Meter Swap � i� ��;�—u���go
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Request Number: 9174
Public Works Division
Service Re.quest
Problem Address: 6360 Starlite Blvd Requested By: Crreg Frid
Department: WATER Address: No address provided
Problem/Lcsue: INSTALLAMRMETER PhoneNumber: 571-9712
Scheduled Date: 2014-10-17 Scheduled Time: 02:00:00
ACTION NEEDED:2414 f1MIt
Created by: Wendy Hiatt Date Created: 2014-10-14
ACTION TAI�N:
Old meter# 16929684 Old readin 4355 60 Newmeter#44921480 ERT#35172575
Status: Completed Resident Contacted {-
Date Completed: 2014-10-17 Completed by: Ryan Johnson
Hours
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Request Number: 8910
Public Works Division
Service Request
Problem Address: 6360 Starlite Blvd Requested By: Tracy w/P►merican Leak Detection
Department: WATER Address: No address provided
ProblemfIssue: TURN WATER ON/OFF Phone Number: 763-263-7773
Scheduled Date: 2014-09-10 �J Scheduled'Iime: 08:30:00
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ACTION NEEDED:'Ilirn on water.****BILL****
Created by: Wendy Hiatt Date Created: 2014-09-09
ACTION TAKEN:
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Status: Tn Progress Resident Contacted p
Date Completed: Completed by:
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Request Number: 9174
Public Works Division
Service Request
Problem Address: 6360 Stazlite Blvd Requested By: Greg Frid
Department: WATER Address: No adc�ess provided
Problem/Lssue: INSTALL AMR METER Phone Number: 571-9712
SchedWed Date: 2014-10-17 � Scheduled Time: 02:00:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-14
ACTION TAI�N:
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Status: bnProgress Resident Contacted O
Date Completed: Completed by:
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� City of Fridley
_ . . uvatpr pe�artment
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6431 University Avenue NE � �
Fridley,MN 55432
(763)572-3566
I/we hereby authorize the C�ty of Fridley and/or its
employees to dv what is necessary to replace the water meter. I understand that the property owner
_.is_1lable far the water tine from the main to the premise and all interior plumbing. (Per City code
402.06) 1 aisn hald the�ij►of Fridley and/its employees harmisss or any amages a may o -
while doing this operation. This to inciude,but nat limited to;valves,piping,walls,floors or the curb
stop box and service line. I understand 1 am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter) ��`-� "'v
Name: Address: tJ'� �O L j1�^" `� � �'✓�
Phone Num6er: te: f �����` `
5ignature: �
Witness Signature:
FRIDLEY CITY CODE
CHAP 402.WATER,STORM WA7ER,AND SANITARY SEWER
ADMINISTRATI�N
(Ref Ord No 113,4fi4,565,566,629,638,fi62,922,988,1144,1156,1191}
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 ar contracto�shall be required to obtain a permit for such
connectian,and shali pay a permit fee as provided in Chapte�11 of this Code. After such connectiun has been
made,the Water and Sewer Department shaf{be notifled. It shaH beunfawful to cover any connecting line until an
inspection has been made and such connection and the wark incident thereta has been approved by the Ciry as a
proper and suitab{e cannection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
.p{�p�..��i��nprr��n has I,pPn�nade to the water service cur6 stoa box or the sewer lead at the propert�
line or a water service or sewer lead has been extended to the properryline for connection,the applicant,owner,
or the occupant or user of such premises shall be liable far all�epairs required to any water line and sewer lines
necessary for connectian af the premises from the main to the premises. If the prop�[ty owner requests
maintenance service or repairs be pe�formed 6y the City,the property awner shall 6e ch�rged for the co�ts of the
. maintenance and/ar repairs, including any necessary street repairs,at a rate set annually by.an administrative
policy. It shall be the responsibility of the applicant,owner,occupant or user to perform 5tandard maintenance af
• the sewer service line from the premises to the main including debris clearing or root cutting and to maintain the
water senrice cur6 stop box for uperabifity and at such height as wil4 ensure that it remains above the finished
. . . . ._ . . .__ ._ .
:,'grade of�tii�lard or-property. (AeF 6�8,1�55,.:��n�:) .. . .. . .. . _ -