Meter Swap ,_
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Request Number: 9320
Public Works Division
Service Request
Problem Address: 6336 Starlite Blvd Requested By: Brandoh Day
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-834-0524
Scheduted Date: 2014-11-13 SchedWed'ITime: 08:00:00
ACTION NEEDED:AMR install
Created by: Cheryl Pellegrin Date Created: 2014-10-29
ACTION TAI�N: �
Old meter#93003724 Oid readin 1 OS 50 New meter#44922248 ERT#35172463
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Status: Completed Resident Contacted I''
Date Completed: 2014-11-13 Completed by: Joseph Katzung
Hours
�-�3
Request Number: 9320
Public Works Division
Service Request
Proble�'Address: 6336 Starlite Blvd Requested By: Brandon Day
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-834-0524
SchedWed Date: 2014-11-13 Sche Wed Time: 08:0 � 0
� ACTION NEEDED:AMR install
Created by: Cheryl Pellegrin Date Created: 2014-10-29
ACTiON TAI�N:
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Status: In Progress Resident Contacted Cl
Date Completed: Completedby:
Hours
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- City of Fridfey
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_ � .;.,., �v_ _ .. yVatpr Departmen .. . _.
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6431 University Avenue NE �� �
Fridley,MN 55432
(763)57Z-3566
I/we hereby authorize the�tN of Fridley and/or its
employees to do whaC is necessary to repface the water meter. ��e���at the pr°p��1►°+�►�r
is liabie r th water Iine from the main to the premise and all interior piumbing. (Per dty code
402.06) 1 also hold the Gty af Fridley and/tt�emplayees harmless �aay amages a ma -
while doing this aperadon. 7his to intiude,but nat limited to;vafves►P�Ping,watls,floors or the curb
stap box and service line. 1 understand i am also required to o6tafn a permit prior to any work,ff
aecenary.
�nal meter reading(otd meter) �S n� ^
Name: Address: �3310 S�u.r l ��+z t3tuc�,
PfioneNumber. Date: �����/��!
Signature: / ` �
_.,-.—.-----•---.
Witness Signature:
6RIDLEY CITY C�DE
CHAPTER 4D2.WA7'ER,S70RM WATER,ANDSANITARY SEWER
ADMINiSTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.05.PERMi7 fEE �
Prior to constructing or repair of any water ur sewer line connecting the existing municipal system and any house
. or buitding for which the app{icati�n is made,the owner or contracto�shall be requiced to obtain a permit for such
connection,and shall pay a permit fee as provided in Chapte�11 of this CAde. After such connection has been
madel the Water and Sewer Department shall be notffied. It shall be unlawful to cover any connecting line until an
lnspection has been made and such connectian and the work incidenC thereto has 6een apprnved by the t�ty as a
properand suitable connectian.
402.06.REPAtRS AND MAtNTENANCE TO CONNECTION
��i�I.trjptlecti�hac twan rnade t�+he water service curh stop bax or the sewer lead at the propert'
line ar a water service or sewer{ead has been extended to the propeityline for c4nnection,the apptiont,owner,
or the occuPant or user of such premises shali be liable for atl Tepairs required to arry water line and sewer iines
necessary for connection af the premises from the main ta the premises. If the prop��ty owner requests
maintenance service or repairs be pe�formed by the Ctty,the prop�ty awner shall be charged fnr the costs of the
. maintenance and/or repairs, induding any necessary street repairs,at a rate set annuatiy by an administraUve
policy. it shall be the responsi6ility of the applicant,awner,occupant�user to perfarm standard maintenance of
� the sewer service line from the premisQs ta the main inctuding de6ris clearing or root cutting and to maintain the
water service cur6 stnp box for operability and at such height as wiN ensure that it remains above the finished
,,,graife dit���land orpr�p�rty.�(Ret 638,-],�5,-:t��t�:) _, . ._ . .. �` --
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