Meter Swap I a I��5- 5��oa�o
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0(—O�� Request Number: 8955
Public Works Division
Service Request
Problem Address: 215 Christenson Way Requested By: Connnie Tran
Department: WA'IER A,ddress: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 571-5439
Scheduled Date: 2014-09-24 Scheduled TSme: 12:45:00
ACTiON NEEDED:2014 AMR-Phase 2
Created by: Wendy Hiatt Date Created: 2014-09-23
ACTION TAKEN:
Old meter#97280650 Old reading 101 30 New meter#44922005 ERT#35171995
Status: Completed Resident Contacted I""
Date Completed: 2014-09-24 Completed by: Pete Gunderson
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Request Number: 8955
Public Works Division
Service Request "
Problem Address: 215 Christenson Way Requested By: Connnie Tran
Department: WATER Address: No address provided
Problem/Lssue: INSTALL AMR METER Phone N�unber: 571-5439
Scheduled ate: 2014-09-24 Scheduled TTime: 12:45:00
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ACTION NEEDED:2014 AMR-Pt�ase 2
Created by: Wendy Hiatt Date Created: 2014-09-23 .
ACTION TAI�N:
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Status: In Progress Resident Contacted L�
Date Completed: Completed by:
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. . City of Fridley
. _ _ ._ Water Department
_ ._._ ._ _.._ __
6431 University Avenue NE
Fridiey,MN 55432
(763)57Z-3566
I/we hereby authorize the tity of Fridiey and/or its
employees to do what is necessary to repiace the water meter. 1 understand that the propert1l owner
is liable for th�water line fram the main to the premise and all iMerior plumbing. (Per qty code
402.06� 1 also hold the Gty of Fridley and/its employees harmless or any amaBes a ma�-
while doing this operation. This to include,but not limited to;values�Piping,wails,floors or the curb
stop box and service line. I understand I am aiso required to obtain a penr�it prior to any work,if
necessary. ��Q
Final meter reading(oid meter) � ��
Address• '� ('��
Name� �
. Date: ` ��1
Phone Number•
Signatur• :
Witness Signature:
FRIDLEY CITY C�DE
CHAPTER 402.WATER,STORM WATER,ANO SANITARY SEWER
ADMINISTRATI�N
(Ref Ord No 113,454,565,566,629,638,662,922,988,1144,1156,1191)
402.05.PERMIT FEE
Prior to constructing or.repair of any water or sewer line connecti�o h hal ben equ redtolobtain a permit forsuh
or building for which the appl�catian is made,the owner or contr
connectian,and shall pay a permit fee as provided in Chapter 11 of this Cade. After such connection has been
made,the Water and Sewer Departrnonnectiion a d the work ncident theret�has 6een app oved by he City as a n
inspection has been made and such c
proper and suitable connection.
402.Q6.REPAIRS AND MAINTENANCE TO CONNECTION
���b����� er s rvice cur6 sto box or the sewer lead at the propert�
line or a water sen+ice or sewer lead has been extended to the property line for connection,the applicant,owner,
or the occupant or user of such premises shali be liable for all repair�required t pany wato�iner requests r lines
necessary for connection of the premises from the main to the premises. If the rop�[ty
maintenance senrice or repairs be performed by the City,the properly owner shalt be charged for the cflsts of the
maintenance and/or repairs, including any nelicant ownert ccupant or user to pe�form 5t ndard main enaince af
policy. It shall be the responsibil'�ty of the app
• the sewer service line from the premises to the main including debris clearing or root cutting and to maintain the
water 5ervice curb stop box for operability and at such height as will ensure that it remains above the finished
. . . . . . _
Ref 638,-1�5,.t�n�� ._-
_. . _. ._____ _._. _ .... .._..
::gracte of�th�land ar-�rop�rty.� _ ___._ ._.