Meter Swap q5� y �- ys���
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Request Number: 8697
Public Works Division
Service Request
Problem Address: 184 River Edge Way NE Requested By: Terry Mudge
Department: WATER Address: No adclress provided
Problem/Issue: INSTALL t1bIIt ME'IER Phane Namber: 763-710-9623
,
Scheduled Date: 2014-08-07 Scheduled Time:
ACTION NEEDED:Install AMIt
Created by: Julie Horak Date Created: 2014-08-04
ACTION TAI�N: �
Old meter# 17338502 Old reading 511 00 Newmeter#44921457 ERT#35171059
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Status: Completed Resident Coatacted !!
Date Completed: 2014-08-07 Completed by: Ryan Johnson
Hours
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Request Number: 8697
Public Works Division
Service Request
Problem Address: 184 River Edge Way NE Requested By: Terry Mudge
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-710-9623
Scheduled Date: 2014-08-07 SchedW ed Time: •
� i
ACTION NEEDED:install AMR
Created by: Julie Horak Date Created: 2014-OS-04
ACTION TAi�N:
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5tatus: In Progress Resident Contacted ❑
Date Completed: Co le by:
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� - � City of Fridley
Water Department
6431 University Avenue NE
Fridiey,MN 55432
(763)572-3566
��We hereby authorize the C'rty of Fridfey and/or its
employees to do what is necessary to replace the water meter. I 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 hold the City of Fridley and/its employees harmless o�any amages may occ --
whiie doing this operation. This to include,but not limited to;valves,piping,walls,floors or the curb
stop box and service line. I understand I am also required to obtain a permit prior to any work,if
necessary. ��
finaf ineter reading(old meter) �� � �
Name� Address: �
PhoneNumber: Date: `��� `
Signatu . r
Witness Signature:
FRIDLEY CITY CODE
CHA 402.WATER,STORM WATER,AND SANITARY SEWER
ADMfNISTRATI�N
(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 conneding 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 shatl 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 unlawfui 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 AMD MAINTENANCE TO CONNECTION
���p� • ade to thP water 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 shaH be liable far a11 repairs required to any watec line and sewer lines
necessary for connection of the premises from the main to the premises. If the propetty owner requests
maintenance service or repairs be performed by the City,the properiy owne�shall be charged for the costs of the
maintenance andJor 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
wat.er service curb stop box for operability and at such height as will ensure that it remains above the finished
: _ _ . _ _. _. .
_ . :. .__. .. ._ . __.__grade of the iand 6rproperty:-(Ref 538,1156;1��93.}._ .. . . ._ .. _... .___ ____,. , _. _ -..- -_ .____ ---- .. .. .___ ___..�---