Meter Swap � �-��3� r 5�l�1.050
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Request Number: 8953
Public Works Division
Service Request
Problem Address: 6485 Christenson Lane Requested By: Sandy Hagstrom
Department: WATER Address: Na address provided
Problem/�ssue: INSTALL AMR ME"TER Phone Number: 612-325-b915
Scheduled Date: 2014-10-01 Scheduled Time: 07:00:00
ACIYONNEEDED:2014 AMR-Phase 2
Created by: Wendy Hiatt Date Created: 2014-09-23
ACTION TAI�N:
Oldmeter#98448970 Oldreading:026 30 Newmeter#44920973 ERT#35171964
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Status: Completed Resident Contacted ['"'
Date Completed: 2014-10-01 Completed by: Ryan Johnson
Hours
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Request Number: 8953
Public Works Division
Service Request
Problem Address: 6485 Christenson Lane Requested By: Sandy Hagstrom
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-325-6915
Scheduled Date: 2014-10-01 � S„r �duled 1ime: 07:00:00
ACTION NEEDED:2014 AMR-Phase 2
Created by: Wendy Hiatt Date Created: 2014-09-23
ACTION TAI�N: I
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Status: InProgress ResidentContacted ❑
Date Completed: Completed by:
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- City of Fridley
___ . _ ._ WaterDepartment __ _ _ __ :_,.
_ �
6431 University Avenue NE
Fridley,MN 55432
(763)572-356fi
��We hereby authorize the�t11�Frydiey and/or its
empioyees to do what is necessary to replace the water meter. t W►derstand that the properiy owner
�s Iiahle for the water line fram the main to the premise and ail interior plumbing. (Per Gty code
4p2.06) I also hoid the Gty of Fridley andJits employees harmiess ar anyina WaB Is,floors or the��b
white doing this aperation• This ta include,hut not limited to;vaWes,piP g►
stop box and service line. I understand I am also required to obtain a permit prior to any work,if
necessary. O`��� , r �^
Final meter reading(old meter) (� v
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Name• Address.
. l� �,��
Phone Number: Date•
Signature: ��
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Witness Signature:
FRIDLEY CITY C�DE
ER 402•WATER,STORM WATER,ANO SANITARY SEWER
ADMINtSTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
4{�12.05.PERMiT FEE
Prior to constructing or repair of any water or sewer line conon acto hshall ben equiredtoiobta n a pemirt for such
or building for which the application is made,the owner or c
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 Depart connectilon and the work ncident theretol has been app oved by he Cit+/as a n
inspection has been made and such
proper and suitable connection.
4ti2.06.REPAfRS AND MAINTENANCE TO CONNECTION
--�-•-��^•«�+�r service curh stop hux or the sewer lead at the propert�
-A#�tl�e-iai#ial-cou�iQ-bas th hcant,owner,
• line or a water service or sewer lead has been e�ended to the property line for connection, e app
or the occupant or user of such premises sha{I be liable for a11 repairs required to any water line and sewe�lines
necessary for connection of the premises from the main to the premises. if the propecty owner requests
maintenance service or repairs be performed by the City,the property owner shali be charged for tfie costs of the
maintenance and/ar repairs, induding any necessary street repairs,at a rate set annually by an administrative
palicy. It shall be the responsibility of the applicant,owner,occupant or user to pe�form standard maintenance of
• the sewer service iine from the premises to the main including debris clearing or root cutting and to maintain the
water service cur6 stop box for operability and at such height as will ensure that it remains above the finished
,. . .. . . . _
. _
,,. _ . _ _...._ .__ __ _..._ . ... _._. __.. .._..
grade of�tt�e land or-prop�t�y.�iRet 63�,1�S,.t�.93: .._