Meter Swap � � � � ��
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Request Number: 9504
Public Works Division
Service Request
Problem Address: 6060-3rd St Requested By: Gina Tollifson
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 763-502-9344
Scheduled Date: 2014-11-20 Sc6eduled Time: 08:30:00
ACTION NEEDED:Install AMR-originally scheduled for 11/19/14 at 9 am.Had to cancel.This is a reschedule for
11/20/14 at 8:30 am.
Created by: Chery�Pellegrin Date Created: 2014-11-19
ACTION TAI�N: y/
Old meter#29'186363 Old reading: 134 90 Newmeter#44920884 ERT#35158970
Status: Completed Resident Contacted C'
Date Completed: 2014-11-20 Completed by: Joseph Katzung
Hours
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Request Number: 9504
Public Works Division
Service Request
Problem Address: 6060-3rd St Requested By: Gina Tollifson
Department: WATER Address: No address provided
ProblemlIssue: INSTALL AMR METER Phone Number: 763-502-9344
Schedoled Date: 2014-11-20 Scheduled'I�me: 08:30:00
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ACTION NEEDED:Install ANiR-originally scheduled for 11/19/14 at 9 am.Had to cancel.'Ihis is a reschedule for
1 ll20114 at 8:30 a.m. .
Created by: Cheryl Pellegrin Date Created: 2014-11-19
ACTION TAI�N:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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� City of Fridley
- _ .. Wat�r Department
6431 University Avenue NE
fridfey,MN 55432
(763)572-3566
1/we hereby autharize the�ty of Fridiey and/or i�
employees to do what i�necessary ta repiaee the water meter. I w�derstand that the propertY owner
ls 17able for the water line from the main to the premise and all inierior piumbing. (Per City code
4U2.Q6) t alsa hold the Qty of Fridiey and/it�eRnp�oyees harmless for any damages�nai may�co r-
while doing this operation. This to indude,but not timited to;vaSves►P�p���,w���s��°0�ar the curb
stop box and service line. 1 under�tand I am also required to olrtain a permit priorto any work,if
necessaty.
Final meter reading(old meter) �3����t� ,
Name•
Addresr. ��� V �� 5�'•
Phone Number: e, I 11�//y
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Stgnature: ' �
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�tness 5ignature:
FRIDLEY GTY CaDE
�ppTER qp2,WpTER,STORM WA7ER,AIV�SA►NITARY SEWER
ADMINlSTRATIUN
(Ref Ord No 113,464,565,566,fi29,638,652,922,988,1144,1156,1191)
4AZ.05.PERMfT FEE �
Prior to canstructing or repair of any water or sewer line connecting the e�ddsting municipaf system and any hause
ar huilding for which the application is made,the owner ar contractor shall be required to obtain a permit for such
conrrectinn,and shall pay a permtt fee as provided in Chapter 11 of this Code. After such cannection has been
made,the 1Nat�r and Sewer Department shaU be�n��he work ncident theretol has been approve by the C'iry as a n
lnspection has been made and such connechon a
proper and su�table connection.
402.06.REPAIRS AND MAINTENANCE TO C�NNECTION
��q�p����inn nat h �an+^+►�Q�"*er service curh stop bnx or the sewer tead at the propert"
line or a water service ar sewer lead hasbeen eactended to the propertyline far connechon,the appiiant,owner,
or the occupant or user of such prem�shall be tiable for all�epairs required to any water line and sewer lines
necessary for connection of the premises froir►the main to the premises. If the prope[ty awner requests
maintenance service or repairs 6e pe�formed 6y the City,the property awner shaN be charged fa'the cflsts of the
maintenance and/ar repairs, including any necessary street repairs,at a rate set annuatly by an administrative
policy. 4t shali be the responsibility af the applirant,owner,accupant or user to perfarm standard maintenance of
• the sewer service line from the premises to the main inctuding dehris clearing or raot cutting and to maintain the
water service cur6 stop box far operabifity and at such height as will ensure that it remains above the finished
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,..�,ade aftii�la�d or�rop�rty.�(Ret 63o,-1�S,-t�g�:� .. .. . .. . . . .
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Request Number: 9442
Public Works Division
Service Request
Problem Acldress: 6060 3rd St Requested By: Gina Tollefson
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Num6er: 763-502-9344
ScheduledDate: 2014-11 9 � Scheduled'Iime: 09:00:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-11-12
ACTION TAI�N:
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Statns: In Progress Resident Contacted Cl
Date Completed: Completed by:
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" - City of Fridfey
_ _- .. VU�tpr Uepartm�nt
. ., _, .._....
6431 University Avenue NE
Fridley,MN 55432
(lfi3)57Z-3556
��We hereby author4ze the t�tY of Fridiay and/or its
employees to do what is necessary to replace the water meter. I understand that the prupert!►pwner
ter line from the main to tfie premise atul all tnterior pfumbing. (Per C'itY code
402.06) 1 alsa haid the City of Fridiey and/'�employees harmiess or any ama�ges maY
white doing this aperaNan. This to include,but not limited to;valves,P�p�ng,wa��S�fl°°rs°r the curb
�top box and 5ervice fine. I understand f am aiso required to ohtaln a permit prior to any wark,if
nesessary.
Final meter reading(old meter� .
Name: Address:,�„17�o� �� ��
Phone Number Qa�: '1 I�y t!L�
Signature:
Witness Signature:
�RIDLEY CITY CODE
CHAPTER 4D2.WA7ER,STORM WATER,AND�NITARY SEWER
_ ADMiNi5TRA71t1N
(Ref Ord Na�.13,454,5fi5,556,629,638,662,922,988,1144,1156,1191�
402.05.PERMfT FEE �
Prior to c�nstructing or repair of any water or sewer line cannecting the existing municipat system and any house
w
or buitding for whicfi the application is made,the owner ar contractar shatl be required to obtain a pecmit for such
connectian,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connectian has been
made,the Water and Sewer Department shatl bend t e wo,rk nctdent theretal has 6een app oved by the City as a n
Inspection has been made and such can�eetion a
properand suitabte connection.
402.�6.REPAIRS AND MAINTENAPI�E TO C4NNECTtON
���p� a r service cur6 sto bax ur the sewer lead at the prapert�
(ine ar a water service Qr sewer lead has been e�ended to the property lis►e for�annectiun,the appticant�tiwner,
or the vccupant or user of such premises shall be tiabte for all�epairs required to arry water fine and sewer{ines
necessary for c�nnection of the premises from the main ta the premises. tf the propQtky owrtet re4uests
mainte�ance service or repairs 6e performed by the City,the property awner shai{be cfiarged for the costs of the
maintenance and/or repairs, including any necessary stre�t repairs,at a rate set annually by an administrative
policy. It shall be the respansibii'sty af the applicant,awner,occupantor use�to pe�form standard maintenance of
the sewer service line from the premises to the main inc{uding debris ciearing or raat cutting and to maintain the
� water service curb stap hax for operability and at such height as wifi ensure that it remains above the finished
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"�grade of"tf��land or�rop��ty.�t "� � �