Meter Swap 5 � �5- �-I�y��0
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Request Number: 8730
Public Works Division
Service Request
Problem Address: 122 63rd Way Requested By: Rpchelle Monow
Department: WATER Address: No address provided
Problem/Issue: INSTALL AlvIIt MEZER Phone Number: 574--9602
Scheduled Date: 2014-08-07 Scheduled T'iroe: 1130:00
ACTION NEEDED:2014 AIvIIt
Created by: Wendy Hiatt Date Created: 2014-08-06
ACTION TAI�Nc
Old meter# 16359239 Old reading 771 30 Newmeter#44921458 ERT#351 124
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Status: Completed Resident Contacted 1�
Date Completed: 2014-08-07 Completed by: Ryan Johnson
Hours
1-t?`�
Request Number: 8730
Public Works Division
Service Request
Problem Address: 122 63rd Way Requested By: Rochelle Morrow
Department: WATER Address: No address provided
ProblemlIssue: INSTALL AMR METER Phone Number: 574--9602
Scheduled D . 2014-08-07 SchedWed TSme: 11:30:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-08-06
ACTION TAI�N:
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Status: In Progress Resident Contacted O
Date Completed: Compl e by:
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" -� City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763}572-3566
I/we hereby authorize the�tY of frid�ey and/or its
empioyees to do what is necessary to replace the water meter. I understand that the property owner
is liable for the water line from the main to the prernise and ali interior plumbing. (Per C��t�►code
402.06) I also hold the City of Fridley and/its employees harmless for any amages a may u �----:--
while doing this operation. This to include,but not limited to;valves,piping,walls,floors or the curb
stop box and servic�line. 1 understand I am also required to obtain a permit prior to any work,if
necessary. �
Final meter readin old meter) � � � � �
eI
Name: Address: 1 ZZ Co 3r� w
Phone Number: Date: �! `��
Signature•
Witness Signature:
FRIDLEY CiTY CUDE
CH ER 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 ar sewer line connecting the existing municipal system and any house
or building for which the appfication is made,the owner or contractor shalt be cequired to obtain a permit for such
connection,and shait pay a permit fee as provided in Chapter 11 of this Cade. After such coanection has been
made,the Water and Sewer Department shal{be notified. It shall be un4awful to cover any connecting 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.REFAIRS AND MAINTENANCE TO CONNECTtON
�q��p�i�#i��_coqnecti�has ha�n rnade to th�water service curb stop box or the sewer tead at the propert�
line or a water service or sewer lead has been extended to the propertyline for connection,the applicant,owner,
or the occupant or user of such premises shall be liable for all�epairs required to any water line and sewer tines
necessary for connection of the premises from the main to the premiset. If the prope[ty owner requests
maintenance service or repairs be performed by the City,the property owner shail 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,awner,occupant or user to perform standard maintenance of
• the sewer service line from the premises to the main including debris clearing 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
. .
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