Meter Swap 11/17/14 <x �C�
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Request Number: 944
Public Works Division
Service Request
Problem Address: 6499 Christenson Ln Requested By: Christine McCarthy
Department: WATER Address: No addt'ess provided
Problem/Lssue: INSTALL AMR ME1ER Phone Number: 651-247-3638
Scheduled Date: 2014-11-17 Schedul ed TSme: 02:30:40
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-11-12
ACTION TAI�N: �
Old meter#98160925 Old readin 053 170 New meter#44921464 ERT#35172151
Status: Completed Resident Contacted ("'
Date Compieted: 2014-11-17 Completed by: Joseph Katzung
Hours
���3
Request Number: 9187
Public Works Division
Service Request
Problem Address: 6499 Christenson Ln Reqnested By: Kristen McCarthy .- ...
Department: WATER A�ddress: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 414-526-9723
Scheduled Date: 2014-10-27 SchedWed TTime: 09:00:00
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ACTION NEEDED:AMR
Created by: Cheryl Pellegrin Date Created: 2014-10-15
ACTION TAI�N: �
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Status: In Progress Resident Contacted C1
Date Completed: Completed by:
, - City of Fridley
__ _ � :_.,,. VYat,?�l�eparl�rrtent
_ _ „ ..� .. R._._:_.._ ,
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��We fiereby authorixe the�tY of Fridiey andJor its
_ employees to do what is necessary to replace the water meter. I understand that the property owner
is liable for the water I�ne from the main to the premise and atl interior plumbing. (Per City code
402.�) 1 als+a hold the Ciiy of Fridley and/its emplayees fiarmfess or any amages may oc�r-
while doing this operation. This tu include,but not limited#o;vah�es,piping,wafts,fioors or the curb
�tup box and service line. I understand I am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter)
Name• Address• �J ` ` �- `=����� �
Phone Number: Date: �+"��—� 1
Signature:
Witness Signature:
FRIDLEY CiTY CODE
CHAPTER 402.WATER,STORM WATER,ANO SANITARY SEW�R
ADMtNISTRATIQN
(Ref Ord No 113,464,565,5fi6,b29,638,662,922,988,1144,1156,1191)
4U2.05.PERMIT FEE
Prior to constructing ar repair of any water or sewer tine connecting the existing municipal system and any house
or building for which the applicatian is made,the owner or contractor shall be required to obtain a permit for su�h
connectianr and shaH pay a permit fee as pruvided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shall be notified. it shall be unlawful to cover any connecting line until an
inspection has bee�made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connectian.
402.06.REPAIRS AND MAIN'iENANCE TO tONNECTiON
k ....�„�a+�r4Q water service cur6 stov box or the sewer lead at the propert�
.aq�f-t.�g-iqjt.�1�-Cppqertinn h^^.s��
(ine ar a water service or sewer 4ead has been extended ta the propertyline for connection,the applicant,owner,
or the occupant or user of such premises sha{{be tiable for atl fepaits required to any water line and sewer lines
necessary for connection of the premises from the main ta the premises. If the prop�tty owner requests
maintenance service or repairs be performed by the City,the property owner shalt be charged for the costs of the
. maintenance and/or repairs, including any necessary street repairs,at a rate set annually by.an administrative
¢olicy. tt shall be the responsi6ility of the appllcant,awner,occupant or user to perform standard maintenance af
• the sewer service i'sne trom the premises to the main including debris clearing or root cutting and to maintain the
water service curb stop box for uperability and at such height as will ensure that it remains abave the finished
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"'gra�e of tti�land or-�rop�r�y.�(Re€635,1�55,-t��3:� .. � . . _ .
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Request Number: 9445
Public Works Division
Service Request
Problem Address: 6499 Christenson Ln Requested By: Christine McCarthy
Department: WATER Address: No address provid�ed
Problem/Issue: INSTALLAMRMEIER PhoneNumber: 651-247-3638
SchedaledD�t : 2014-11-17 Scheduled'l�me: 02:30:00
�l1 `�`' � �`�
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-11-12
ACTION TAI�N:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
�� I ��� � � ' � � �
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- � - City of Fridley
_ _. .. Wat�r Dppartment
.. _. _. .�. ..
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
I/we herehy authorixe the��1f��dley and/or its
employee5 to do what is necessary to repiace the water meter. I understand that the property owner
r line ftom the maie to the premise and all interior ptumbing. [Per City cade
4a2.06) i alsa hold the Giy of E�idley and/its employees harmless or any amages ma
while doing this aperation. This to include,6ut not limited to;vaW�ss►P�P��B►wa��s,fl°°rs or the cc+rb
stop box and service line. 1 understand 1 am also required to obtain a permit Pnorto any work,if
necessary.
/�, � � �
flnal meter reading(o{d meter) �.1 � -� ��
Address• �9�____��r hn 5-1-�vi�_,�. �h
Name• �
Rhone Number: Date: �� � �
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Stgnature�
�CIte55 SIgi13tU1`6: u ` � n
FRIDLEY CITY CODE
CHppTER 402.WATER,STORM WATER,A�1D SANiTARY SEW�R
. ADMiNiSTRA►TIUN
(Ref Ord No 113,464,565,566,629,538,662,922,988,1144,1156,1191)
402.05.PERMiT FEE �
e Prior to constructing or repair of any water or sewer line connecting the existing municipai system and any house
or building for which the applicatian is made,the owner or contraeto�sha11 be required ta obtain a permit for such
connectian,and shall pay a permit fee as provided in Chapter 11 af th�s Code. After such connectian has 6een
made,the 1Nater and Sewer DepaRm�nnectt`on and the work incident theretol has been approved by the Ciry as an
inspection has been made and suc
proper and suitable connection.
407.06.REPAIRS AND MAIMPENANCE TO CONNECTtON
���p�� ____�..a„�n�ho WarPr service curh stoo bax or the_s_ewer lead at the propert�
line or a water service or sewer lead has been extended to the propertyime fur connechon,the applicant�owner,
or the occupant or user af such premises shali be liable for at{�epairs required to any water line and sewer lines
necessary for connection of the premises from the main ta the premises. If tha pcopg[tY awner reciuests
maintenance service or repairs be performed 6y the City,the prnperty owner shall be charged for the cozts of the
maintenance and/or repairs, inc4uding any necessary skreet repairs,at a rate set annuallyby.an administrative
policy. It shalt be the respansihilitY of the appficant,awner,�ccupant or user to perform standard maintenance of
� the sewer service line from the premises to the main inc{uding debri�c{earing or root cutting and to maintain the
� water senrice curh stop box for operabifity and at sucF►height as will ensuse that it remains abave the�ntshed
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