Meter Swap 6�-0'1
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Request Number: 8846
Public Works Division
Service Request
Problem Address: 185 Riv�r Edge Way Requested By: Tim Wiedeman
Department: WATER Address: No address provided
Problem/Issue: 1NSTALLAMRMEZER PhoneNumber: 571-6705
Scheduled Date: 2014-08-26 Schedul ed'Ii me: 09:00:00
ACTiON NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-08-25
ACTION TAI�N: �
Old meter#94392197 Old readi : 1563 60 New meter#44922046 ERT#35159489
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Status: Completed Resident Contacted 1"`
Date Completed: 2014-08-26 Completed by: Pete Gunderson
Hours
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Request Number: 8846
Puaic Works Division
Service Request
Problem Address: 185 Ri�r Edge Way Requested By: Tim Wiedeman
Department: WATER Address: No address provided
Problem/�ssue: INSTALL AMR ME'IER Phone Number: 571-6705
Scheduled Date: 2014-08- 6 Scheduled Tlme: 09:00:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-08-25
ACTION TAI�N:
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Status: Tn Progress Resident Contacted p
Date Completed: Completed by:
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- - City of Fridley
� Water Department
6431 University Avenue NE
Fridley,MN 5543Z
(763)572-3566
i/we hereby authorize the�tY�F�dley 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 _�`
402.06) I aiso hold the�t of Fridley and/its employees harmless or any amages a may
while doing this operation. This to include,but not limited to;vaives,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. i ,
1 � `�
Final meter reading(old meter)
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Name: Address•
�$� ��a�s �:4�w�
Phone Number "Date: ���� `�
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Signature: G
�..4.��1o,ls�
Witness Signature:
FRIDLEY CITY C4DE
�IppTER qp2,WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRAT�ON
(Ref Ord No 113,464�565,566,b24,638,662,922,988,1144,1156,1191)
402.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipat 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 shalt 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�oved b(nthe G U�as'a n
inspection has been made and such connection and the work incident thereto has been app Y tY
proper and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTfON
���b�p� r ervice cur6 sto box or the sewer lead at the propert�
line or a water service or sewe�lead has been extended to the property line for connection,the applicant,owner,
or the occupant or user af such premises shall be liable for all�epairs required to any wate�Ni�ne requests r lines
necessary for connection of the premises from the main to the premises. if the prop�[iy
maintenance service or repairs be performed by the City,the properry owner shall be charged for the cnsts 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,awner,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 finishe
. _ . .
_ __ .: _.__ .: ._...--- •-� __ .:_ ...__ ._:�. -___ _.-:.--_ ._ - ..__ _._ ._.
gracle of tfie landar�rnp�rty.-(Ref 63S,-S��S,..t39�:) .__
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