Meter Swap � 0�7
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Request Number: 8780
Public Works Division
Service Request
Problem Address: 169 River Fdge Way Requested By: Gordon Griebenow
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 5?1-3965
Scheduled Date: 2014-08-18 Scheduled Time: 01:00:00
ACIYON NEEDED:2014 AMR '
Created by: Wendy Hiatt Date Created: 2014-08-13
ACTION TAI�N:
Old meter#24797301 Old reading: 60 40 New meter#44921364 ERT#35171646
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Status: Completed Resident Coatacted M"`
Date Completed: 2014-08-18 Completed by: Ryan Johnson
Hours
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Request Number: 8780
Public Works Division
Service Request
Problem Address: 169 River Edge Way Requested By: Gordon Griebenow
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 571-3965
Scheduled Date: 2014-08-18 5cheduled Time: 01:00:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-08-13
ACTION TAI�N:
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Status: 1nProgress ResidentContacted ❑
Date Completed: Complete y:
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- City of Fridiey
� Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)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 liable for the water line from the main to the premise and all interior plumbing. (Per City code _ ___
402.Ob) I also hold the City of Fridley and/its employees harmless for any amages a may
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
nesessary.
Final meter readl (old meter) O�� ��
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Name• _ Address•
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' Phone Number Date• �
Signature:
Witness Signature:
FRIDLEY CITY CUDE
' C R 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATiON
(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 pr 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 shali pay a permit fee as provided 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 work incident thereto has been approved by the City as a
proper and suitable connection.
402.06.REPAIRS AND MAINTEMANCE TO CONNECTION
�p,����►���np.�r��r+n $,..bPPn rnade to th��!a*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(iable for all�epairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. if the prop�[ty owner requests
maintenance service or repairs be performed by the City,the property awner 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 responsibil'ity of the applicant,awner,occupant or user to perForm standard maintenance of
• the sewer senrice 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
,. _ . grad"e of Cheia�d or prc�p�rty.-(Ref-63�,i1J5,2�:9�:) _. __. . ._ _ _ _ .