Meter Swap ��� ^ � "1 �lS/l�-�
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. Request Number: 8707
Public Works Division �� ��
Service Request
Problem Address: 195 63rd Way Requested By: Janet Ransom �
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 574-9734
Scheduled Date: 2014-08-06 Scheduled Time: 09:00:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-08-OS
ACTION TAI�N:
Old meter#15616979 Old reading:99 50 New meter#44921345 ERT#35171692
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Status: Completed Resident Contacted I'�
Date Completed: 2014-08-06 Completed by: Ryan Johnson
Hours
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Request Number: 8707
Public Works Division
Service Request
Problem Address: 195 63rd Way Requested By: Janet Ransom
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 574-9734
5cheduled Date: 2014-08-06 Schednled'IS,me:
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ACTION NEEDED:2014 AMR "
Created by: Wendy Hiatt Date Created: 2014-08-OS
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 Fridley anc!/or its
employees to do what is necessary to replace the water meter. 1 understand tha#the property owner
_ is 1ia61e for the water line from the main ta the premise and all interior plambing. (Per C'ity code _
402.06) I also hoid the�ty of Fridley and/its emptoyees harmtess or any am�es a may
while doing this operation. This to include,but not iimited 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.
Final meter reading(otd meter) �� � ��
Name: Address• !�� �rd � t�� - —
Ph
one Number. Date: � �/` �
Signature• � � . �,�t t s'✓ —
Witness Signature:
FRIDLEY CITY CODE
CH TER 4U2.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATI�N
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156, 1191)
402.05.PERMIT FEE
Prior to canstructing or repair of any water or sewer line connecting the existing municipa!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 shaii 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 unlawful to cover any connecting line until an
inspection has been made and such connectian and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTtON
��p�Q� • ade to the water service curb 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 connection,the appiicant,owner,
" or the occupant or user of such premises shaA be Gable 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 propecty owner requests
maintenance 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 annua((y 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 cfearing or root catting and to maintaln the
water service curb stop box for operability and at such height as wilt ensure that it remains above the finished
_. _ _ . _ _ _ _._ _ ._ . _
--.._ ._..- , --._., . ,__. grad�of the land�rpmperty. (Ref 63�,1156;_2�9�} -._..___...___....