Meter Swap � � " �
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Request Number: 9455
Public Works Division
Service Request
Problem Address: 5824 3rd St _ Requested By: Shawn Withrow �
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 952-292-8416
Scheduled Date: 2014-11-19 Scheduled Time: 02:30:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-11-12
ACTION TAI�N: ✓
Old meter#08764455 Old readin 108 0 Newmeter#44921056 ERT#35159598
Status: Completed Resfdent Contacted f"`
Date Completed: , 2014-11-19 Completed by: Joseph Katzung
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Request Number: 9455
Pubfic Works Division
Service Request
Problem Address: 5824 3rd St Requested By: Shawn Withrow
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 952-292-8416
Schedule te: 201 -11-19 � ScheduledTfine: 02:30:00 �
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ACTION NEEDED:2014 AMR ,
Created by: Wendy Hiatt Date Created: 2014-11-12
ACTION TAI�N:
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Status: InProgress ResidentContacted ❑
Date Completed: Completed by:
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� City of frid{ey
- ,_ . V6/at?r DeQartment
:, _,_......
643113niversity Avenue NE
Fridley,MN 55432
(763)572-3566
��we hereby autliorixe the titY of Fridtey and/or its
employees to do what is necessary ta replace the water meter. I understand that the propertl►owne�
e water line from the main ta the premise and ail interior plumbing. (Rer Qty code
4Ut.06) t.alsa hotd the C�ty of 6ridley and/its employees harmles5 or any amages may -
while doing this operadon. This to include+but not limited to;vat�+es►pip�ng.wa�is+fl°°�or tfie carb
stop box and service line. I understand 1 am also required to obtain a Permit pt+or to any work,if
necessary.
�inal meter reading(ofd meter) ' �� � ,
Name: Address: ��,�� � �+' —
Phone Number: D t � ' 1` ���--
Signature:
Witness Signature:
FRIDLEY UTY CODf
CHAPTER 402.WATER,STORM WATER,AND SANtTA�tY SEW�R
ADMINISTRATI[1N
(Ref Ord No 113f 464,565,5G6,6�9,638,662,922,988,1144,1156,1191)
402.�5.PERMIT EEE .
Priar to constructing or repair of any water or sewer line cannectingthe existing municipal system and any house
or building f�r whirh the appiication is made,the owner or contractor�rall be required to obtain a permit for such .
connection,and shali pay a permit fee as pravided in Chapter 11 uf this CQde. After such connection has been
made,the VNater and Sewer Department shaD be�n�he work ncidentthereta`has 6een pp oved by thie Qty as'an
inspection has been made and sud�connectton a
properand suitable connectfon.
402.06.REPAIRS AND MAINTENANCE TO CONNECiION
���b�A���,.��y��.,,rnade ta tt�P wate�service cur6 stop hax nr ttte seurer lead at the propert�
line or a water setvice ar sewer lead has been extended to the propertyline for connection,the appt�cant,owner,
or the occupant or user af such premises shall be{iable f�or all�epait�required to any water line and sewer lines
necessary for cannection of the premises from the main to the premises. If the prop�tiy owner requests
rnaintenance senrrce or repairs be performed by the City,the property owner shaA be charged for the ctists of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
policy. It shall be the responsi6il'rry of the applicant,awner,occupant ar user to perfarm standard maintenance af
• the sewer 5ervice(ine from the premises to the main including debri�clearing or root cutting and to maintatn the
water service cur6 stop bvx for operabiliiy and at such height as wHl ensure that it rema9ns above the finished
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grade of�tti�la�d or�rnp�rt�►.-(ReF 638,1�5,-t���: _. . .._. _._ ._:• �-...._ ._ .