Meter Swap CIr1� � -� � �So�C�
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Request Number: 8691
Public Works Division
Service Request
Problem Address: 6490 Ri�erviewTerrace Requested By: Be�rly for Shirley Se�rson
Department: WATER Address: No address provided
Problem/Issue: INSTALL�IItMETER PhoneNumber: 701-213-5726
Scheduled Date: 2014-08-07 Scheduled Time: 01:00:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-08-04
ACTION TAI�N: �
Old meter# 19453011 Old reading 121 70 New meter�F�r�lc b�asa bodyf�R'f#35172110
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Status: Completed Resident Contacted I''
Date Completed: 2014-08-07 Completed by: Ryan Johnson
Hours
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Request Number: 8691
Public Works Division
Service Request
Problem Address: 6490 Riverview Terrace Requested By: Beverly for Slrirley Se�rson
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME'TER Phone Number: 701-213-5726
Scheduled Date: 2014-08-07 Scheduled Time: 01:00:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-08-04
ACTION TAI�N:
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Status: In Progress Resident Contacted ❑
Date Completed: Compl by:
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� - City of Fridiey
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��We hereby authorize the�ty of Fridley andJor 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 or any amages a may occ ----
while doing this operation. This to include.but not limited to;vaives,piping,walls,floors or the curb
stop box and service line. 1 understand 1 am also required to obtain a permit prior to any work,if
necessary. r �� n � �O
Fina{meter reading(old meter)
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Name: Addreu' `r t l� r�" ��l�1''`� (-C/Y�
Phone Number. Date:
-7-I
Signature• `
Witness Signature:
FRIDLEY CITY CODE
C PTER 402.WATER,STORM WATER,AND 5ANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,985,1144,1156, 1191)
402A5.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 applicatian is made,the owner or contractor shall be required to obtain a permit for such
connection,and sha11 pay a permit fee as provided in Chapter ii of this Code. After such connection has been
made,tfie Water and Sewer Department shalt be notified. it shall be unlawful to cover any connecting line until an
inspection has been made and such cannection a�d the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06.REPAIRS AND MAtNTENANCE TO CONNECTION
_q{��_th�a • � • ade to thp warP�cervice curb stop bax or the sewer lead at the propert�
fine or a water service or sewer lead has been extended to the property line for connectfon,the applicant,owner,
or the occupant or user of such premises shall be liable for alt repairs required to any water line and sewer lines _
necessary for connection of the premises from the main to the premises. If the prope[ty owner requests
maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the
maintenance and/ur repairs, induding any necessary street repairs,at a rate set annually by an administrative
po(icy. tt 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 will ensure that it remains above the finished
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grade"ofttt�landorproperty: �4e#638,1156;�319i}._. ._... _._ . . ----.-. __. _.._----___. ___ .__ __ __._..___ _ ..