Meter Swap 1 � ����-- �-IS�i �ir�
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Request Number: 8285
Public Works Division
Service Request
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Probfem Address: 221 Rice Creek Terr NE Requested By: David Schaefer
Department: WATER Add�ess: No address provided
Problem/Issue: INSTALLAMR METER Phone Number: celi ony-952-454-2427
Scheduled Date: 2014-07-09 Scheduted Time: 08:00:00
ACTION NEEDED: Install AMR •
Created by: Cheryl PeAegrin Date Created: 201406-30
ACTION TAKEN:
Old meter#19453008 Old reading: 072 50 New meter#44921913 ERT#35159376
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Status: Corr�leted Resident Contacted D
Date Completed: 201407-09 Completed by: Ryan Johnson
Hours
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Request Number: 8285
Public Works Division
Service Request
Problem Address: 221 Rice Creek Terr NE Requested By: David Schaefer
Department: WATER Address: No address provided
Problemllssue: INSTALLAMR METER Phone Number: ceN ony-952-454-2427
Scheduled Date: 2014-07-09 Scheduled Time: 08:00:00
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ACTION NEEDED: InstallAM
Created by: Cheryl Pellegrin Date Created: 201406-30
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ACTION TAKEN: '
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Status: In Progress Resident Contacted ❑
Date Completed: Complete by:
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_ - City of�ridiey ._ _
. --. Water Department .. _.. .
6431 University Avenue NE- ,,�=
Fridley,MN 55432 �
(763)572-3566
��we hereby authorize the C�ty of Fridley and/or its
employees to do what is necessary to replace the wat�r meter. I understand that the property owner
ts liable for the water line from the main to the premise and all interior plumbing. (Per City code
402.06) I also hold the City of Fridley and/its employees harmless for anY damages that may occur
while doing this operataon. This to iaclude,6ut not limited to;va�ves.piping,wails,floors or d�e curb
stop box and service tine. t understand t am alsfl requtred tu obtain a permit prior to any work�if
necessary.
Finaf ineter reading(old meter) �� �� � � O
Name� Address� ���1 � � l..! �� l "�I
Phone Number: Date� . ( �'T�/ �
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Signature•
Witness Signature:
� FRiDLEY qTY CaDE
CHAPTER 402.WATER,STORM WA'�ER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,b29,638,662,922,988,1144,1156,1191}
402.OS.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 ovuner or contrector shall be required to obtain a permit for such
connection,and shall pay a permit fee as provided in Chapter 11 af this Code. After such connectian has been
made,the W.ater and Sewer Department shall be notified. It shall be unlawful to cover any connecting line until an
lnspection ha�s 6een made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connectian.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer fead at the property
line or a water service or sewer lead has been eutended to the properrylfie for connectfon,the applicant,owner�
or the occupant or user of such premises shall be liabie for ail repairs required to any water line and sewer lines
necessary for connection af the premises from the main ta the premises. If the prop�tty owner requests
maintenance service o�repairs be perFormed by the�ry,the property owner shall be charged for the c�osts of the
maintenance and/or repairs, including any necessary st�eet repaUs,at a rate set annually by an administrative
palicy. it shalt be the responsibility of the applicant,owner,occupant or user to pertorm�tandard maintenance of
• the sewer senrice line from the premises to the main Including debris ciearing or root cutting and to maintain the
water senrice curb stop box for operability and at such height as wili ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)