Meter Swap � ,.,.,. C��
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Request Number: 9414
Public Works Division
Service Request
Problem Address: 6271 Comet Ln Requested By: Sharon Saice
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-669-0008
Scheduled Date: 2014-11-17 Scheduled Time: 10:00:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt C� �� Date Created: 2014-I 1-07
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ACTION TAI�N:
Old meter# 1197386 Oldreadin :546 50 Newmeter#44921977 ERT#35172485
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Status: Completed Resident Contacted 1""
Date Completed: 2014-11-17 Co�npleted by: Joseph Katzung
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` Request Number: 9414
� Public Works Division
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���� Service Request
Problem Address: 6271 Comet Ln Requested By: Shazon Saice
�� Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME'TER Phone Number: 612-669-0008
`�',Scheduled Date: 2014-11-17 Scheduled Time: 10:00:U0
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ACTION NEEDED:2014 AMR
�_��-: Created by: Wendy Hiatt Date Created: 2014-11-07
ACTION TAI�N:
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Status: InProgress Resident Contacted C]
Date Completed: Completed by:
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� City of Fridley
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_ . . .. _, ..._ .
6431 University Avenue NE
Fridley,MN 55432
(763}57Z-3566
�I/we hereby authorize the�tY of Fridley andjor its
empioyees to do what is necessary to replace the water meter. l u+tderstand�t�1���►°�er
��liable fgr the water line from the main to the premise and all inierior piumbing. (Per�ijt code
402.06) I alsa fiold the City of Fridley and/its emp�oyees harrntessfor anY amages
m o�.�.�
while doing this operation. This to incfude,but not limited to;val+t�s►P�P���►����fl0°�ar the curb
stop box and sen►ice line. i understand i am also required to obtain a P'ermit priort+�any work,if
necessary.
Final meter readi�g(old meter) � ��� .
Name•
Address• �r�71 ��uv1'� �- Lr►
Phone Number. Date: ��I17 /
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Signature• �'
Witness Signature•
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CHAPTER 402.WATER,STORM WATER,AND�4NiTARY SEWER
pDMINISTRATION
(Ref Ord No 113,4fi4,565,566,629,b38,662,922,988,1144,1156,1191)
402.05.PERMIT FEE �
Prior to constructing or repair of any water flr sewer line connecting the existing municipal system and any house
or building for which the application is made,the owner or contractar shall be required to ohtain a permit for such
connection,and shall pay a permit fee as provided in�hapter 11 of this Code. After such cannectian has been
made,the Water and 5ewer Department shall be notified. It shall 6e uniawtul to cover any conneding line untit an
inspection has been made and such conneetion and the work incident thereta has 6een approved by the City as a
proper and suita6le connection.
402.06.REPAIRS AND MAINTENp►NCE TO CONNECTION
����� ___�...,,.�..*ho W�rPr service cur6 stap bnx or the sewer fead at tfie propert�
fine or a water service ar sewer tead has been extended to the propertylme for cannechon,the appiicant�owner,
or the�ccupant or user of such prem'�ses sfiafl be liable for all�epair�required to asry wate�line and sewe�lines
necessary for connection of the prernises from the main to the premises. ff the propgtty owner requests
maintenance service or repairs be performed by the City,the property awner shall be charged for the costs of the
maintenance and/or repairs, inc{uding any neces�ary street repairs,at a rate set annually by.an administrative
policy. It shali be the responsihility of the appticant,owner,eccupant�user to perform standard maintena�ce of
the sewer service(ine from the premises to the main including debri�dearingtir root cutting and to maintajn th�
water senrice cur6 stop box far operabilitY and at such height as wili ensure that it remains above the finished i
� .. . .. . � . ._
„�graile di tf7e�larni or�ra�erty.-[Re►63�,],�.55,-;t�..g�:) _. . .._ _.._ ... ._ .._.._ .._. ..... .._ .