Meter Swap � i �a�- y5�i3��
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Request Number: 8789
Public Works Division
Service Request
Problem Address: 108 River Fdge Way Requested By: Brett Harvey
Department: WATER Address: No address provided
Problem/Issue: INSTALL AlvIIt METER Phone Number: 571-3961
5cheduled Date: 2014-08-19 Scheduled 1Time: 10:00:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-08-15
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ACTION TAI�N: �
Old meter#7607106 Old reading.562 90 Newmeter#44922303 ERT#35172036
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Status: Completed Resident Contacted M""`
DateCompleted: 2014-08-19 Completedby: Ryanlohnson
Hours
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y Request Number: 11846
Public Works Division
Service Request
Problem Address: 108 River Edge Way Requested By: Josh w/Josh's Pro Plumbing
Department: WATER Address: No address provided
ProblejnlIssue: NRN WATER ON/OFF Phone Number: 763-248-2418
Scheduled Date: 2016-08-12 Scheduled'ISme: 09:00:00
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ACTION NEEDED:Turn off water for repair.Leave key.Permit#2016-01867****BILL****
Created by: Wendy Hiatt Date Created: 2016-08-10
ACTION TAKEN:
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Status: In Progress Submitter Has Been �
Contacted
Date Completed: Completed by:
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Request Number: 8789
Public Works Division
Service Request
Problem Address: 108 River Edge Way Requested By: Brett Har�y
Department: WATER Address: No address provided
Problem/Issue: INSTALLAMRMETER PhoneNumber: 571-3961
ScheduledDate: 2014-08-19 � Scheduled'ISme: 10:00:00
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ACTION NEEDED:20I4 AMR
Created by: Wendy Hiatt Date Created: 2014-08-15
ACTION TAI�N:
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5tatus: in Progress Resident Contacted Q
Date Completed: Completed by:
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- City of Fridley
` Water Department
6431 University Avenue AIE
Fridley,MN 55432
(763�572-3566
��We hereby authorize the City of Frid�e�l and/or its
employees to do what is necessary to replace the water meter. i understand that the property owner
����able fer the water line from the main to the premise and all interior plumbing. (Per(�ty code .
402.06) i aisa hald the Gty of Fridley and/its employees harmless�or any amages a may oc -- -----�- -
while doing this operation. This to include,but not limited to;valves,piping,walls,floors or the curb
stop box and service tine. 1 understand I am also required to obtain a permit prior ta any work,if
necessary.
Final meter reading(old meter) "�'�� �-���
' Address• d V �� '"�
Name•
Phone Number
Date� ]��l l�' 1
Signature:
Witness Signature:
FRIDLEIf CITY C�DE
CHA R 2.WATER,STORM WATER,AND S�►IVITARY SEWER
ADMINISTRATION
(Ref Ord�Jo 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 application is made,the owner or contractor shall 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 shatl 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 Gry as a
proper and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
�����p����s� a t *���•��ter senrice curb stoa box or the sewer lead at the propert�
line or a water service or sewer lead has been extended to the property tine for connection,the apphcant,owner,
or the occupant or user of such premises shall be liabie for all repairs required to any water line and sewer lines
necessary for connection of the prernises from the main to the premises. If the prope[ty owner requests
- maintenance service or repairs be performed by the City,the property owner shall 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 box for operability and at such height as will ensure that it remains above the finished
. _. _ _ _ _
_.,...___ .: .__ .- ._.--;.�gracle of ttie'tarrd flr prnp�rty. tRef 638,1�:�5,139�� ___.