Meter Swap c�J���
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Request Number: 9459
Public Works Division
Service Requ�st
Problem Address: 241 -57th Pl NE Requested By: Toni Anderson
Department: WATER Address: No address provided
Problem/Lcsue: INSTALL�IIt METER Phone Number: 763-571-3753
Scheduled Date: 2014-11-21 Scheduled Time: 09:00:00
ACTION NEEDED:AMR Install
Created by: Cheryl Pellegrin Date Created: 2014-11-13
ACTION TAI�N: ✓
Old meter#33248045 Old readin :06 0 New meter#44920939 ERT#35159006
Status: Completed Resident Contacted I'"
Date Completed: 2014-11-21 Completed by: Pete Gunderson
Hours
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Request Number: 9459
Public Works Division
Service Request
Problem Address: 241 -57th Pl NE Requested By: Toni Anderson
Department: WATER Address:. No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-571-3753
Scheduled Date: 2014-11-21 Scheduled 1ime: 09:00:00
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ACTION NEEDED:AMR Install •
Created by: Cheryl Pellegrin Date Created: 2014-11-13
ACTION TAI�N:
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5tatus: 1n Progress Resident Contacted � ,
Date Completed: Completed by:
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< � City of Fridley
- ._ ,.,, Watvr Department
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6431 University Avenue NE
Fridley,MN 55432
(763)57Z-3566
1/we hereby authorize t�e Lity uf Fridley and/or its
emptoyees to do what is�cessary to replace the water meter, I understand that the property owner
is liable far the water{ine from the main ta the premise and all interior plumbing. (Per(�tjt code
402.46) I.also bald the Ciiy of Fridleyand/its empfoyees harmlessfar any damages tnai may v�cur-
while doing this operation. This to incfudet but nnt limited ta;vaiv+es►Pip�ng,vaalls�fl°°rs�r the carb
stop box and service line. i understand 1 am also required to olrtain a P�ermi�P�or to any worly if
necessary. .
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final meter readtng(old meterj
Name: Address•
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Phone Numi�er. Date:_,.
Signeture: � �� _ ^..
Witness 5ignature:
FRiDLEY CI7Y CODE
CHAPTER 402.WA7ER,STORM WATER,ANd SANIl'ARY SEW�it
ADMINiSTRATit)N
(Ref�rd No 113,464,5&5,566,629,638,b62,9Z2,988,1144,1156,1191)
4tIZ.05.PERMfT FEE �
Priar to constructing ar repair of any water ar sewer tine co�necting the existing municipal system and any house
or building for whidi the application is made,the owner or contractor shall be required to obtain a permit for such
con�tection,and shai{pay a permit fee as provided in Ghapte�11 of this fAde. After such cannectian has been
made,the Water and Sewer Department shall be notified. lt shall6e unlawful to caver any connecting Gne until an
inspection has been made and such connection and the work incident thereto has heen approved by the Gty as a
proper and suitable conr►ection.
40t.a6.REPAtRS AND MAINTENANCE TO CONNECTIaN
,___..___�...,,��.,r�,o WarP�5ervice curh stou box ar the sewer lead at the prope�t�
,A#�er-tq$-iaitia�c�naersir�u-u��,
line or a water service ar sewer iead has heen extended td Che propetty line far cannechon,the appUcant,owner,
ar the�ccupant or user of such premises shal4 be liabie for all�epai�required to any water l�ne and sewer li�es
necessary for cannection of the premises from the main to the premises, lf the propecty owner requesks
maintenance service or repairs be perFormed by the Ctty,the property owner shall be charged for the costs of the
. maintenance and/or repairs, inclading any necessary street repairs,at a rate set annual(y by.an administrative
policy. It sha{{be the responsi6ility of the appli�ant,owner,occupant or user tn perform standard maintenance of
• the sewer service line from the premises to the main inciuding debris clea�ing or raat cutting and to maintain the
water service curb�tup box for operabi�itY and aC 5uch height as w11 ensur�that it remains abave the finished
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