Meter Swap C�"1 "1� �" `����l�Q
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Request Number: 9283
Public Works Division
Service Request
Problem Address: 6250 Jupiter Rd Requested By: Mr Skaauen
Department: WATER Address: No address provided
' Problem/Issue: INSTALL AMR ME1ER Phone Number: 612-819-7172
Scheduled Date: 2014-10-29 Scheduled Time: 02:30:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-27
ACTION TAI�N:
Old meter#14672118 Old reading:399 20 New meter#44921177 ERT#35171603
Status: Completed Resident Contacted I"'
Date Completed: 2014-10-29 Completed by: Ryan Johnson
Hours
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Request Number: 9441
PubHc Works Division
Service Request ,
Problem Address: 6250 Jupiter Rd Requested By: Mazy w/Tim's Quality Plumbing
Department: WATER Address: No address provided
ProblemJIssue: TURN WATER ON/OFF Phone Number: 571-0454 .
Scheduled Date: 2014-11-12 � Scheduled Tfine: 08:30:00
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ACTION NEEDED:Turn off water for repair.Permit in process.****BILL****
Created by: Wendy Hiatt Date Created: 2014-11-12
ACTION TAI�N:
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Status: In Progress Resident Contacted �
Date Completed: Completed by:
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Public Works Division
Service Request
Problem Address: 6250 Jupiter Rd Requested By: Mr Skaaven
Department: WATER Address: ' No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-819-7172
Scheduled D te: 2014-10-29 C ,, Scheduled Time: 02:30:00
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ACITON NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-27
ACTION TAI�N:
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Status: In Progress Resident Contacted O
Date Completed: Completed
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- c�ty of fr�ai�y
,._ - _ _ _ _ _ : Wat�r l�epartmenfi . -_
._ _,_.n.. _
6431 University Avenue NE
Fridley,MN 55432
(763j57Z-3566
I/we herehy authorize the C�iY of f�idley andJar its
employees to do what is necessary to replace the water meter. I understand that the praperty owner
is liabie fnr the water line from the main ta the premise and af)interior piumbing. (Per City cade
402.Q6) i alsa hold the City of Fridley and/it�employees harmless r any amages a ma "
while doing this aperadon. This to include,but nat limited ta;valves�piping,walls,floors or the curb
stop box and senrice line. I understand i am also required to obt�n a Permtt Pnor to any wofk,if
necessary. � ✓ �D
flnai meter reading(otd meter)
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Name: Address:_ l D��� �UQi-kJ{� ��
Phone Nu Date� ��'2>l���
5ignature•
Witness Signature:
fRIDLEY qTY CODE
pT'ER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINfS7RATION
(Ref Ord Na 113,464,565,566,624,638,fi62,922,988,1144,1156,1191)
402.05.PERMIT FEE �
Prior to constructing or repair of any water ar sewer line connectingthe e�dsting municipal system and any house
or building for which the applicatian is made,the owner or contractor shall be required to obtain a permit for such
connectinn,and shall pay a permlt fee as pravided in Chapter 11 af this Code. After such connectian has been
made,the INater and Sewer Depa►tment shall be notified. It shall be unlawful to cover any�onnecting line until an
inspection has been made and such canne�tion and the wark incident thereto has 6een approved by the City as a
properand suitable connection.
402.d6.REPAIRS AND MAINTENANCE TO CONNECiION
��p�����tiee.,rna.�a t�thP water service curh stou bax or the sewer tead at the propert�
line or a water service or sewer lead has been extended to the propertyline for cannection,the applicant,awner,
ar the�ca�pant ar user of such premises shall be liable for all�epairs required to any water line and sewer lines
necessary for connection of the premises fram the main to the premises. lf the prop�tty 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, including any necessary street repairs,at a rate set annuat{y by an admtnistrative
poticy. It shall be the responsibii'�ty of the applicant,uwner,occupant�user to perform standard malntenance of
- the sewer service line from the premises to the main inciuding de6risclearingor root cutting and to maintain the
water service cur6 stnp bnx for operabi{it�►and at such hetght as wiU ensure that it remains ahave the finished
- - . . ._ ._ . __- . --- :
::graite of�tii�land or�rdp�rty.�(Re�63o,-Z�S,t�n�:� _. .� _.