Meter Swap ��� ��
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Request Number: 8814
Public Works Division
Service Request
Problem Address: 159 63rd Way Requested By: Jeff Korzeniowsld
Department: WA1ER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 571-2921
Scheduled Date: 2014-08-20 Scheduled Time: 07:00:00
ACTION NEEDED:2014 t�IIt -
Created by: Wendy Hiatt Date Created: 2014-08-19
ACTION TAI�N: J
Old meter#15616971 Old reading:095 90 New meter#44922307 ERT#35159682
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Status: Completed Resident Contacted I'"
Date Completed: 2014-08-20 Completed by: Ryan Johnson
Hours
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Request Number: 8814
Public Works Division
Service Request
Problem Address: 159 63rd Way Requested By: Jeff Korzeniowsld
Department: WATER Address: No address provided
Problem/Tssue: INSTALL AMR METER Phone Number: 571-2921
ScheduledDate: 2014-08-20 � Scheduled'I�me: 07:00:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-08-19
ACTION TAI�N:
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Status: InProgress ResidentContacted ❑
Date Completed: Completed by:
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" - City of Fridley
Water Department
6431 Universiiy Avenue NE
Fridley,MN 55432
(763)572-3566
I/we hereby authorize the�ty of Fridtey and/or its
employees tb 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 premise and all interior plumbing. (Per City code _
402.06) 1 also hold the City of Fridiey and/its employees harmiess for any amages a may o r
while doing this operation. This to include,but not limited to;valves,piping,walis,floors or the curb
stop bax and service line. I understand I am also required to obtain a permit prior ta any work,if
necessary.
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Finaf ineter reading(old meter) a
Address. �S "��� �
Name• -
' oate: �"�'l�
Pfione Nurnber
' Signature:, `��� �
Witness Signature:
FRIDI.EY CITY CODE
CHA 402.WATER,STORM WATER,AND SANITARY 5EWER
' ADMINISTRAl'ION
(Ref Ord Wo 113,464,565,566,629,638,662,922,988,1144,1156,1191)
' 4QZ.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipai system and any house
or building for which the application is made,the owner or contractor shati be required to ubtain a permft for such
connection,and sha44 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 notified. It shall be unlavuful to cover any connecting line until an
inspection has been made and such connection and the work incident thereto has been approved by the Ciry as a
proper and suitable connection.
402,06.REPAIRS AND MAINTENANCE TO CONNECI'ION
��b���� madp to�h_����"`_:�9rv1Ce��stop box or the sewer lead at the propert�
line or a water service or sewer lead has been extended to tfie property line for connectian,the applicant,owner,
or the occu}�ant or user of such premises shat!be tiable for ail�epairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. If the propecty owner requests
mai�tenance service or repairs be performed by the City,the property owner shall be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annua4{y by an admin9strative
poiicy. It shall be the responsibility of the appticant,owner,occupant or user to perform standard maintenante 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
__.�._._ ... . .. __ . . _ _
_._.�.. .-gracle of ti�e'land or proper��.-�Re�b�€3.1�:�5,�1193:� ... _ �.