Meter Swap 1 l.�/�� 1 �� -T"C"1 1 ll��
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Request Number: 8749
Public Works Division
, Service Request �
Problem Address: 6412 Ashton Ave Requested By: Stephanie Emerson
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 763-350-5878
Scheduled Date: 2014-08-13 Scheduled Time: 07:00:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-08-11
ACTION TAI�N:
Old meter#I 2134275 Old reading: 160 00 New meter#44921253 ERT#3517 641
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Status: Completed Resideat Contacted I""`
Date Completed: 2014-08-13 Completed by: Ryan Johnson
Hours
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Request Number: 8749
Public Works Division
Service Request
Problem Address: 6412 Ashton Ave Requested By: Stephanie Emerson
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-350-5878
Scheduled Date: 2014-08- 3 Scheduled Time: 07:00:00
� � � I ��a �
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-08-11
ACTION TAI�N:
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Status: In Progress Resident Contacted ❑
Date Completed: Comple by:
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� - City of Fridtey
� Water Department
6431 University Aver►ue NE
Fridiey,MN 55432
(763)572-3566
I/we hereby authorixe the City of Fridley and/or its
employees 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 premise and all interior plumbing. (Per C�ty code _ _ _ _
402.06) I also hold the City of Fridley andjits employees harmless for any amages ha�may��
while doing this operation. This to include,but not limited to;vaives,piping,walls,floors or the curb
stop box and service line. I understand 1 am aiso required to obtain a permit prior to any work,if
necessary.
t�0�. � oo
Final meter reading(oid meter) � � //� �
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Name: Address:_
' Phone Number �e: �^����
; Signature• ��/
Witness Sign ure•
FRIDLEY CITY C�DE
CH TER 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 ar repair of any water or sewer Iine connecting the existing municipal system and any house
or 6uilding for which the application is made,the owner or cantrador shal{be reqaired to obtatn 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 Wate�and Sewer Department shall 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 AND MAINTENANCE TO CONNECTION
�����p�� rnade to th er service curb sto bax or the sewer lead at the propert�
{ine or a water service or sewer lead has been extended to the property line for connection,the appl'rcant,owner,
or the occupant or user of such premises shall be liable for all�epairs required to any water line and sewer lines
necessary for connection of the premises from the main ta the premises. If the prop�[ty owner requests
maintenance service or repairs be performed by the City,the property owner sfial{be cfiarged 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 responsibil9ty of the applicant,owner,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
_ ....�__ __._,. _. .:_ ..-.._.�rad'�'ditfietar�or�llrop�rfy.tRefb38,-1-L5,11��)._._ _.�___ __._._ , _. __ _ _. _ .