Meter Swap /
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Request Number: 9435
Public Works Division
Service Request
P,roblem Address: 247 57th Pl Requested By: Richazd Peterson
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 571-2895
Scheduled Date: 2014-11-14 Scheduled'Iime: 11:00:00
ACTiON NEEDED:2014.AMIt
Created by: Wendy Hiatt Date Created: 2014-11-12
ACTION TAI�N: �
Oldmeter#43413394 Oldxeadin 200 20 Newmeter#44920880 ERT#35172473
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Status: Completed Resident Contacted Y�
Date Completed: 2014-11-14 Completed by: 3oseph Kat�.ung
Hours
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Request Number: 9435
Public Works Division
Service Request
Problem Address: 247 57th Pl Requested By: Richard Peterson
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 571-2895
ScheduledDate: 2014-11-14 � ScheduledTSme: 11:00:00
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ACTION NEEDED:2014 AMR
Createdby: WendyHiatt Date Created: 2014-11-12
ACTION TAI�N:
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Status: In Progress Resident Contacted p
Date Completed: Completed by:
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� � City of Fridley
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6431 University Avenue NE
Fridley,MN 55432
(763j 572-3566
��We hereby authorize the�tY��dley and/or its
employees to do what is necessary to rePlace the water meter, I u�e������RrOpe�°�er
w r line from the main to the premise and all interior plumbing. (Per t�ty code
402,a6) I alsa hold the Gty of Fridley and/its employees harmless or any amages may
white doing tfiis aperation. This ta 9nclude,but nat limited to;vah►es�P�Ping,wa'��S►�0°�°��e curb
�top box and service line. i understand 1 am also required to obtain a permit Prior to any work,if
necessary.
Final mete�r reading(old meter) d��'�
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Name: Addr�s• �y7 �� �
Rhone Number: Date: ������/I
Signature:
Witness5ig�ature:
FRlDLEY CITY CODE
�{pp�e�pZ.WATER,STORM WATER,AN��4NITARY SEWER
ADMINiSTRATION
(Ref Ord No 113�464,565,566,629,638,662,9ZZ,988,1144,1156,1191)
4p2.05.PERMIT FEE
� Prior to constructing or repair of any water or sewer line connectingthe existing municipat system and any house
or 6uitding for which the application is made,the owner or contractar shall be required to obtain a permit for such
connection,and shall pay a permit fee as provided in Chapte�11 of this Code. After such cannection fias been
made,the 11Vater and Sewer Department shall be natified. It shall be unlawful to cover any conneding line untii an
lnspection has been made and such connection and the work incident thereto has been approved by the Gty as a
proper and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECffON
���p�� r se ce curh sto bax or the sewer lead at the propert�
line or a water ser�ice or sewer lead has been e�ended to the propertyline far connection,the applicant,owner,
or the occupant or user of such premises shall be liable for all�epairs required to arry w�orwner requests ''n�
necessary for connection of the premises from the main to Che¢remises. If the prop�[ty
maintenance service�r repairs be performed by the City,the property owner shali be tharged for the costs of the
maintenance and/or repairs, inciuding any necessary street repairs,at a rate set annuatty by.an administrative
policy. It shall be the responsi6ility of the applicant,owner,occupant or use�to perform standard maintenance of
the sewer service line from the premi5es to the main inciuding debris dearingflr rooi cutting and to rnaintaln the
water$ervice wr6 stop box for operability and at such height as wili ensure that it remains abave the finished
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grade of�tt7e iar�d orpro�er�y.�(Aef 6��,-1�5,-t}n _, _._.._ ..._ ._.. ..._ ...._ . . . . _._. .:... .--.
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