Meter Swap C2�`��
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Request Number: 8643
Public Works Division 3 3� �
Service Request �
Problem Address: 6250 RiverviewTerr Requested By: Patrick Delaney
Department: WA1ER Address: No address provided
Problem/Issue: INSTALLAMRME'IER PhoneNumber: 763-571-9633
Scheduled Date: 2014-07-31 Scheduled Zime: 10:00:00
ACTION NEEDED:install AMR
Created by: Julie Horak Date Created: 2014-07-29
ACTION TAI�N: �
Oldmeter#33588719 Oldreading: 61 70 Newmeter#�t�rass b�+ERT#35171806
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Status: Completed Resident Contacted I"''
Date Completed: 2014-07-31 Completed by: Ryan Johnson
Hours
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City of Fridley
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� Water Department
Address �j d��1�' Ki�Ql��du�� 12r 1��
Name ��t,'� �� 1 a 11 �y
Date t D "'"�-Q�
Old Meter Number � � o�d �
01d Meter Reading � �� 3 ��
Replacement No. 3 3 $� $ 7) y
Replacement Reading � �
Replacement Make c�.r�:q @P'
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Remarks:�� „�,..�� �
S igned ..�C��--�+
Y Request Number: 8643
,
Public Works Division
Service Request
Problem Address: 6250 Riverview Ten Requested By: Patrick Delaney
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-571-9633
Sched Date. 2014-07-31 Scheduled Tf ine: 10:00:00
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ACTION NEEDED:Install AMR
Created by: Julie Horak Date Created: 2014-07-29
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
, Fridiey,MN 55432
(763)572-3566
I/we hereby authorize the�ty of Fridley and/or its
employees 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 piumbing. (Per C'aty code
402.06) I also hold the City of fridiey andJits employees harmles�s or any amages a may oc ur -----
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
necessary. � � ^ �O
Final meter reading(old meter) � �
Name: Address �V� � ` ��
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Phone umber. - _Date: l ��
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Signature•
Witness Sig a re•
FRIDLEY CITY CODE
CHAPTER 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 or sewer line connecting the existing municipal system and any house ,
or building for which the appiication 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 MAINTENANCE TO CONNECTION
_q�-��q��,-.,n�p.�r�np hash�n rnade to the water service curb stop box or the sewer lead at the propert�
line or a water s�rvice or sewer lead has been entended to the property line for connection,the applicant,owner,
or the occupant or user of such premises shail 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[ly owner requests
maintenance service or repairs be performed by the City,the property owner shail be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annuaily 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
water service curb stop box for operability and at such height as will ensure that it remains above the finished
._ . _ ._ ._. _ -
_ _, ,.. __._ ___---gracte"of the 1�nd brproperty: (itef 63�;�1�56;139�:}-. ..- -