Meter Swap � ���
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R u st�mb r: 8633
eq e e
Public Works Division
Service Request
Problem Address: 6544 Hickory St Requested By: Dawn Rogers
Department: WATER Address: No address provided
ProblemlIssue: INSTALL AMR ME'iER Phone Number: 572-0778
Scheduled Dafe: 2014-08-01 Scheduled 13me: O 1:00:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-07-29
ACTION TAI�N:
Old meter# 18124545 Old reading 66 20 Newmeter#44921275 ERT#35171766
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Status: Completed Resident Contacted C"
Date Completed: 2014-08-01 Completed by: Ryan Johnson
Hours
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Request Number: 8633
Public Works Division
Service Request
Problem Address: 6544 Hickory St Requested By: Dawn Rogers
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 572-0778
Scheduled Date: 2014-0 O1 Scheduled Time: 01:00:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-07-29
ACTION TAI�N:
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Status: In Progress Resident Contacted �
Date Completed: C ple d
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' - City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��We hereby authorize the City of Fridley and/or its
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 piumbing. (Per City code
402.06) I also hold the Gty of Fridley and/its employees harmiess for any amages a may ur -�—
while doing this operation. This to inciude,but not limited to;valves,piping,watis,floors or the curb
stop box and service line. 1 understand I am aiso required to obtain a permit prior to any work,if
necessary. ���� ��
Final meter reading f old meter) I� �rG� �
Name: Address: � � _ — '�--
Phone Number: Date: ��` �` �
, __..
Signature:
Witness Signature•
FRIDLEY CITY CaDE
C APTER 402.WATER,STORM WATER,AND SAIVITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156, 1191)
402.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house
or building for which the appiication is made,the owner or contractor shali 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 connection has been
made,the Water and Sewer Department shall be notified. It shall be unlawful to cover any connecting line until an
inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connectfon.
402.06.REPAIRS AND MAINTENAIdCE TO CONNECTiON
-A#�er-�Is�-iaitial connectinn ha�hP�n made to th�_�1 t�r service curb stop box or the sewer lead at the propert�
line or a water service or sewer lead has been extended to the property line for connection,the applicant,owner,
ar the occupant or user of such premises shall be liable for all repairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. If the prope[ty owner requests
maintenance service or repairs be performed by the City,the property owne�shal{be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
policy. It shall be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
• the sewer service line from the premises to the main including debris clearing or root cutting and to maintain the
water service curb stop hox for operability and at such height as will ensure that it remains above the finished
_. .
_ _ _ ._ _ --- __ .
--- -- ----grade of the tand urpraperty: (Ref 638,-1156,1191) _. ._ ___ _ .----_ �. .. _ . _ __. _.___ . ._. _...