Meter Swap i �33c�-�SC��I�
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Request Number: 9271
Public Works Division
Service Request
Problem Address: 6160 Sunrise Dr Requested By: Deb Aibus
Department: WATER Address: No�ldress provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 763-504-2618
Scheduled Date: 2014-10-27 Scheduled Time: 10:00:00
ACTION NEEDED:2014 AMR
Created by: Wencty Hiatt Date Created: 2014-10-24 �
ACTION TAI�N:
Old meter#35510603 Old reading 111 30 New meter#44921487 ERT#35172461
Status: Completed Resident Contacted I'"
Date Completed: 2014-10-27 Completed by: Pete Gunderson
Hours
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city o� Fridiey
R��er Department
Address �� '�.-��SQ�""
Name_ I��Zt:�'�R� �l.�,�s �fs�L�1l
Date ""�3—
Old Meter Numb l55 nJ
Old Meter Reading �--�-- �"�
�eplacement No.� 'rj'S ` �j�ij(��
Replacement Reading �
Replacement Make �����
Remarks: u�
Signed
. _ . . l[�equest Num�,er: 9271
Public Works Division
Service Request
Problem Address: 6160 5unrise Dr Requested By: Deb Albus
Department: WATER Address: No adclress provided
Problem/Issue: INSTALL AMR ME'IER Phone Number: 763-504-2618
5cheduled Date: 2014-10-27 Scheduled 1lme: 10:00:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-24
ACTION TAI�N:
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Status: In Progress Resident Contacted C�
Date Completed: Completed by:
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- City of Fridley
_ _ _ .,
, : _. .. Watvr�epar�ment ..
, . ._ .
6431 Univer5ity Avenue NE �� �
Fridley,MN 55432
(7fi3)57Z-356fi
1/we hereby authorize the�t11 af Fridrey and/or its
employees to do what is necessary ta replace the water meter. I understand that the property owner
�sliable for the water tine from the main ta the premise and aff inter�or plumbing. (Per�ity code
402.Q6� 1 alsa huld the Gty of Eridley and/its employees harmlesa or any amages ma �
white doing this aperation. i'his to include,but nat limited to;vah+es.Piping.wa�l�.floo�'s ar the curb
stop box and service line. I anderstand 1 am also required tu ohtain a permit prioc to any worlc,if
necessary. �
Finai meter readin old met+er � �
g( 1 J.
,� ��
Name: Address•
Phone Number: �t�;_ �O��,�
Signature• �'
Witness Signature•
FRIQ4EY CITY CODE
CHAPTER 4t12.WATER,STORM WATER,AND�1N{TARY SEWER
ADMINtSTRATION
(Ref Ord Na 113,464,565,566,629,638,662,922,988,11A4,1156,1191)
402.05.PERMIT FEE �
Prior to canstructing ar repair of any uuater or sewer line connecting the existing municipal system and any house
or buifding for whicti the application is made,the owner ar contractor shafl be required to ohtain a permit for such
cannection,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shalf be notified. It shail be unlawful to cover any cannecting lir►e until an
Inspection has been made and such connection and the work lncident thereto has been approved by the City as a
prnper and suitabfe connection.
402.06.REPAIRS A1dD MAINTEI�AidCE 70 CONNECTION
,.,.:,.,.�..,.►.......m��a t.,_r _water service curh stoa box orthe sewer tead at the propert'
,�1�-��1�'-IG�I-COIl[��.ay�u.a�,a�.us.rr,��,,.
line or a water service nr sewer 4ead has been extended to the property line for cunnec6an,the appticant,uwner,
or the occupant or user of such prem'�ses shall be liabfe for alf�epairs required to any water line and sewer fines
necessary for connection of the premi�es from the main ta the premises. If the prop��ty owner requests
maintenance service or repairs be performed by the City,ttre property owner shall be charged for the costs of the
. maintenance and/or repairs, including any necessary street repairs,at a rate set annualiy by.an administtative
policy. It shail be the respansi6il'►ty of the appti�ant,owner,occupant or user to perform�tandard meintenance of
• the sewer service line from the premises ta the main inctuding de6ri�clearingflr raot cutting and to maintain the
water service curb stap box for operabifity and at such height as wiri ensure that it remains abave the finished ^
. . . __ .. . .-- - �--
"'gfade of�i�e iar�d orprope�ty.�jRe�6�5,Z�S,-1.��1:� _,. .� . _.