Meter Swap o i -�� �
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Request Number: 9464
Public Works Division
Service Request
Problem Address: 6000-3rd St NE Requested By: Matt Michlin
Department: WATER Address: No address provided
Problem/Lssue: INSTALL AMR METER Phone Nuimber: 320-455-7614
Scheduled Date: 2414-11-21 Scheduled Time: 08:00:00
ACTION NEEDED:AMR Install
Created by: Cheryl Pellegrin Date Created: 2014-11-13
ACTION TAKEN: �
Old meter#Missing co�.r with number-Rockwell Meter Old reading.562 20 Newmeter#44921474 ERT#35172398
2�a�-t'�o ti i
Status: Completed Resident Contacted ['"
Date Completed: 2014-11-21 Completed by: Pete Gunderson
Hours
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Request Number: 9464
Public Works Division
Service Request
Problem Address: 6000-3rd St NE Requested By: Matt Michlin
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 320-455-7614
5cheduled Date: 2014-11-21 SchedWed T�me: 08:00:00
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ACTION NEEDED:AMR Inst 1
Created by: Cheryl Pellegrin Date Created: 2014-11-13
ACTION TAI�N:
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Status: In Progress Resident Contacted �
Date Completed: Completed by:
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� City of Fridley
- _. -. . Watpr Dppartment
_ . ., _,_......
6431 University Avenue NE
Fridley,MN 55432
(763)57Z3566
I/we hereby authorize�e��Y��dley and/ar ia
employees to do what is necessary ta replace the water meter. I understand that the property owner
is liable for the water line from the main to the premise and all interior plumbing. (Per City cflde
402.Q6) I.alsa hold the City of Fridley andrts employees harmless or any damages tnai may�r-
while doing this operadon. This to include,but not limited to;vatves�P�p�ng.wa��5�fl°°rs or the carb
stop box and service line. I understand i am also required ta ohtain a permit prior to any work,if
necessary. �
final meter reading(old meter) `��,� �
�� -��9 S � ,
Name: Address:�— -
Phone Number: �.�`
Signatur . �{
Witness 5ignature:
. FRIDLEY CITY C(3DE
CHpPTER 4�2.WATER,STORM WATER,AND SANITARY SEWER
ADMINiSTRATiON
(Ref Ord No 113,464,565,566,629,638,662,92Z,988,1144,1156,1191) �
40z.05.PERMIT FEE �
Prior to constructing ar repair of any water or sewer line connecting the existing municipal system and any house
ar building for which the applicatian is made,the owner or contractor shall be required to obtain a permit for such
conrrection,and shall pay a permit fee as provided in Chapte�11 of this tbde. After such connection has been
made,the iNater and Sewer Department shail be notified. It shall he uniawful to cover any connecting line until an
inspection has been made and such connection and the work incident thereta has been approved by the City as a
proper and suitable connectfon.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
����R�����A�,, �rn.+�+�.+tio Warar service cu�h stoo bnx or the sewer lead at the propert�
line or a water servite ar sewer Iead has been extended to the prapertyline for cunnection,the appiicant,owner,
or the occiipant or user of such prem'�se�shall be liable for all�epairs required to any water tine and sewer lines
necessary for cannection of the premises from the main to the premises. If the prop�ty owner requests
maintenance serviee�r repairs 6e performed 6y the City,the property owner shall be tharged for the costs of the
. maintenance and/or repairs, including any necessary street repairs,at a rate set annually by.an administrative
policy. ft shali be the responsihitity of the applicant,awner,occupant or user to pe�farm�tandard maintenance of
• the sewer service line from the premises to the main including de6ris ciearing or root cutting and to maintain the
water service cur6 stap box for operability and at such height as will ensure that it remains above the finished
_ _
.. _ . _ .
„grad"e of�ti�e land orprdp�rty.-(Re�63�,��5,-��`��� _, .. . . . . ._