Meter Swap �����������
D I���;
Request Number: 9058
Putilic Works Division
Service Request
Problem Address: 6171 Starlite Blvd Requested By: Ms Steinert
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMIt METER Pbone Number: 571-3397
5cheduled Date: 2014-10-09 SchedWed TYme: 07:30:00
ACTION NEEDED:2014 ANIIt
Created by: Wendy Hiatt Date Created: 2014-10-06
ACTION TAI�N:
Old meter#88136422 Oldreading: 124 80 Newmeter#44920921 ERT#35172383
Status: Completed Resident Contacted I""
Date Completed: 2014-10-09 Completed by: RyanJohnson
Hours
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Request Number: 9058
Public Works Division
Service Request
Problem Address: 6171 Starlite Bl�d Requested By:. Ms Steinert
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 571-3397
Schedule 2014-10-09 Scheduled Time: 07:30:00
.� � � �
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-06
ACTION TAI�N:
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Status: in Progress Resident Contacted �
Date Completed: Completed by:
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` - City of Fridley
__ . ' _. Water Department
_ __
- -. _ �.._._ _ ... __.
6431 University Avenue NE
Fridley�MN 55432
(763)572-3566
��We hereby authorize the��tY of Fridley andior its owner
employees to do what is necessary to rep1ace the water meter. I understand that the propertl►
ic liable for the water line from the main to the premise and all iMerior plumbing. (Per�ty c�de
402.Q6) 1 also hcld the Gty of Fridley andJits emploYees harmtess ar any amages ffiat maY�
while doing this operation. This to include,but not limlted to;valves,pipin6►Walls,floors or the curb
stop box and service line. I understand 1 am aiso required to obtain a Permit p�ioc to any work,if
necessary. � �� � p�
� Z ��
Final meter reading(old mete�) �f��
Address: lXl ` l ''�I �"y`� . "" �
Name• '-"'"�-
. Date: l���('/`(
Phone Number
Signature:
Witnes.s Signature:
FRIDLEY C171f CODE
CH ' ER 402.WATER,STORM WA7ER,lWD St�►NITARY SEWER
ADMINISTRATION
(Ref Ord No 113,4fi4,565,566,629,638,662,922,988,1144,1156,1191)
402.05.PERMIT FEE
Prior to constructing or repaic of any water or sewer line conne a�o shal be equiredto obt in a permit forsuch
or building for which the applicatian is made,the owner or cont
connectian,and shall pay a permit fee as provided in Chapter il of this Code. After such connection has been
made,the Water and Sewer Department 5ct'on and the wark ncidenttheret)has 6een approved by he Ciry as an
inspection has been made and such conne
proper and suitabte connettion.
4a2.06.REPAIRS AND MAINTENANCE TO CONNECTION
-A#t�r-tl�-ipi#Ia4connection-bas
-�-�-•��•�-�*�r service curb stop box or the sewer lead at the propert�
line or a water service or sewer lead has been extended to the property line for connection,the applicant,owner,
or the occupant or user of such premises shall be liable for all�epain required to any watowner reduests r�ines
necessary for connectian of the premises from the main to the premises. if the prope[ty 9
maintenance service or repairs be performed be ae�street r paprs,et a ate et a'nual y by an adm nist ati ethe
maintenance and/or repairs, including any nec ry
palicy. It shall be the responsibil'�ty af the applicant,awner,occupant or user to perFarm standard maintenance af
• the sewer service(ine from the premi5es toand at such h'eigh as will ensure hat t ema ns above the finishedthe
water 5ervice curb stop boxfor operabi4ity - -- � --- - �� _ _
� . . - _ . .
.._ ....
::gract'e of tf�e land ar�rop�t�y.��R�F 638,-ti155,.t��3:� .._
_ .: . .__._ ._ _. ._ ....._ --