Meter Swap I C t �l �15-�..��0
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Request Number: 9245
Public Works Division
Service Request
Problem Address: 280 Sylvan Ln Requested By: Jim Bromenschenko
Department: WA'IER Address: No adch�ess provided
Problem/Issue: INSTALL AMR ME'IER Phone Number: 651-336-1035
Scheduled Date: 2014-10-24 SchedWed Time: 08:00:00
ACTION NEEDED:Install�
Created by: Cheryl Pellegrin Date Created: 2014-10-22
ACTION TAKEN:
Old meter#32194777 Old reading 030 90 Newmeter#44921662 ERT#35172558
Status: Completed Resident Contacted C'"
Date Completed: 2014-1-0-24 Completed by: Ryan Johnson
Hours
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Request Number: 11735
Public Works Division
Service Request
Problem Address: 280 Sylvan Ln Requested By: Sandi Hara
Department: WATER Address: No address provided
Problem/Issue: FINAL METER READING Phone Number:
SchedWed Date: Scheduled'i�me:
ACTTON NEEDED:Final reading.Closed in June.ERT#35172558
Created by: Wendy Hiatt Date Created: 2016-07-19
ACTION TAI�N:
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Status: In Progress Submitter Has Been �
Contacted
Date Completed: Completed by:
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Request Number: 9245
Public Works Division
Service Request
Problem Address: 280 Sylvan Ln Requested By: Jim Bromenschenko
Department: WATER Address: No address provided
ProblemJIssue: INSTALL AMR METER Phone Nnmber: 651-336-1035
Scheduled Date• 014-10-24 Scheduled 1�me: 08:00:00
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ACTION NEEDED:Install AMR
Created by: Cheryl Pellegrin Date Created: 2014-10-22
ACTION TAI�N:
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Status: In Progress Resident Contacted CJ
Date Completed: Complete by: ��
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� City of Fridley
: Vllatpr Dppartment
. . ., ...,.. .
6431 Uni�ersity Avenue NE
Fcidley,MN 55432
(763)572-3566
I/we hereby authorize the tity of Fridtey andJor�.s
empbyees to du what is necessary to replace the water meter. I understand that the property owner
is iia6t�for the water line from the main to the premise and all int�rior plumbing. (Per City code
402.Q+6� 1 aisa hold the Gty of Fridley and/its employees harmless or any amages ma��
while doing this aperation. This to include,but not limited to;valres►Piping,walls,floors or the curb
stop box and service line. I understand 1 am aiso repuired to o6tain a permit prior to any work,if
necessary. � `Z'\-�/ � � O
Finat meter seading(oid meter�
Name: Address: v lN ���11�_ �
Phone Nunfber. Qate:
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Signature:
Witness Signatu
FRIDIEY C1TY CODE
CH R 402.WATER,STORM WATER,AND SANITARY SEWER
ADM{NISTRATION
(Ref Ord Na 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line cannecting the existing municipal system and any house
or building for which the application is made,the owner or contractor shall be required to obtain a permit for such
connettion,and shali pay a permit fee as pruvided in Chapte�11 of this Code. After such connection has been
made,the Water and Sewer Department shali be notified. it shaii be unlawful to cover any conneding 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.REPAIRS AND MAINTENANCE TO CONNECTION
�,�q�Q�aLcon�edi�has.h.a^^���a+�rhP water service curh stop box or the sewer lead at the propert�
line or a water service or sewer lead has heen extended to the propertytine for connection,the appiicant��wner,
or the occiipant or user of such premises shall be liabie for all�epairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. if ihe prope[ty oamer requests
maintenance senrice�r repairs be perFormed by the City,the property owner shall be cfiarged for the costs of the
, maintenance and/or repairs, inc{uding any necessary street regairs,at a rate set annually by.an administrative
Policy. It shall be the responsibility of the applicant,owner,occupant or user to pe�Form standard maintenance of
• the sewer service tine from the premises to the main inctuding debris clearing or 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 t�r��land or-pr�p��ty.�(Rs►638,-ZLS,.t�n3:j _. —'