Meter Swap i��c� ��-������ o
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Request Number: 9407
Public Works Division
Service Request
Problem Address: 6164 Star Ln Requested By: Jeff Harris
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-312-4199 or 952-476-0353
Scheduled Date: 2014-11-07 Scheduled T�me: 01:30:00
ACIION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-11-07
ACTION TAKEN:
Old meter# 11197400 Old reading:482 60 New meter#44921484 ERT#35171715
Status: Completed Resident Contacted !""
Date Completed: 2014-11-07 Completed by: Joseph Katzung
Hours
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Request Number: 9255
Public Works Division
Service Request
Problem Address: 6164 Staz Ln Requested By: Jeff Hazris
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 952-476-0353
Scheduled D te:._. . �--� 2014-10-31 Scheduled'Iime: 08:00:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-23
ACTION TAI�N:
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5tatus: In Progress Resident Contacted �
Date Completed: Complete y:
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� City of Fridiey
- . WatPr DeQartment
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6431 University Avenue NE
Fridley,MN 55432
(763j 57Z-3566
��We hereby authorize the City of Fridley and f or its
employees to do what is necessary ta replace the water meter. I understand�at the pro�rty owner
_isliahle far the water tine from the main to the premise and all interior plumbing. (Per Gty code
402.Q6) 1 alsa hold the Ciiy of Fridley and/it�employees harmless +ur any amages - - maY�'i-
while doing this operation. 't'his to include,but nat limited ta;+ralves►piping,walls,floors or the curb
stap box and service line, i understand 1 am also required to ohtain a permit prior to any work,ff
necessary.
Final meter reading(old meterj ,�
Name: Address• U`�`�'�` " � - "
Phone Number:
Date� �'� � .�
5ignature•
Witness Signature:
� �� ;,y . � �
� � � �� PRIDLEY CITY C�DE � �
C�GTER 4Q2.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref O�d No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.05.PERMIT FEE
Prior to constructing or repair af any water or sewer(ine connectingthe existing rnunicipal system and any house
or building for which the applicatian is made,the owner or contractor shali be required to obtain a permit for such
connectian,and shali pay a permit fee as pravided in ChaPter 11 of this Code. After such connection has been
made,the Watec and Sewer Department shall be notified. It shaii be unlawful to cover any connecting line untii an
inspection has been made and such connection and the wark incident thereto has been approved by the City as a
proper and suitable connectian.
402.06.REPAIRS AND MAIN7ENANCE TO CONNECTION
��b���q�n��,�p�,��made to thP watPr service curh stoa bux or the sewer lead at the propert�
line or a water service or sewer lead has been extended to the property line for connecfion,the appllcant,owner,
or the�cwpant or user of such premises shafl be tiabfe for a{{�epairs required to any watef line and sewt�lines
necessary for connection of the premises from the main to the premises. If the propgCty owner requests
maintenance service or repairs be perfarmed by the City,the property awner shall be d�arged for the costs of the
. maintenance andJor repairs, incfuding any necessary street repairs,at a rate set annuaAy by.an admin'�irative
Policy. It shail be the responsibility of the applicant,awner,occupant or user to perform 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 curh stop box for operability and at such height as will ensure that it remains above the finished
"'graife'ditir�lardo�-prnp��iy.�(Rei638,-1�6,.t��3:� ._� . -
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Request Number: 9407
Public Works Division
Service Request
Problem Address: 6164 Staz Ln Requested By: Jeff Harris
Department: WA1ER A,ddress: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-312-4199 or 952-476-0353
Scheduled Date: 2014-11-07 Scheduled Time: 01:30:00
,
� c� r�
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-11-07
ACTION TAI�N:
.....................................................:......................................................................................................................................................_..............................................................................................._._............................._.............._.........................................._..._................_
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Status: in Progress Resident Contacted ❑
Date Completed: Completed by:
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� - City of Fridley
_ - . iNat�r Departm+�nfi
b431 University Avenue NE ~
Fridley,MN 55432
(763)572-3566
I/we herehy authorize�e�ty of kidley and/or its
employees to do what is necessary to replace the wate�meter. I�de���at the prope�Y°�er
c �c liable fgr the water line from the main to the premise and all interior plumbing. (Per City code
402.Q6) I alsa hold the C'iiy of Fridley and/its employees fiarmlessfor any aamages�nai n�dr���
while doing this operation. This tu include,but not limited to;valr�s�Piping,walis,floors or the curb
stop box and service line. i understand 1 am also required to obtafn a Permit P�orta any work,if
necessary.
Finat meter ceading(old meter� ��� �
Name•
Address• lQ� n`1 �� N l
Phone Number: aate. l l 7 �y
Signature•
Witness Signature: �
fRiDLEY Cf(Y CODE
CHAPTER 402.WATER,STORM WATER,MIO SANITARY SEWER
ADMINISTRATI�N
(Ref Ord No 113,464,565,566,fi29,638,662,422,988,1144,1556,1191)
402.05.PERMIT FEE �
Prior to constructing ar repair of any water or sewer line connectingthe existing municipal system and any house
or building for which the applicatian is made,the owner or contracto�shall be required to obtain a permft for such
connectian,and shall pay a permit fee as provided in Chapte�11 of this Code. After such cannection ha5 been
made,the iNater and Sewer Department shall be nottfied. It shall be unlawful to cover any connecting line until an
in5pection has been made and such connection and the work i�cfdent thereta has been approved by the C'ity as a
>, praper and su'�table connection.
402.Ofi.REPAIRS AND MAINTENANCE TO C�NNECTION
��p� service curh st bnx ar the sewer lead at the propert�
line or a water seNice or sewer lead has been extended to the property tine fn�connection�the applicant�owner,
or the�ccupant or user of such premises shall be liable for all�epal�z required to any water line and sewe�line�
necessary for connection of the premises from the main to Che premises. tf�tkie prop�Cky awne�re4uests
maintenance service or repairs be performed by the City,the praPerty owner shall be tharged for the c4sts of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annuatly by.an admin'istrative
policy. It shall be the responsibil'rry of the applicant,awner,occupant or user to perform standard maintenance of
the sewer service line f�om the premises to the main including debris dearinga�roat cutting and to maintain the
_ _ . . .. . .. .. .... .�..... ..
water service curh stap box for operability and at such height as will ensure that it remains above the finished
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grade oftfi�land or-prop��ty.-jRe�635,Zi55,-t�9 _. ___. ... .. --.-- . . _._.