Meter Swap ��3a�s- ���
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Request Number: 9073
Public Works Division .
Service Request
Problem Address: 61 S 1 Starlite Bl�nd Requested By: Ravin Nandk�unar
Department: WATER Address: No address provided
ProblemJIssue: INSTALLAMRMEZER PhoneNumber: 612-801-7042
Scheduled Date: 2014-10-13 Scheduled Time: 07:30:00
AC'IiON NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-47
ACTTON TAI�N:
Old meter#93 802491 Old reading: 1 S 51180 New meter#44920816 ERT#35]72384
Status: Completed Resident Contacted 1'-
Date Completed: 2014-10-13 Completed by: Ryan Johnson
Hours
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.
Request Number: 9073
Public Works Division
Service Request
Problem Address: 6151 Stazlite Bl�l Requested By: Ravin Nandkumar
Department: WATER Address: No address provided
Problem/Lssue: INSTALL AMR METER Phone Number: 612-801-7042
ScheduledDate: 2014-10-13 ScheduledTSme: ' 07:30:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-07
ACTION TAI�N:
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Status: In Progress Resident Contacted C7
Date Completed: Complete y:
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� - City of Fridley
- - , . - Water Department _
6431 University Avenue NE �`
Fridley,MN 55432
(763)572-3566
��We hereby authorize the Gty of Fr�d�eU a�d�°r� owner
employees to do wha�t is necessary to replace the water meter. 1 understand that the properfif
:..iCe.l+in fnr}Ito��r I�ne fram the main to the premise and all iMerior plumbing. (Per�ty code
402.Q6) 1 also hold the Gty of Fridley and/its employees harmless or any amages a ma`Y o��r-
while doing this aperation. This to include,but not limited to;vari�.P�P��g►�'��5��O°�°��e curb
stap box and service line. I understand I am also�equired to obtain a permit prior to any work,if
necessary. ��� � � ��
Final meter read�ng(old meter) ��� �����p� /
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Name• Addcess•
• Date: �T` 3^1
Phone Number
Signature: �
Witness Signature:
FRIDLEY CITY CODE
ER 402•WaTER,STORM WATER,ANO SANITARY SEWER
ADMINISTRATION
(Ref Ord N�113�464,565,566,629,638,662,922,988,1144,1156,1191)
402.05.PERMIT FEE
Prior to constructing or repair of any vuater or sewer line connecting the existing municipal system and any house
or building fior which the applicatian is made,iaed n Chapter 11 of thishCodee After such connection has been u�h
connection,and shall pay a permit fee as pro
made,the 1Nater and Sewer Department shaU be notified. tt sha{I be unlawful to cave�any connecting line until an
inspection has been made and such connection and the work incident thereto has been approved by the Gty as a
praper and suitable connection.
�402.06.REPAIRS AND MAINTENANCE TO CONNECTION
���� r service curb sto box or the sewer lead at the propert�
line or a water service or sewer lead has been extended to the praperty line for connectian,the applicant,owner,
or the occupant or user of such premises shaN be liable for all repairs required to any wate��Iner requests r lines
necessary for connection of the premises from the main t�„e pP�Pe�aw�ner shall be�►arged for the cA�ts of the
maintenance service or repairs be performed by the City,
maintenance andJor repairs, including any necessary street repairs,at a rate set annually by an admin'istrative
policy. It shali 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 o�root cutting and to maintain the
water service cur6 stop box for operability and at such height as will ensure that it remains above the finished
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