Meter Swap � ! - ��
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Request Number: 9503
Public Works Division
5ervice Request
;
Problem Address: 290 58th Ave Requested By: Oloda Simms
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 612-308-2475 •
Scheduled Date: 2014-11-24 Scheduled Time: 10:30:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-11-19
ACTION TAI�N: ��
Old meter#97132435 Old reading: 438 Newmeter#44920885 ERT#35158962
Status: Completed Resident Contacted I°"
Date Completed: 2014-11-24 Completed by: Joseph Katzung
Hours
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.
Request Number: 9503
Public Works Division '
Service Request
Problem Address: 290 58th Ave Requested By: Oloda Simms �
Department: WATER Address: No address prov�de�H `'
ProblemlIssue: � INSTALL AMR METER Phone Number: 612-308-2475
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Scheduled Dat�e: 2014-11-24 /� � Scheduled 1➢me: 10:30:00
P� 1 �l GlJ � � C��
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-11-19
ACTION TAI�N:
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St$tus: In Progress Resident Contacted L�
Date Completed: Completed by: ,
'�la�/,y ,���' $�,y�j'
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Y - City of FridleY
- ,... VV�at�r Dppartment
_ :, _, .... ..
6431 University Avenue NE
Fridley,MN 55432
(763)57Z-3566
I/we hereby autharize the�h►�����y and/or its
employees to de what is necessary ta replace the water meter. t+�e���at the propertlf owner
e water line from the main to the premise and all interior ptumbing. (Per CitY cade
4U2.06) I.ats�hold the C'iiy of Fridley and/its employees harmisss or any amages may a "
while daing this operation. This tu indudet but nat limited to;valv+es►P�pi�g,wa��s�Noars°r the curb
stop bax and service line. {understand 1 am aiso required ta oht�n a Percnit P�or to an�work,ff
necessary.
�inal meter reading(old meter) j
Name� Address•
r��� S`�� �'�-
Riwne Number. a : ��`���1 !
Signature•
Ntltness SignaCure:
,. FRIDLEY GTY CODf
CHAPTER 402.WA7ER,STQRM WATER,AND SANITARY SEWER
ADMINISTRA'i'IC1N
(Ref�rd No 113,454,565,566,6Z9,638,66Z,912,988,1144,1156,1191)
4U2.05.PERM{T fEE �
Prioc to constructing ar repair of any water or sewer line connecting the existing municipal system and any house
or buiiding far which the apptication is made,the owner�r contrador shall ba required to obtain a permtt for such
co�rtedion,and shail pay a permit fee as provided in Chapter 11 of this Code. After such cannection has been
made,the Water and Sewer Department shaU be notified. It shail 6e unlawful to cover any connecting line until an
inspection has been made and such connecCion and the work inddent�hereto has heen approved by the Ciry as a
praper and suitable connection.
402.06.REPAIRS AND MAINTENANCE TQ CONNECTION
�����a�� __�____...,,.��+F,e�,arQr service cur6 stoo bnx ar the sewer lead at the propert�
line or a water service or sewer tead has been extended ta the propertyline for connectian,the appticant,owner,
or the occupant pr user of such premises shali be liable for aif�epairs required to any water 19ne and sewe�lines
necessary for connect9on af the premises from the main to the premises. If the propgtty owner requests
maintenance 5ervice or repairs 6e performed by the City,the property owner shall be charged for the casts uf the
maintenance and/or reQairs, inciuding any necessary street repairs,at a rate set annualiy by.an administrative
Poticy. it shail be the respansibifiry of Che applicant,awner,occupant or user to perfarm standard malntenance af
• the sewer service line from the premises to the main incfuding debris clearing or rdot cutting and to maintain the
water service curh stop box far flperability and at such height as will ensur�that it remains above the finished _
,`.grade�f�ti�e land or�rop�rty.-(�iet 535,1�55,.t�93:) _.. .� . . . � . . '