Meter Swap • • ��
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Request Number: 9069
Public Works Division
Service Request
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Prohlem Address: 6161 Stazlite Blvd Requested By: Diane Thorpe
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-360-8525
Scheduled Date: 2U14-10-10 Scheduled Time: 01:00:04
ACTiON NEEDED:Jnstall AMR
Created by: Julie Horak Date Created: 2014-10-06
ACTION TAI�N: ✓
Old meter#36996865 Old reading: 1799 SU New meter#4�920849 ERT#35172420
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Status: Completed Resident Contacted I"'
Date Completed: 2014-10-10 Completed by: Ryan Johnson
Hours
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Request Number: 9069
Public works Division
Service Request
Problem Address: 6161 Stazlite Blvd Requested By: . Diane Thorpe
Department. WATER Address: No address provided
Problem/Issue: INSTALL AMR ME'TER Phone Number: 763-360-8525
Scheduled Date: 2014-10-10 Schedul ed'Iime: O 1:00:00
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ACTION NEEDED:Install AMR
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Created by: Julie Horak Date Created: 2014-10-06
ACTION TAI�N:
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Status: InProgress Resident Contacted �
Date Completed: Completed b : •
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` . City of Fridley
_ _ _ . -. _ Water Department ,_ _ _. ...-:�, �
6431 tlniversity Avenue NE
Fridley,MN 55432
(763)572-3566
��we hereby authorize the tity of frid�eY andi°r its
empioyees to do what is necessary to repiace the water meter. 1 understand that the proPerhl owne�
%��i��+�p�r the water line from the main to the premise and ail interior plumbing. (Per�ity code
402.06f f alsa fiold the Gty of Fridley and/its emptoyees harmtess or any amages ffiat maY c�t-
while doing this operation. 7his to inctude,hut not timited to;valves�Pip�nB►walis,floors or the arb
�top box and service line, 1 understand I am aiso required to obtain a Permi�P�or ta any work,if
necessary. �� � �D
Final meter reading(old meter} ��
Name: Address•
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1d�-��e"l�
Phone Number: Date•
Signature:
IMitness Signature• ��
FRIQLEIf CiTY CODE
CH ER 402•WATER,STORM WATER,AND SANITARY SEWER
ADMiNiST'RA'i1f3N
(Ref Ord No 113,464,565,566,629,638,662,922,988.1144,1156,1191)
402.tN5.PERMil'FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipa{system and any house
or buiiding for which the application is made,the owner or contracto�shat4 be required to obtain a permit for such
connection,and shaN pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Departmonnectifon and the work incident theret�has been approved by he City as a n
inspection has been made and such
proper and suitable connection
40Z.06.REPAIRS AND MAINTENANCE TO CONNEC�ION
���� service cu�h sto box or the sewer lead at the propert� �
line or a water service or sewer lead has been e�ended to the propertyline for connection,the appiicant,awner,
or the occupant or user of such premises shalf be liable for af{�epairs required to any water tine and sewer tines
necessary for connection of the premises from the main to the premises. tf the propetty owner requests
maintenance service or repairs be pe�formed by the City,the property owner shafl be�arged for the ca�ts of the
maintenance and/or repairs, including any necessary street repairs,at a rate�et annua{ly by an ad�r►inistrative
poiicy. It shail be the responsibil'�ty of the applicant,awner,occupant or use�to pe�form standard meintenance af
• the sewer service tine from the premi�es to the main inciuding debris clearing or root cutting and to maintain the
water senrice cur6 stop box for operability and at such height as wiH ensure that it remains above the flnished
Re€63$,_ti�5,_t�93� ... .. . .. � . _ .
"'grade of�tf�eland or�rnp�r�y.
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