Meter Swap ����
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Request Number: 8768
Public Works Division
Service Request
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Problem Address: 180 Ri�er Edge Way Requested By: Dan Nalepka
Department: WATER Address: No address provided
Problem/Issue: INSTALLt1MItMETER Phone Number: 763-350-8644
Scheduled Date: 2014-08-15 Scheduled'ITme: 08:30:00
ACTiON NEEDED:Install AMR
Created by: Julie Horak Date Created: 2014-08-12
ACTION TAI�N: �
Old meter#88891308 Old reading:443 10 Newmeter#44921385 ERT#35171640
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Status: Completed Resident Contacted C"
Date Completed: 2014-08-15 Completed by: Ryan Johnson
Hours
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Request Number: 8768
Public Works Division
Service Request
Probiem Address: i 80 River Edge Way Requested By: Dan Natepka
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-350-8644
Scheduled D te: 20I4-08-15 Scheduled Time: 08:30:00
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�ACTiON NEEDED:Install AMR
Created by: Julie Horak Date Created: 2014-08-12
ACTION TAI�N:
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Status: In Progress Resident Contacted p
Date Completed: Completed by:
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� - City of Fridiey
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
I/we hereby authorize the City of Fridley and/or its
employees to do what is necessary to repiace the water meter. 1 understand tha#the property owne�
is liahle 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 employe�es harmless for any amages a may u ---
while doing this operation. This to include,but not limited to;valves,piping,walls,floors or the curb
stop box and service line. I understand 1 am also required to obtain a permit prior to any work,if
necessary. �
Pinal meter reading(old meteri
Name: Address•
Phone Number: Date; �l �I��
Signature:
Witness Signature:
FRIDLEY CITY C�DE
C APTER 402.WATER,STORM WATER,AND�4NITARY 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 or sewer line connecting the existing municipai system and any house
or building far which the appiication is made,the owner or contractor shatl 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 1Nater 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 MAINTENANCE TO CONNECTtON
���p• • • e to the water service curb stop box or the sewer lead at the propert�
iine or a water service or sewer lead has been extended to the property line for connectfon,the appticant,owner,
or the occupant or user of such premises shall be liable for ali repairs required to any water line and sewer(ines .
necessary for connection oF the premises from the main to the premises. If the prop�rty owner requests
maintenance service or repairs be pe�formed by the City,the property owner sha!!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 shalf 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 ciearing 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
.., _: _ . . ._ _ . __ _ . . . . .
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