Meter Swap �S�
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Request Number: 9048
Public Works Division
Service Request
Problem Address: 123 Christenson Ct Requested By: David Arendale
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME'IER Phone Number: 612-812-0032
Sc6eduled Date: 2014-10-07 Scheduled'I➢me: 02:00:00
ACTION NEEDED:AMR Install
Created by: Cheryl Pellegrin Date Created: 2014-I 0-03
ACTION TAI�N: ✓
Old meter#98578542 Old reading 0405 10 New meter#44920915 ERT#35159574
Status: Completed Resident Contacted I"'
Date Completed: 2014-10-07 Completed by: Ryan Johnson
Hours
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Request Number: 9048
Public Works Division
Service Request
Problem Address: 123 Christenson Court NE Requested By: David Arendale
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR IvIETER Phone Number: 612-812-0032
Scheduled Date: 2014-10-07 Scheduled Time: 02:00:00
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ACTION NEEDED:AMR Install
Created by: Cheryl Pellegrin Date Created: 2014-10-03
ACTION TAI�N:
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Status: 1n Progress Resident Contacted �
Date Completed: Completed
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• . City of Fridiey
_.. ..,_ _ _ Water D�partment
_ _ __ . .
6431 University Avenue NE
Fridley,MN 55432
(763)572-356fi
hereby authorize the Gty of Frid�eY and/or tts
I/we owner
empioyees to do what is necessary to replace the water meter. 1 understand that the propertY
;�i;����{•,r#he water line from the main to the premise and all iMerior plumbing. (Per GtY cade
402.Q6) !also hold the Gty of Fridley and/its employees harmless or any amages �a maY�'
dothile daing this operation. This ta include,but nat limited to;va(ves,pipin8,waNs�floors or the curb
stap box and service line. I understand i am also required to obtain a permit pr�o�to any work,if
necessary. � l��� �
Final meter reading(old meter)
Name: Address:
/Z�� Gl.n S�-�o-�- C�''t-
Phone Number: Date: ��� � (
5ignature•
Witness Signature•
FRIDLEY CiTY CQDE
APTER 402.WA?ER,STORM WATER,AND SANITARY SEWER
pDMIN15fRATI�N
(Ref Ord No 113!464,565,566,624,638,662,922,988,1144,1156,1191)
402.05.PERMIT FEE
Prior to constructing or repair of any water ar sewer line connectacgo h��be equiredto'bt in a permit farsuch
or building for which the applicatian is made,the owner or con
connection,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connettion has been
made,the Water and Sewer Department shall be notified. it shail 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 CONNECTtON
�����Aar�tinn bas r�Pn rnade to t e���ater service wr6 sta�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 ail repairs required to any wateor�r reduests`+�nes
necessary for connection of the premises from the main ta the premises. tf the prop�[ty q
maintenance service or repairs be performed by the City�the proPerty owner shatl 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 respansibility of the applicant,awner,n�debr s lear ngorPoot cutt ng and to ma ntain thef
• the sewer service line from the premises to the main+ncludi g
water service curb stop box for operability and at such height as wifl ensure that it remains above the finisbed
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"'graite of�tt�eiand orprnp��ty.�(Re�63�,-115�,-t19�: .__ _ _..._ ._ .