Meter Swap ► y3aa5� 5 u5 S('o0
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Request Number: 8941
Public works Division
5ervice Request
Problem Address: 165 Christenson Court Requested By: Bri�Johnson
Department: WATER Address: No address provided
Problem/Issue: INSTALLAMRMETER PhoneNumber: 571-2013
Scheduled Date: 2014-09-30 Scheduled Time: 10:00:00
ACIION NEEDED:2014 AMR-Phase 2
Created by: Wendy Hiatt Date Created: 2014-09-22
ACITON TAI�N: � ✓
Old meter#96529731 Old reading:0927 80 New meter:Used old brasa ERT#35171998
Status: Completed Resident Contacted C"'
Date Completed: 2014-09-30 Completed by: Ryan Johr�son
Hours
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Request Number: 8941
Public Works Division
Service Request
Problem Address: 165 Christensen Court Requested By: Briaa Johnson
Department: WATER Address: No address provided
Problem/�ssue: INSTALL AMR METER Phone Number: 571-2013
Scheduled Date: 2014-09-30 Scheduled 1�me: 10:00:00
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ACTION NEEDED:2014 AMR-Phase 2
Created by: Wendy Hiatt Date Created: 2014-09-22
ACTION TAI�N:
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Status: In Progress Resident Contacted �
Date Completed: Completed by:
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- City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(lb3)5T2-3566
I/we hereby authorize the�hl 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 premi5e and all interior plumbin8• (Per�Y CO� _____ __
402.06) I aiso hold the Gty of Fridley and/its employees harmless�r an-�a�ges�i ta ma� +�
while doing this operation. This to include,but not limited to;valves�piping,wa�ls,floors or the curb
stop box and service line. t understand i am aisfl required to obtain a permit prior to any work,if
necessary. �� ^ � � �
Eina!meter reading(old meter) `�
Address: l��"7 C`L/'r�'�'G�-Sp� (�y '�
Name• -
. Date: `�3i�"��
Phone Number.
, .
Signature•
Witness Signature•
FRIDLEY CI'I'Y CODE
CH R 402.WATER,STORRA WATER,AND Sp►NITARY 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 cannecting the existing municipal 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 shall pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Departmennection and the work ncident theret I has been approved by the City asI a n
inspection has been made and such co
proper and suitable connection.
402.06.REPAIRS AND MAINTENAWCE TO CONNECTfON
����q��..��tion_has� ___�_.._.,......��or service curb stoa 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 appliwnt,owner,
or the occupant or user of such premises shall be liable 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 prop��ty owner requests
maintenance service or repairs be performed by the City,the property awner shafl be charged 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 responsibility of the appiicant,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 wifl ensure that it remains above the finis e
_ _ . _ . __
_ _ __ .:_. _.._ ._. _ __..___ _ . _ ____ _._ ..__...
_ ._ ... ---._._.. ....,,grade of�ttte land or�rop�t�y. (Re€63�,_1'L`5,.Z19�: ._.