Meter Swap C����
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Request Number: 8638
Public Works Division � '��
Service Request
Problem Address: b210 Alden Way Requested By; Donna Gustafson
Department: WATER Address: No address provided
Problem/Issue: INSTAL.L ANIIt ME'TER Phone Nwnber: 763-586-8057
Scheduled Date: 2014-07-30 Scheduled Time: 01:30:00
ACTION NEEDED:Install AMR
Created by: Julie Horak Date Created: 2014-07-29
ACITON TAI�N:
Old meter#I SU32548 01d reading 148 20 New meter#449213 i 0 ERT#35159672
.............................................................................................................................:.......................................................�................................................................................._�.__....................................__...._,................_...___..._,..__._�._....._.........._
Status: Completed Resident Coutacted C'"
Date Completed: 2014-07-30 Completed by: Ryan Johnson
Hours
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Request Number: 8638
Public Works Division
Service Request
Problem Address: 6210 Alden Way Requested By: Donna Gustafson
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-586-8057
Scheduled Date: 2014-07-30 Scheduled Time: 01:30:00
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ACTION NEEDED:Install AMR
Created by: Julie Horak Date Created: 2014-07-29
ACTION TAI�N:
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Status: In Progress Resident Contacted t�
Date Completed: Completed b •
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, - City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)5T2-3566
I/we hereby authorize the�ty of Fridiey andJor 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 al{interior piumbing. (Per City code
402.06) 1 also hold the Gty of Fridley and/its employees harmiess for any amages a may oc ---J
while doing this operation. This to include,but not limited to;valves,piping,walls,floors or the curb
stop box and service line. i understand 1 am alsc required to obtain a permit prior to any work,if
necessary. �D
Final meter reading(old meter) �
Name•
Address• � �'��" w
Phone Number• Date• ���� ���—.--
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Signature:
Witness Signature:
FRIDLEY CITY C�DE
CHAPTER 2.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 contrector sha{I 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 shali be notified. It shall be unlawful 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.REPAIRS AMD MAINTENANCE TO CONNEC110N
���• • • made to thp wa*er 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 applicant,owner,
or the occupant or user of such premises shall be liable for all repairs required to any water line and sewer{ines
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 properly owner shall be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annuaily 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 incfuding debris clearing or root cutting and ta mainCain the
water service curb stop box for operebility and at such height as will ensure that it remains above the finished
. ._ -- __. .
_. . .. ..
._ . _.._grade of the land orproperty. (Ref 638,1156;3:39�.}- __ . _ . _ _.. _... . .__ .�_ ___. __ _._ __. ._.___..
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