Meter Swap � yo�i5-��5��0
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Request Number: 9110
Public works Division
Service Request
Problem Address: 6130 Starlite Bl�d Requested By: Pam Norton
Department: WATER Address: No address provided
Problem/Issue: INSTALL ANIIt ME1ER Phone Number: 612-490-6280
Scheduled Date: 2014-10-13 Scheduled Time: 08:30:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt r�ate Created: 2014-10-09
ACTION TAI�N:
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Old meter#93623375 Old reading:240 500 New meter#44920818 ERT#35172414
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Status: Completed Resident Contacted (-
Date Completed: 2014-10-13 Completed by: Ryan Johnson
Hours
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Request Number: 9110
Public Works Division
Service Request �
Problem Address: 6130 Starlite Blvd Requested By: Paxn Norton
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-490-6280
ScheduledDate: 2014-10-13 ^ ScheduledTime: 08:30:00
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ACTTON NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-09
ACTION TAI�N:
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Status: In Progress Resident Contacted C.7 '
Date Completed: Complete y:
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- City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)5T2-3566
��W� hereby author9ze the�ty of Fridley and/or its
employees to do what is necessary to replace the water meter. 1 understand that the propertY owner
��iiae�e fgr the water line from the main to the premise and ail interior plumbing. (Per C.ity c�e
402.06) 1 aiso hotd the Gty of Fridley and/its empfoyees harmtess�or any amages a may -~- --" -
whiie doing this operation. This to include,but not lim9ted to;valves,piping,walls,floors or the curb
stap box and service line. I understand i am also required to obtain a pecmit prioc to any work,if
necessary. w �� � ��
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Final meter reading(oid meter) ��jr� ��v�
Add��� �l�
Name: ' `
, Date: ��` �`�
Phone Number:
Signature:
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Witness Signature:
FRIDLEY CITY CUDE
CHA R 402.WATER,S70RM WATER,AND SANITARY SEWER
ADMIMSTRATION
(Ref Ord No 113,454,565,566,629,638,662,922,988,1144,1156,1191�
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 application is made,the owner or contractor shati be required to obtain a permit for such
connection,and shall 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 shaft be unlawfu{to cover any connecting line unttt an
inspection has been made and such connection and the work incfdent thereto has been approved by the Gty as a
proper and suitable connection.
402.06.REPAfRS AND MAIN'fENANCE TO CONNECTION
�f�.,�q�p�����nnartinn h�5 hPPn made to th�h^'^�service curb stop box or the sewer lead at the propert�
line or a water service or sewer lead has been exte�ded to the property line for connection,the appiicant,owner,
or the occupant or user af such premises shall be liable for all repairs required to any water line and sewer tines
necessary for connection of the premises from the main to the premises. If the propetty owner requests
maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the
maintenance artd(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 inciuding 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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