Meter Swap a� -��
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Request Number: 9463
Public Works Division
Service Request
Problem Address: 248-58th Ave NE Requested By: Da�Debrobander
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-477-1420
Scheduled Date: 2014-11-19 Scheduled Time: 02:00:00
ACTION NEEDED:AMR Install
Created by: Cheryi Pellegrin Date Created: 2014-11-13
ACTION TAI�N: V
Old meter#94282331 Old readin 132 40 Newmeter#44921575 ERT#35159634
Status: Completed Resident Contacted I'"
Date Completed: 2014-11-19 Completed by: Joseph Katzur►g
Hours
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Request Number: 9463
Public Works Division
Service Request
Problem Address: 248-58th Ave NE Requested By: Dave Debrobander
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-477-1420
Schedul ed Date: 2014-11-19 Schedul ed Time: 02:00:00
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ACTION NEEDED:AMIt Install
Created by: Cheryl Pellegrin Date Created: 2014-11-13
ACTION TAi�N: .
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Status: In Progress Resident Contacted O ,,�;
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Date Completed: Completed by: f°.�
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- City of Fridiey
- ._ - . Watar Department
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6431 Uni�►ersity Avenue NE
Fridfey,MN 55432
(763)57Z-3566
I/we hereby autharixe the�tY of Frid�ey and/or its
emp{oyees to do what is necessary ta replace the water meter. I ur�der�tand that the propertY owner
ts liable for the water line fram the main to the premise and ail interior plumbing. (Per�►code
4fl2.06) {.alsa hold the[�ty of Fridley and/its employees harmless or any damages tnai may ua.ur-
while doing this operation. This tu include,but not limited t+o;vah�es►PiPi�B.wa��s�fl°°rs°r the curb
stop�x and service line. 1 understand 1 am atsa required to ohtaln a permit prior to any work,if
nece�ary.
Firtal meter reading(old meter) ���'Z � ,
Name: Address• ��l ' 'g+—h '4 V� 1V�
Phone Number
Date� �� �`��
Signature:
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 40Z.WATEK,STORM WATER,AND SANITARY SEWER
ADMINfSTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1556,1191)
40Z.05.PERMIT FEE �
Prior to constructing ar repair of any water or sewer line connecting the eadsting municipal system and any house
or 6uilding for which the application is made,the owner or contractor shail be required to obtaln a permit for such
conrrectian,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connectian has been
made,the iNater and Sewer Department shall be notified. it shail be unlawful to taver any cannecting line until an
inspection has been made and sucfi connecCion and the uuork incident thereto has been approved by the City as a
proper and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
��p���a��b -.+���+h��,�rPr service curh stop box or the sewer lead at the propert�
line or a water service or sewer lead has been extended to the property line for cannection,the appticant�rnuner,
or the occiipant or user af such prem'►ses shall be liable for all�epairs required to any water line and sewer lines
necessary for connectian of the premises from the main to the premises. if the prop�tty awner requests
maintenance senrice or repairs be performed hy the City,the property owner shai{be charged fa'the c,nsts of the
maintenance andJor repairs, including any necessary street repairs,at a rate set annually by.an administrative
policy. It sha11 be the responsi6ii'�tyr of the appli�ant,oW�er,occupant or use�tu pe�farm standard maintenance of
• the sewer service line from the premises to the main including dehri5 clearing or root cutting and to maintain the
water service cur6 stop box for a erability and at 5uth height as wilt en�re that it remains above the flnished _
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