Meter Swap /�0��'S-��55��!�
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Request Number: 9150
Public Works Division
Service Request
Problem Address: 232 Satalite Lane Requeated By: Chrissy Evans
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-965-5838
Scheduted Date: 2014-10-16 Scheduled'Iime: 10:30:00
ACTTON NEEDED:Tnstall AMR
Created by: Julie Horak Date Created: 2014-10-13
,
ACTION TAI�N:
Oldmeter#8645306201dreading•335 520Newmeter#44920934ERT#35172132
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Status: Completed Resident Contacted I"'`
'
Date Completed: 2014-10-16 Completed by: Ryan Johnson
Hours
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Request Number: 9150
Public Works Division
Service Request
Problem Address: 232 Satalite Lane Requested By: Chrissy Evans ,
Department: WATER Address: No address provided
PrablemlIssue: INSTALLAMRMETER PhoneNumber: 612-965-5$38
Scheduled Date: 2014-10-16 �..� 5cheduled 15me: 10:30:00
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ACTION NEEDED:Install AMR
Created by: Julie Horak Date Created: 2014-10-13
ACTION TAI�N:
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Status: In Progress Resident Contacted [�
Date Completed: Complete by:
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� City of Fridley
.. _ _ _ . V1l�t�*t�,�pa►tment
6431 University Avenue NE . , _. :
Fridley,MN 55432
(763)572-3566
I/we hereby authorize the�ty of Fridley and/or tts
empioyees to do what is necessary ta replace the water meter. I understand that the praperty owner
�sliable for the water line from the main to the premise and all intenar plumbing. {Pe�Gi�t code
4U2,Q6) 1 also hoid the Gty of Fridley and/its employees harm{ess or any amages a may -
while doing this aperation. This tu include,but not timited to;va{v�s►piping.waNs,floors or tfie curb
stop box and service line. t understand 1 am atso required to obtain a permit prior to any wark,if
necessary.
Final meter reading(old meterj � �� ���
Name: Address: ��J� l��L�17L �'"'""�
Phone Number Date: �_���� `
Signature:
Witness Signature:
FRIDLEY UTY C�DE
R 402.WATER,STORM WATER,ANO SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,624,638,662,922,9$8,1144,1156,1191)
402.05.PERMIT FEE
Prior to constructing or repair of any water or sewer tine conneding the existing municipai system and any hause
or building for which the application is made,the owner or contractor shail be required to obtain a permit for such
connedian,and shall pay a permit fee as provided in Chapte�11 of this Code. After such connection has been
made,ihe Water and Sewer Department shall be notified. it shall be uniawful to cover any cannecting line untii an
inspection has 6een made and such connection and the work incident theretu has heen approved by the Ciry as a
proper and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
..�#�p�������u.�a�PPn rnade to the water service curh stop box or the sewer lead at the propert�
line or a water service or sewer lead has been extended to the propertyline for connection,the applicant,owner,
or the�cwpant or user of such premises shall be liable far all�epair�required to any water line and sewer lines
necessary for connection of the premises ftom the main to the premises. if the propetty owner requests
maintenance senrice or repairs be performed by the City,the property owner shall 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 shall be the responsibility of the applicant,awner,occupant or user to petform standard maintenance af
� the sewer service line from the premises to the main including debris clearing or root cutting and to maintain the
water service curb�tap box for aperability and at such height as wili ensure that it remains abave the ftnished
. .. . ._ . ...__ -- .
,:gra�e'of tfie lard or�roper�y.�{ReF 635,_1�5,_1�n�:� _. .. . . _ _ _