Meter Swap � � (
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Request Number: 8826
Public Works Division
Service Request
Problem Address: 168 River Edge Way Requested By: Jerry Nugeirt
Department: WATER Address: No address provided
Problem/Issue: INSTALLAMRME'IER PhoneNumber: 571-4779
Scheduled Date: 2014-08-22 Scheduled T3me: 10:30:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-08-21
ACTTON TAI�N: �
Old meter#35206805 Old reading: 19 50 New meter#Same brs�s bady'ERT#35159707
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Status: Completed Resident Contacted 1'"
Date Completed: 2014-08-22 Completed by: Pete Gunderson
Hours
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City of Fridley
Water Department �
Address � � �<l'� ��� ��
Name l�t�PC1-� �U (�i�f"'i�
Date .�"��"�
Old Meter Number � " 1 `�C7
Old Meter Reading ��
,t.; . �a o��o� �
Replacement No.
Replacement Reading �
Replacement Make ����
Remarks: �Y �E'Z"E3(Z
S igned ���^�d ^
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Request Number: 8826
Public Works Division
Service Request
Problem Address: 168 River Edge Way Requested By: Jerry Nugent
Department: WATER Address: No address provided
Problem/Lcsue: INSTALL AMR METER Phone Number: 571-4779
Scheduled Date: 2014-08-22 Scheduled Time: 10:30:00
, Z�� � ��
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-08-21
ACTION TAI�N:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��We hereby authorize the City of Fridley and/or its
emptoyees to do what is necessary to replace the water meter. I understand that the property owner
is liable for the water line ftom the main to the premise and all interior plumbing. (Per C'ity code _ .
^ 402.06) I also hold the Gty of Fridley and/its employees harmless or any amages a may �~ — --
while doing this operation. This ta include,but not limited to;valves,piping,walis,floors or the curb
stop box and seroice line. I understand I am also required to obtain a permit prior to any work,if
necessary. � ��� ��
Finai meter reading(old meter)
Name� --
Address: t�1� ,I`��� �L`'jd� -
' Phone Number Date' !� l�
. �
Signature• '
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,4b4,565,566,629,638,662,922,988,1144,1156,1191)
402.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house
or 6uilding for which the appiicatian is made,the owner or contrador shali be required to obtain a permit for such
connection,and shatl pay a permit fee as prov�ded 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 wo�k incldent thereto has been appraved by the Gty as a
proper and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
�����q� • rnade to th��la•�r service curb stop box or the sewer lead at the propert�
line or a water service ar sewer lead has been extended to the property(ine for connection,the applicant,owner,
or the occupant or user of such premises shall be liable for all repairs required to any water line and sewer lines
� necessary for connection of the premises from the main to the premises. if the prope[ty owner requests
mai�tenance 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 annuaity by an administrative
policy. It shall be the responsibility 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 Co maintain the
water service curb stop box far operability and at such height as wiil ensure that it remains above the finished
_ ._..,. .. .--_. ._,�..:_... � Re�-63�,1�55,.119�) _. _ _. ._.
grad�of�tfie tar►d orprope►f�:� ._ _ _ _. . _ __ ,... -- __ __._. _-. . _.. __._.___.