Meter Swap 1�0105- Syt,o�lo0
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Request Number: 8954
Public Works Division
Service Request
Problem Address: 207 Christensen Way Requested By: Tracy Hartman
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-501-6881
Scheduled Date: 2014-09-24 Scheduled�ime: 07:00:00
AC'ITON NEEDED:Install AMR
Created by: Jutie Horak Date Created: 2014-09-23
ACTION TAI�N:
Old meter#97176118 Oldreading:35 64 Newmeter#44921505 ERT#35171937
Skatus: Completed Resident Contacted ["'`
Date Completed: 2014-09-24 Completed by: Pete Gunderson
Hours
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Request Number: 8954
Public Works Division
Service Request ,
Problem Address: 207 Christensen Way Requested By: Tracy Hartman
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME'TER Phone Number: 612-501-6881
SchedWed Date: 2014-09-24 . � Scheduled Time: 07:OO:QO
I
ACTION NEEDED:Install AMR
Created by: Julie Horak Date Created: 2014-09-23
ACTION TAI�N:
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Status: Tn Progress Resident Contacted �
Date Completed: Completed by:
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. City of Fridley
- - Water Department
6431 University Avenue NE �
Fridiey,MN 55432
(763)572-3566
I/we hereby authorize the GtY of Fridley and/or its
empioyees to do what is necessary to repiace the water meter. 1 understand that the property owner
.�r.�h�o�+r+he water line fram the main to the premise and ai)iMerior plumbing. (Per City code
402.Q6) I also hold the Gty of Fridley and/its employees harmless or any amages�i ta maY�`
while doing this operadon. This to include,but not limited to;vaNes.PiP�ng►wails,floors or the curb
stop box and service line. 1 understand I am also required to obtain a permit prior to any work,if
necessary.
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Final meter reading(old meter)
Name•
Address: ��� 1 �F-��T��� �
Phone Number.
�te:�` ��(
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Signature: ,
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WAl'ER,STORM WATER,AN�Sp►NITI4RY SEWER
ADMINISTRATION
(Ref Ord No 113,464,5fi5,566,629,638,662,922,988,1144,1156,1191)
402.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line conne a�oh h�ben equiredto obtain a permit forsuch
or building for which the appticatian is made,the owner or con
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 Department shaU be notified. �t incident theretol ha been app oved by he City as a n
in5pection has been made and such connection and the work
proper and suitabie connection.
4Q2.Ob.REPAIRS AND MAINTENANCE 70 CONNECTION
�►,#�b�,i�i#ia►.conbecti,orahas�an made to�h_ �`^•service cu�b stoa box or the sewer lead at the propert�
line or a water service or sewer lead has been e�ended to the property line for connection,the appl�cant,owner,
or the occupant or user of such premises shall be liable for ali�epairs required to any wator�er requests r lines
necessary for cortnection of the premises from the main to the premises. If the prop��iy
maintenance service or repairs be performed by the City�the property owner shail be charged for the cosis of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annuaily by an administrative
policy. It shall be the responsibil'dy of the appli�ant,awner,occupant or user to perfarm standard maintenance af
• the sewer service line from the premises to the main inciuding debris clearing or roat cutting and to maintain the
._ . ..._. ... .._
.
water service curh stop box for operability and at such height as wifl ensure that it remains above the finis e
- - - -
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