Meter Swap � 3�ot35�-y�`��
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Request Number: 9229
Public Works Division
Service Request
Problem Address: 6270 Comet Ln Requested By: Ann Fischer
Department: WATER Address: No address provided
ProblemlIssue: INSTALL AMR METER Phone Number: 571-4826
Scheduled Date: 2014-10-24 Scheduled Time: 10:00:00
AC'IqON NEEDED:2U 14 AMR �
Created by: Wendy Hiatt Date Created: 2014-10-21
ACTION TAKEN:
Old meter#08764470 Old readi 225 160 New meter#44921661 ERT#35172390
Status: Completed Resident Contacted 1"''
Date Completed: 2014-10-24 Completed by: Ryan Johnson
Hours
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Request Number: 9229
Public Works Division
Service Request
Problem Address: 6270 Comet Ln _ Requested By: Ann Fischer
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 571-4826
Scheduled D 2014-10-24 � SchedWed Tlme: 10:00:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-21
ACTION TAI�N:
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Status: In Progress Resident Contacted ❑
Date Completed: Complet d by:
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� City of Fridley
- , .: Watpr Department
. . ._
. __ .s.. .
6431 Uni�ersity Avenue NE
Fridley,MN 55432
(763)572-3566
I/we hereby authorize the��tY of Fridtey andior its
� - employees to do what is necessary to replace the water meter. I understand that the property owner
is liahle far the water line from the main to the premise and ali interior plumbing. (Per C�ty code
402.06� I alsa hold the Gty of Fridley and/its empioyees harmless or any amages may�i -
white doing this operation. This tu inciude,but nat limited to;valves�p�ping,walis,floors or the curb
stop box and senrice line. I understand 1 am also required to ohtafn a permit prior to any work,if
necessary.
Final meter reading(old meterj ����-���' .
Name•
Address: �� � �� ���
• ��i
Phone Number. Date• �V ` �
5ignature• � ��
Wltness Signature:
FRIDLEY UTY CODE
C 402.WATER,STORM WATER,AMD�INITARY SEINER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662t 922,988,1144!1156,1191)
402.05.PERMIT FEE
Prior to constructing or repair of any water ar sewer line connecting the existing municipal system and any house
or buiiding for which the application is made,the owner or contractor shall be required to obtain a permit for such
connection,and shall pay a permit fee as provided in Chapter 11 of this Code. After such cannection has been
made,the iNater and Sewer Department shall be notified. It shatl be unlawful to cover any connecting line unfil an
inspection has been made and such connection and the work incident thereto has been approved by the City as a-
praper and suitahle connection.
40Z.�6.REPAIRS AND MAINTENANCE TO CONNECTION
�#�b��ai�ial�co�ne�i,o�as����^�"��*�+he water service curh stop box or the sewer lead at the propert�
line or a water service ar sewer lead has been extended to the property line for connectian,the applicant,owner,
or the occi�pant or user of such premises shall be liable for all�epairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. if the propg[ty owner requests
maintenance service or repairs be performed by the�ty,the prpperty awner shall be cha�ged for the cnsts of the
. maintenance and/or repairs, including any necessan�street repairs,at a rate set annually by.an administrative
poticy. It shali be the responsibil'rty of the applicant,awner,occupant or user ta perfarm standard maintenance of
• the sewer service line from the premises to the main including debris ciearing flr root cutting and to maintain the
water senrice curh stop box for operability and at such height as will ensure that it remains abave the finished
. _ . __ . .� . .--- - �--
"'grade of t�i�land orprop�tty.��AeF 635,-3�#.�S,.t.��3:) _. .. . . _ .