Meter Swap f�$I�-�-�0�
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Request Number: 9074
Public Works Division
Service Request
Problem Address: 6150 Trinity Drive Requested By: Steve Hilliazd
Department: WATER Address: No address provided
Problem/Issue: INSTALLAMRMEIER Phone Number: 763-574-1973
Scheduled Date: 2014-10-10 Scheduled Time: 09:00:00
ACITON NEEDED:Install AMR
Created by: Julie Horak Date Created: 2014-10-07
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ACTION TAI�N: � ���� J ��
Old meter# 13843464 Old readin 11 0 Newmeter#44920848 ERT#35172399 .
Status: Completed Resident Contacted C?
Date Completed: 2014-10-10 Completed by: Ryan Johnson
Hours
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Request Number: 9074
Public Works Division
Service Request �
Problem Address: 6150 Trinity Drive Requested By: Steve Hilliard
Department: WA1ER Address: No address provided
Problem/Lssue: INSTALL AMR METER Phone Number: 763-574-1473
Scheduled Date: 2014-10-10 Scheduled'Iime: 09:00:00
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ACTTON NEEDED:Install AMR
Created by: Julie Horak Date Created: 2014-10-07
ACTION TAI�N:
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Status: in Progress Resident Contacted ❑
Date Completed: Complet by:
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. City of Fridley
- •. Watec Department
6431 University Avenue NE
Fridtey,MN 55432
(763)572-3566
��We hereby authorize the GtY af Frid�ey and(or its oW�r
emptoyees to do what is necessary to replace the water meter. i understand that the propertli
�s lia������*�e water fine from the main to the Prerri�se and ail int�rior plumbing. (Per City code
4p2,06) i also hald the Giy of Fridley and/its employees harmiess ur any ama8es a ma�
white doing this operation. Th9s to include,but nat limited tb;+ra�y��P�Ping,walls,floors or the curb
stop bax and service line. I understand I am also required to obtain a Permit prior ta any work,if
necessary.
Finai meter reading(old meter)
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Name: Address:
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phone Tlum � � '
Signatuse:.
Witness Signature:
FRIDLEY C�TY CQDE
CHAPTER 4U2.WATER,STaRM W�►TER,AND SANITARY SEWER
AQMINISTRA'i'ION
(Ref Ord No 113t 464,5�5,566,629,638,662,922,988,1144,1156,1191)
4a2.05.PERMIT FEE
Prior to canstructing or repair of any water or sewer{ine conne a�or sha11 ben equiredtolabta n a pemi�t fo�such
or building for which the application is made,the owner or cont
connection,and sha11 pay a permit fee as prnvided in Chapter 11 of this Code. After such connection has been
made,the 1Nater and Sewer Department 5�i'on a d the work incident theret(fias been pproved by the Gty as'a n
inspection has been made and such connect
proper and suitable connection.
40Z.06.REPAIRS AND MAINTENANCE TO CONNECTION
������ er servic wrh st box or the sewer lead at the prapert"
line or a water service or sewer tead has 6een extended to the property line for connection,the appiicant,awner,
or the occupant or user of such premises shall be iiab4e for atl repairs required to any wat��I�Q{fQqu�r lines
necessary for connection of the premises from the main t��e�op�owine shall be d'iarged for the costs of the
maintenance service or repaics be pe�formed 6y the City,
maintenance andJor repairs, including heY�ne'�n�oWn�t o��p�nt or ser to perfo m st ndard main enante of
policy. It shali be the responsib�l�ty of Pp
• the sewer service line from the premises tQ nd t such heigh as wrill ensure hat t ema ns abo e the flnish�ed e
water service curh stop box for operability � _ _
.. . .. .
Re€638,-3,�55,.t.�93:� �
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'`grac�e of tfi�iand or�rope�.y. (