Meter Swap C� �'��
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Request Number: 9490
Public Works Division
Service Request
Problem Address: 5940 3 St Requested By: Robert Ecker
Department: WATER Address: No address provided
Probiem/Issue: INSTALLt�MRMETER Phoae Number: 763-571-2211
Scheduled Date: 2014-11-19 Scheduted 1Time: 08:00:00
ACTION NEEDED:Install AMR
Created by: Julie Horak Date Created: 2414-i 1-17
ACTION TAKEN: � �/
Old meter#89487208 Old reading 4394 00 Newmeter#449?�572 ERT#35l 59625
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Status: Completed Resident Contacted I"''
Date Completed: 2014-11-19 Completed by: Joseph Katzung
Hours
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Request Number: 9490
Pubfic Works Division
Service Request
Problem Address: 5940 3 St Requested By: Robert Ecker
Department: WATER Address: No address provided
ProblemJIssue: INSTALL AMR ME'TER Phone Nwnber: 763-571-2211
Scheduled Date: 2014-11-19 � Scheduled Time: 08:00:00
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ACTION NEEDED:Install AMR
Created by: Julie Horak Date Created: 2014-11-17
ACTION TAI�N:
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5tatus: in Progress Resident Contacted L'�
Date Completed: Completed by:
��� I�i���/ �'��'�
� - City of Fridley
- . WatPr Department
. .�.. _
6431 University Avenue NE
Fridley,MN 55432 �
(763)572-3566
j/w� hereby authorize d�e�ity�Fridley and/ar its
employees to dfl what is necessary to replace the water meter. I understand that the prupert11 awner
e water tine from the main to the premise and all interior plumbing. �Pe�QtY code
402.Q6� i.aiso hold the Gty of Fr�dtey and/i�employees harmless ar any amages a may r
while doing this operation. This to irtdude,but not timited to;vaN�s►piping,walls�flaars or the curb
stop bax and service Une. 1 understand f am also required to o6tai��P���t Pnor ta any work,if
necessary.
final meter reading(old meter), ��� 1�C�� —
Name• _ Address•
a '�` S-{-,
Phone Number: _ Date: ���1�i��y
Signature•
Wifiess Signature:
FRIDLEY GTY C�DE
CHppTER 4�Z.WATER�STORM WATERr AND SJ4NITARY S�WER
ADM{NISTRATION
(Ref Ord N�113,454,565,566,SZ�,638,fi62,9Z2,988,1144,1156,1191)
40Z.05.PERMIT FEE �
Priar to constructing or repair of any water ar sewer Iine cnnnectingthe existing municipa{system and any house
or building for which the applicatiun is made,the owner or cnntracto�shaA be required to abtain a permii for such
connettion,and shall pay a pe�mit fee as provided in Chapter 11 of this Code. After such connedion has been
made,the Water and Sewer Departrnent shall be notified. It shall be unlawful to cover any con�ecting tine until an
inspection has been made and such cannection and the work incident thereto has been apprnved by the Gty as a
proper and suitable connection.
402.Ofi.REP'AfRS AND MAINTENANCE TQ CQI�NE�ON
���p� ____ ., +..,a,o .t�ra service wr6 swa bnx or the sewer lead at the propert"
{ine or a water service ar sewei lead has been extended to the prapertylme for connectton,the applicant,owner,
or the occupant or user af such premises shall be liabte for af{�epair�required to any water line and sewer lines
necessary for connection of the premises from tl�e main to the premises. If the prapg(ty owner requests
maintenance service or repairs be per�orn►ed by the City,the property owner shall be charged fiar the casts of the
. maintenance andJar repairs, incfuding any necessary street repairs,at a rate set annuatfy by.an admfnistrative
Policy. {t shal{be the responsihiliry af Che applicant,awner,oc�upant or user to perForm 5tandard maintenance of
• the sewer service line from the premises to the main incfuding debris ciearing or raat cutting and to maintain the
� water service cur6�top box for operabi{ity and at such fieight as wiN ensure that it remains abave tfie finished _
`:,gradeoftii�lar�dor�rd��r�y.-(�e�63S,1�.55,_1���:� _. _ . . . . . ,