Meter Swap (�C� I c�s---�c.�,_��Za
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Request Number: 9106
Public Works Division
Service Request
Problem Address: 6447 Christenson Lane Requested By: Jordan Adams
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-8'75-4708
Scheduled Date: 2014-10-27 Scheduled Time: 07:30:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-08
ACTION TAI�N:
Old meter#97922205 Old readin :491 10 Newmeter#44921594 ERT#35172331
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Status: Completed Resident Contacted 1!
Date Completed: 2014-10-27 Completed by: Pete Gunderson
Hours
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Request Number: 9106
Public Works Division
Service Request
Problem Address: 6447 Christenson Lane Requested By: Jordan Adams .�,,
Department: WATER Address: No adctress provided -
ProblemfIssue: INSTALL AMR METER Phone Number: 612-875-4708
Scheduled Date: 2014-10-27 Scheduled Time: 07:30:00
��� - '1�' c� .
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-08
ACTION TAI�N:
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5tatus: InProgress ResidentContacted L�
Date Completed: Completed by:
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• ' - City of Fridiey
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763j 572-3566
��We hereby authorize the City of Fridfey andior its
employees to do what is necessary to replace the water meter, i understand that the proper fil owner
;�tiahle for the water line fram the main ta the premise and all interior ptumbi�g. (Per C'ity code
402.06) I also hold the Gty of Fridtey and/i#s empfoyees harmiess or any amages�i fa ma�y o c�ir —�"� �
while doing tfiis operation. Tfiis to include,but not fimited to;vaives,piping,wa��s.#loors or the curb
stop box and servic�line. 1 understand 1 am also required to o6tain a permit prior to any work,if
necessary. A �
Final meter reading�old meter) L � � �'
Name�
Address� �G:���� �`��"7C�� �
Phone Number• Date• � �� ` �
Signature:
Witness Signature:
FRIDI.EY CITY CaDE
CHAPTER 402.WA'fER,STORM WATER,AND SANITARY SEWER
ADMtNISTRATION
; �Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156!1191�
402A5.PERMIT FEE
Ptior to constructing or repair of any water or sewer tine connecting the existing municipal system and any house
or building for which the apptication is made,the owner or contrador shail be required to obtain a permit for such
connection,and shafi pay a permit fee as provided in Chapter 11 of this Code. After such tonnection has been
made,the Water and Sewer Department shall be notified. It shall be unlawful to cover any connecting iine unti)an
inspection has been made and such connection and the work incident thereta has been approved by the Gty as a
proper and suitable connection.
402,06.REPAIRS AND MAINTENANCE TO CONNECTION
,q#�_�qg_ipj#'�l rnnnPrtinn has.hP�n made to thr�. ��•3r service curb stop box or the sewer lead at the propert�
line or a water service or sewe�tead has been e�ctended to the property iine for connection,the applicant,owner,
or the occupant ar user af such premises sha{I be 19able for all fepairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. If the prope[ry owner requests
maintenance senrice or repairs be perfarmed by the City,the property owner shall be charged for the cosis of the
maintenance and/or repairs, includin@ any necessary street repairs,at a rate set annualiy by an administrative
policy. it sha4!be the responsibility of the applicant,awner,occupant or user to perform standard maintenance of
the sewer service fine from the premises to the main inc{uding debris ciearing or root cutting and to maintain the
water servtce curb stop box for operability and at such height as will ensure that it remains above the finished
.
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..___._.-�grade tif�he`land orprnper�y.-{Ref-63Sr11�5,119i) .�__ _