Meter Swap I�1�1�--� �����C�
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Request Number: 8719
Public Works Division
Service Request
Problem Address: 6266 East River Rd � Requested By: Eric Larson
Department: WATER Address: No address provided
Problem/Issue: INSTALL AIvIlt METER Phone Number: 612-741-8182
Scheduled Date: 2014-08-07 Scheduled Time: 1030:00
AG'TION NEEDED:2014 ANIIt
Created by: Wendy Hiatt Date Cre$ted: 2014-08-06
ACTION TAI�N: ✓
Old meter#9023185 Old reading:2572 60 New meter#44921456 ERT#35171651
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Status: Completed Resident Contacted I"'
Date Completed: 2014-08-07 Completed by: Ryan Johnson
Hours
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Request Number: 8719
Public Works Division
Service Request
Problem Address: 6266 East River Rd Requested By: Eric Larson
Department: WATER Address: No address provided
Problem/Issue: INSTALLAMRMETER PhoneNumber: 612-741-8182
5cheduled D e: � 014-08-07 Scheduled'Iime: 10:30:00
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ACTION NEEDED:2014 AMR
Created by: WendyHiatt Date Created: 2Q14-08-06
ACTION TAI�N:
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Status: In Progress Resident Contacted ❑
Date Completed: Complete
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- City of Fridiey
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��We hereby authorize the�ty of Frid�ell and/or�ts
employees to do what is necessary to replace the water meter. i understand that the property owner
is liable for the water line from the main to the premise and all interior plumbing. (Per City code
402.06) i also hold the faty of Fridley and/its emplayees harmless far any amages a may u --
w hi le do ing t h is opera t ion. This to include,but not limited to;valves,piping,walis,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.
Final meter reading(old meter)_ ��� � �"' �
Name: Address: "�l� � �a`S� ��✓w �
Phone Number• Date: �� ` s��
Signature• ��
Witness Signature:
FRIDLEY CITY CODE
CHAPTE 402.WATER,S70RM WATER,AND SANITARY SEWER
ADMtNISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156, 1191)
Q02.05.PERMiT FEE
Prior to constructing or repair of any water or sewer line connecting tfie existing municipat system and any house
ar buiiding for which the apptication is made,the owner or contrector shatl be required to obtain a permit far such
connection,and shaff pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shatt be notified. it shai{be unlawfu{to cover any connecting line untit an
inspection has been made and suih connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.�6.REPAIRS AND MAINTENAIVCE TO CONNECt'10P1
�rh�,iQitiai��nnertiun 4asb�n rnade to the water service curb stop box or the sewer tead at the propert�
line or a water service or sewer lead has been extended to the property line for connection,the applicant,owner,
or the occupant or user of such premises shall be liable for a11 repairs required to any water line and sewer fines
necessary for connection of the premises from the main to the premises. If the properiy owner requests
maintenance service or repairs be performed by the City,the property owner shal{be charged for the costs of tfie
maintenance and/or repairs, including any necessary street repairs,at a rate set annuafly by an administrative
policy. It shall be the responsibiiity of the appticant,owner,occupant or user to perform standard maintenance of
• the sewer service fine from the premises to the main incfuding debris c{earing or root cutting and to maintain the
wat.er service curb stop box for operabitity and at such height as wi11 ensure that it remains above the finished
_ _ . _ __ . .. ...
._._.___. . ... ... ___. Ref638,1156;�.-�3�)-- - -•-
grade of ifi�iand ar property..( -- .-. -._ _._ ___.._ ...__-- _. . .__..__. ._._.__._.