Meter Swap � ��-r�
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Request Number: $775
Public Works Division
Service Request
Problem Address: 190 b2nd Way Requested By: Michelle Ackerman
Departmeat: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 571-7729
Scheduled Date: 2014-08-15 Scheduled Time: 09:00:00
ACITON NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-08-13
ACTION TAI�N:
Old meter# 1820t 173 Oldreading.4383 10 Newmeter#44922333 ERT#351 472
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Status: Completed Resident Contacted !-
Date Completed: 2014-08-15 Completed by: Ryan Johnson
Hours
1'��3
+
Request Number: 8775
Public Works Division
Service Request
Problem Address: 190 62nd Way Requested By: Michelle Ack�rman
Department: WATER Address: No address provided
Problem/�ssue: INSTALL AMR METER Phone Number: 571-7729
Scheduled Date: 2014-08-15 Scheduled Time: 09:00:00
�,� `�, �
ACTTON NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-08-13
ACTION TAI�N:
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Status: In Progress Resident Contacted �
Date Completed: Completed
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, - City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��We hereby authorize the City of Fridiey 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 all interior piumbing. (Per City code
402.06) I also hold the Gty of Fridley and/its employees harmlest or any amages a may ur --
while doing this operation. This to include,but not limited to;valves,piping,walis,floors or the curb
stop box and service line. 1 understand i am also required to obtain a permit prior to any work,if
necessary. - �� � O
Final meter readmg(old meter)
�l � l
Name: Address• �� `�-�
Phone Number Date• '��[ s���
Signature• �"'�`G��µ'�C~—_
Witness Signature:
FRIDLEY CITY CODE
C R 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156, 1191)
402.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house
or building for which the application is made,the owner or contractor shall be required to obtain a permit for such
connection,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shall be notifred. It shall be unlawful to cover any conneding line until an
inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
A#�er-�hg-initial connection has_heP.n rnade to the water service curb stop box or the sewer lead at the propert�
line or a water service or sewer lead has be+en extended to the property line for connection,the applicant,owner,
ar the occupant or user of such premises shall be liable for all repairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. If the prope[ty owner requests
maintenance service or repairs be performed by the City,the property owne�shall be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
policy. It shall be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
• the sewer service line from the premises to the main including debris ciearing or root cutting and to maintain the
water service curb stop box for operability and at such height as will ensure that it remains above the finished
_ _ . _ _ _ ._. .. ._. . _
_._ __ __. .._
_ grade of the'land�r proRerty. (Ref 638,-1156,1193}.- _.._---- ---_.. _ .__ _.__ - --__. __ _._ ._ __ ...._. _. .. __ . ___