:. ..
::,grade'of�tt�e land orpro��t•[y.-�Ref 630,-��5,.t�n�:� _� -.