Meter Swap f 3�C�-�5 ���D
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Request Number: 9059
Public Works Division
5ervice Request
Problem Address: 6410 Starlite Circle Requested By: Stella Powell
Department; WATER Address: No address provicled
Proble�NLcsue: INSTALL AMR METER Phone Number: 612-508-0174
Scheduled Date: 2014-10-08 Scheduled 1Yme: 09:00:00
ACTION NEEDED:2014�
Created by: Wendy Hiatt Date Created: 2014-10-06
ACTION TAI�N:
Old meter#35261770 Old reading:0�6 560 New meter#44920920 ERT#35159799
Status: Completed Resident Contacted 1"'
Date Completed: 2014-10-08 , Compieted by: Ryan Johnson
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City of Frialey
Water Department
Address (9�fl�� ��/�'�.�.°'_
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Name GKR' -
Date ��"G' C�► � -
Old Meter Number ^ �� �� I
o1d Meter Reading 4� �3 Q —
Replacement No. "'}J'� �f� �Q
Replacement Reading C'� '
Replacement Make � P''� -
Remarks: _��� P�/' ���
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S igned �. ����--
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Request Number: 9059
Public Works Division
Service Request
Problem Address: b410 Starlite Circle Requested By: Stella Powell -. -
Departmentc WATER Address: No address provided
Problem/Lssue: INSTALL AMR METER Phone Number: 612-508-0174
Scheduled Date: 2014-10-08 � Scheduled Time: 09:00:00
� —1�
ACTiON NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-06
ACTION TAI�N:
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5tatus: In Progress Resident Contacted ❑
Date Completed: Completed by:
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� . City of Fridley
.. ._ .._ Water Department
6431 University Avenue NE A
Fridiey,MN 55432
(763)572-3566
��We hereby authorize tfie Gty of Fridtey artd/or its
empioyees to do what is necessary to replace the water meter, t understand that the propertY owner
���i�ti��for the water line from the main ta the premise and all intenar plum6ing. (Per CiiY code
402.06) 1 also hold the�ity of Fridley and/its employees harmtess�o�a�YTama`Bes�Fi�at maY�'
while doing this operadan. This ta inc{ude,!wt►wt ti�nited to;val�es�P�P��B.N►alis,floors or the curb
stop bax and service fine. I understand I am also required to obtain a permit prior to any work,if
necessary.
. � � � � �
Final meter reading(old meter� �
Name: Address:.yr,�_ t �
o:�
Phone Number: Date•
1C�� 'l
Signature• �
Witness Signature:
� FRIDLEY CITY CODE
H �rr R 4U2-WATER,STORM WATER,ANO SANITARY SEWER
ADMINISTRATION
(Ref Ord N+�113,454,565,566,629,638,662,922,988,1144,1156,1191)
4t�2A5.PERMIT FEE
Prior to constructing or repair of any water or sewer line con�e���or fia11 be requ'sredto obt in a permit foc such
or buiiding for which the application is made,the owner or c
connection,and shall pay a permit fee as provided in Chapter 11 of this C�de. After such connection has been
made,the Water and Sewer Department shat{be notified. 4t shall be unlawful to cover any connecting line until an
inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402,06.REPAtRS AND MAINTENANCE TO CONNECTION
���b�����c nPp[imad�to th�••,'*er service curb stop box ar the sewer lead at the propert�
line or a water service or sewer lead has been extended to the property line for connection,the appl�cant,awner,
or the occupant or user of such premises shall be liable for alf repairs required to any wato��er re uests r��nes
necessary for connection of the premises from the main ta the premises. if the propg(ty g
mai�tenance service or repairs be pertomned by the City,the property awnec shall be charged for the cosis of the
maintenance andlor repairs, inctuding any necessary street repai�s,at a rate set annually by an administrative
policy. It shafl be the respansibil'�ty of the applicant,owner,occupant or user to perfarm standard maintenance of
the sewer senrice line from the pcemi5es to the main including debris clearing or raot cutting and to maintain the
water service curb�top box for operability and at such height as will ensure that it remains above the finished
. _ ..
. . .. .
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gracte of tfie'land or-�rnp��'�y. (Re€63�,-�1�5,-t3`��� _� ._ _...._ ._._ _ ._ __.._ . . . .