Meter Swap ��,� ��
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Request Number: 9620
Public Works Division
Service Request
Problem Address: 5805 3rd St Requested By: Stephanie Dalen
Department: WATER Address: No address provided
Problem/Issue: INSTALL AlvIItMETER Phone Number: 612-229-5100 cell
Scheduled Date: 2014-12-22 Scheduled Time: 10:00:00
ACTION NEEDED:AMR Install
Created by: Cheryl Pellegrin Date Created: 2014-12-18
ACTION TAI�N: (/
Old meter#16847471 Old reading:0772 80 Newmeter#44922139 ERT#35159200
Status: Completed Resident Contacted 1"
Date Completed: 2014-12-22 Completed by: Joseph Katzung
Hours
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Request Number: 9620
Public Works Division
Service Request
Problem Address: 5805-3rd St Requested By: Stephanie Da1en
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME'TER Phone Number: 612-229-5100 cell
Scheduled Date: 2014-12-22 SchedWed 1ime: 10:00:00
ACTION NEEDED:AMR Install
Created by: Cheryl Pellegrin Date Created: 2014-12-18
ACTION TAI�N:
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5tatus: In Progress Resident Contacted ❑
Date Completed: Completed by:
Hours `9��G�'E„ "
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a�a�`y
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- City of Fridley
- ` , _... Wat�r Departm�nt
6431 University Avenue NE �
Fridley,MN 55432
(763)57Z-3566
I/we her�by authorize the�tY��dley and/or its
employees to do what is necessary to replace the water meter, 1 understand that the property owner
.._Is liable for the water line from the main to the premise and ap int�rior plumbing. (Per City code
4a2.06) i alsa fiold the City of Fridley andJit�employees harmies�far any oarnages zna���dr��
while doing this operadon. This tv indude,but not limi�ted ta;val+►es►P�Ping,walls,floars or the arb
stap box and service line. I understand i arn aiso required to o6t�n a permit prior to any woric,if
nece�ary. �
Final meter reading(old meter) �7 7�. ��
��`� r�-- 3= s
Name: � ,G .� Address: S�br +.
PhoneNum6er,(1�� ��2�"9- ate: t��2�ly
Signature•
Witness Signature:
FRIDLEY CITY CODE
CHppTER 402.WATEH,STORM WATER.AN��NITARY SEWER
ADMINISTRA'n�N `
(Ref Ord No 113,464,565,566,529,638t fi62,9Z2,988,1344,1156,1191)
4p2.05.PERMIT FEE �
� Prior to conshucting or repair of any water or sewer line cannecting the existing muoicipal system and any house
or 6uilding for which the application is made,the owner ar contraetor shall be required to obtain a petmit for such
connection,and shall pay a permit fee as pruvided fn Chapter 11 of this Code. After such cannection has been
made,the Water and Sewer Department shall be natified. It shall be unlawful to cover any cannecting line until an
in5pectiun has been made and such connection and the work incident thereta has been approved by the C'ity as a
proper and suitable connection.
40Z.06.REPAIRS AND MAINTENANCE TO CONNECTICIN
���p� ___� ,, +„thp WarP�tPrvice cu�h stoa bax ar the sewer lead at the propert�
line or a water service or sewer lead has been extended to the propertyline for eonnecbon,the appiicant,owner,
or the occupant or user of such premises shall be liable for all�epairs required to arry water line and sewer lines
necessary for connection of the premises from the main ta the prernisps. If the propetty owner reque�ts
maintenante service or repairs be performed by the City,the properl}+owner shall be tharged for the costs of the
maintenance and/or repairs, inciuding any neces5ary street repai�s,at a rate set annually by.an adminlstrative
oU It 5ha11 be the responsi6ifity of the appiicant,awner,occupant o�user to perform standard maintenance of
R ��Y•
the sewer service line from the preMises to the main including debri5 dearingor raot cutting and to maintain the
� water service cur6 stap box far operebifit�=:and at such height as wiN ensure that it remains above the finished
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.,,gradeoft���lar+dor-�rop�riy.-(+�eF638,�.�.55,_t3� ��
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