Meter Swap � 0935 �s�a ,C�
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Request Number: 9218
Public Works Division
Service Request
ProblemAddress: 6241 RainbowDr RequestedBy: VernaBolling
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 571-4172
Scheduled Date: 2014-10-29 Scheduled Time: 10:00:00
ACTION NEEDED:2014�
Created by: Wendy Hiatt Date Created: 2014-10-20
ACTION TAI�N:
Old meter#40413483 Old reading:013 40 Newmeter#44921586 ERT#35172476 �
Status: Completed Resident Contacted ['
Date Completed: 2014-10-29 Completed by: Ryan Johnson
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City of Fridley
Water Department
Address6a���Au��dW �r
Name V Q f 1'l0. �C") (� � n o1 —
Date �"�� 1 �
Old Meter Number 1 `7 O��
Old Meter Readin � L� ���
Replacement No. "1� � (� �
Replacement Reading 5F�
� Replacement Make ►J`���1'�
Remarks• ��� m�T�-J f`�
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Request Number: 9218
Public Works Division
Service Req�st
_ Problem Address: 6241 Rainbow Dr Requested By: Verna Bolling
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 571-4172
Scheduled Date: 2014-10-29 ,_.� Scheduled Time: 10:00:00
r � 1 O a f'�
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-20
ACTION TAI�N:
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Statas: In Progress Resident Contacted [�
Date Completed: Co lete
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- City of Fridley
_ - _ _ .:,. 1Nater Department
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6431 University Avenue NE f ��6f
Fridley,MN 55432
(763)572-3566
��We � here6y authorize the�ty of Fr�dley and/or iis
employees to do what is necessary to replace the water meter. I understand that the property owner
is liable for the water(ine from the main to the premise and all interior plumbing. (Per C'it�►code
402.Q6) I alsa hold the Gty of Fridley and/its employees harmiess or any amages may o�P-
while doing this operaiion. This ta include,but not limited to;valves,piping,walls,floors or the curb
stop box and service line. 1 understand I am also required to obtain a permit prior to any work,'rf
necessary.
Final meter reading(old meter) ���� ���
Name• Address• ���r �"�S ���
Phone Number: �#e• �•_�Qf l�
Signature•
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Witness Signature•
FRiDLEY CITY C�DE
�p E ,WATER,STORM WATER,ANO S�INITARY SEWER
ADMINISTRATIUN
(Ref Ord No 113,464,565,5fi6,629,638,662,922,988,1144,1156,1191�
4�2.05.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 application is made,the owner or contractor shall be required to obtain a permit fior such
connectian,and shall pay a permit fee as pruvided 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 wark incident thereto has been approved by the Ciry as a
proper and su'�table connection.
402.06.REPAIRS AND MAINTENANCE TQ CONNECTION
��-�b����ppertinn hwc haan mae�p to the water service cur6 stoa box or the sewer lead at the propert�
line or a water service or sewer lead has been extended to the propertyline for connection,the applicant,owner,
or the occupant or user of such premises shali be liable for all�epairs required to any water line and sewer lines
necessary for connectiun of the premises from the main ta the premises. If the prop�tty owner requests
maintenance service or repairs be performed by the City,the property awner shat{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 responsibil'rty of the applicant,awner,occupant or user to perForm standard maintenance of
• the sewer service line from the premises to the main including debris ciearing or root cutting and to maintain the
water service cur6 stup box for operability and at such height as will ensure that it remains abave the finished
. __. ..
,:grade of�t�r�e land or�rop�rty.�(ReF 638,-Z�S,.t��3;) ,� . . - -