Meter Swap ( ���d�55. �1��1 �--I�
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Request Number: 9266
Public Works Division
Service Request
Problem Address: 221 Sylvan Ln Requested By: G�rtis Bolin
Department: WATER Address: No address provided
Problem/Lcsue: INSTALL AMR METER Phone Number: 763-670-2878
Schedu►ed Date: 2014-10-31 Scheduled Time: 02:30:00
ACTTON NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-23
ACTION TAI�N:
Old meter#9570468 Old reading.4209 30 Newmeter#44921931 ERT#35171645
Status: Completed Resident Contacted I"''
Date Completed: 2014-10-31 Completed by: Ryan Johnson
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City af Fridley
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. .. _ _ _ _ _ � _ �ei�aest l�TuYnbe�: 9266
Public Works Division
Service Request
Problem Address: 221 Sylvan Ln Requested By: Curtis Bolin
Department: WATER � Address: No address provided ���
Problem/Issue: INSTALL AMR METER Phone Number: 763-670-2878
Scheduled Date: 2014-10-31 Scheduled Time: 02:30:00
� s' � �..��
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-23 �
ACTION TAI�N:
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Status: In Progress Resident Contacted ❑
Date Completed: Complete
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- City of Fridley
- . - �lla�er Dppartment . _ ._ . . , .
. _.....
6431 Universiiy Avenue NE
Fridfey,MN 55432
(763i 572-3566
I/we hereby authorize the Lity af fridley and/ar its
- employees to do what is necessary to replace the water meter. I uncierstand that the proPerty owner
_is liable for the water line from the main to the premise and�{inter+or plumbing. (Per aty cade
402.06) !also hold the C'ity of Eridley and/its employees harmless or anY amages a may -
while doing this operation. This tu indude,but not limited ta;valves,piping,walls,floors or the curb
stap box and service line. I understand 1 am also required to abtafn a permit prior to any work,if
necessary.
�nal meter readin old met�r .1J�J � v�
B� 1 5 �V Ol.v`- C�
Name• Address• �
Phone Number: Date: .r���`� ��
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5ignature•
Witness Signature•
FRIDLEY CITY C�DE
CHpPTER 402.WATEEt,5'iORM WATER,AND SANITARY SEIIIIER
ARMINfSTRATION
(Ref Ord Na 113,464,565,566,629,638,662,922,988,1144,1156,1191)
h02.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connedingthe existing municipal system and any house
or building for which the appiicatian is made,the owner or contractor shall be required to obtain a permit for such
cannection,and shall pay a permit fee as pravided in Chapter 11 of this Code. After such connection has heen
made,the 1Nater and Sewer Deparlment shail be natified. It shall be unlawFul to cover any connecting line until an
inspection has been made and such connection and the work incfdent theretn has been approved by the�ty as a
proper and suitable�onnection.
4�2.06,REPAIRS AND MAtNTENANCE TO CONNECTION
��a�����a�tioo�Ma�p r�t�e water service curh stoa box ar the sewer lead at the propert'
line or a water service ar sawer lead has been extended to the property{ine for connection,the app{icant,owner,
or ths ocwpant ar user of such prem'ises shall be liable far alt�epairs required to any water line and sewer lines
necessary for connection of the premises from the main ta the premises. If the propecty awner requests
maintenance senrire dr repairs be performed by the City,the propeity owner shall be charged for the cnsts of the
. maintenance and/or repairs, including any ne�essary street repairs,at a rate 5et annua{ly by.an administrative
policy. It shal4 be the responsibility of the applicant,owner,occupant or user to perfarm standard malntenance of
� the sewer service line from the premises ta the main including de6risclearingor root cutting and to maintain the
water service cur6 stop box for operability and at such height as wiil ensure that it remains abave the finished
'-�grade of�ti�eland orpr�per-ty.�jREF b3�,1'�55,_t��3:) _. .� . T _-