Meter Swap f �l�0��� - �I ��-I� C�
01 -O^1
Request Number: 8703
Public Works Division � t� �
Service Request
Problem Address: 128 River Edge Way Requested By: Caroline Zogheid
Departmeat: WATER Address: No address provided '
Problem/Issue: INSTALL AMR METER Phone Number: 612-226-2966
Scheduled Date: 2014-08-06 Scheduled Zime: 09:00:00
ACITON NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-08-OS
ACTION TAI�N:
Old meter#94282335 Old reading: 45 80 New meter#44921346 ERT#35171689
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Status: Completed Resident Contacted C"
Date Completed: 2014-08-06 Completed by: Ryan Johnson
Hours
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4
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Request Number: 8703
Public Works Division
Service Request
Problem Address: 128 River Edge Way Requested By: Caroline Zogheid
Department: WATER Address: No adckess provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-226-2966
SchedW ed Date: . 2014-08-0 � Scheduled Time: 04:00:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-08-OS
ACTION TAI�N:
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Status: In Progress Resident Contacted p
Date Completed: Completed
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- City of Fridley
� Water Department
6431 University Avenue NE
Fridiey,MN 55432
(763j 572-3566
��We hereby authorize the City of Fridley and/or its
employees to do what is necessary to replace the water meter. 1 understand that the property owner
is liabie for the water line from the main to the premise and all interior piumbing. (Per City code
402.06) I also hoid the Gty of Fridley and/its employees harmfess�or any amages a may r ---
while doing this operation. This to 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,if
necessary. t , t�� � ��
�/�f
Final meter reading(old meter) � �� �
Name: Address: `��
Phone Number: Date: [,���[
Signature:
Witness Signature:
FRIDLEY CITY C�DE
CH PTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATIDN
(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 application is made,the owner or contractor shail 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 shali 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 connection.
402.06. REPAIRS AND MAINTENANCE TO CONNECTtON
�q{���Q• � • �ade to thp Wa+er 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,
or the occupant or user of such premises shall be liable for ali repairs required to any water line and sewer lines
necessary for connection of the premSses from the main to the premises. if the prope[iy 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 wili ensure that it remains above the finished
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grade of'ifielat�d orproperty. (Ref 638,1156;111J1)_ ._ --- ,-..._-.___._ _ . . _ __.