Meter Swap � �I�(�—�5131c�
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Request Number: 9337
Public Works Division
Service Request
Problem Address: 6299 Trinity Drive Requested By; Daniel Shupien
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Nuarber: 320-249-1001
Scheduled Date: 2014-11-04 Scheduled'Igme: 10:00:00
ACITON NEEDED:AMR install.Please call first before coming to home to make sure Daniel is awake.
Created by: Cheryl Pellegrin Date Created: 2014-10-31
ACTION TAI�N: �
Old meter# 19759105 Old readin 063 30 New meter#�:�old b�ass ERT#35171829 �.-
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Status: Completed Resident Contacted I'`
Date Completed: 2014-11-04 Completed by: RyanJohnson
Hours
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Request Number: 9337
Public Works Division
Service Request
Problem Address: 6299 Trinity Drive Requested By: Daniel Shupien
Department: WA7'ER Address; No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 320-249-1001
Scheduled Date: 2014-11-04 Scheduled'Iime: 10:00:00
�i�,� �'
AC'1'�ON NEEDED:AMR install.Please call first before coming to home to make sure Daniel is awake.
Created by: Cheryl Pellegrin Date Created: 2014-10-31
ACT[ON TAI�1V:
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Status: In Progress Resident Contacted t'�;;
Date Completed: Completed by:
Ic����y ����� � �
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� City nf Fridiey
- , .- ., Watpr Department
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6431 University Avenue NE
Fridley,MN 55432
(7fi3)572-3566
I/we herehy authorize the C�tY of Fridley and/or its
employees to do what is necessary to reptace the water meter. I urKlerstand that the property owner
�s i�ahle for the water t�ne from the main to the premise and al4 interior plumbing. (Per City code
4Q2.06) i also hold the Ciiy af Fridley andiits emptoyees 1�armless ar any amages ma -
while doing this operation. Tfiis to include,but not timited to;vatves.p+ping,walls,Hoors or the curb
stap box and service fine. i understand I am afso required to obtain a permit prior#o any warlc,ff
necessary.
Final meter reading�old meter) l.,/l�J �� �J�
Name: Address: �'n�y7 I f� �1�r��- bf��v
Phone Number. Date� r�l yC/y
Signature: � [rv✓�i���
Witness Signature: �
FRIDLEY CITY CaDE
CHAPTER 4�2.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord Na 113,464,565,5fi6,629,638,662,922,488,1144,1156,1191)
40z.05.PERMIT FEE
Prior to constructing or repair of any vuater or sewer line connecting the e�dsting municipal system and any house
or building for which the applicatian is made,the owner or cantractor shatl be required to obtain a permit for such
connection,and shail pay a permit fee as pravided in Chapte�11 nf this Code. After such connectian has been
made,the Water and Sewer Department shatl be notified. lt shall be unlawful to cover any connecting line until an
inspection has been made and such conneetion and the work incident theretu has heen approved by the City as a
proper and suitabie connection.
402.06.REPAIRS AND MAINTENANCE TU CONNECTIdN
�q�er�p�iQitlat.coane�n�a1�r�..M�,�a+n rt,p water service curh ston bnx or the sewer{ead at the propert'
iine or a water service ar sewer lead has been extended to the property fine for connecfion,the applicant�owner,
or ihe occupant or user of sucfi premises shalt be liabfe for al{�epairs required to any water line and sewer lines
necessary for cannection af the premises ftom the main to ihe premises. ff the prap�[ty owner requests
maintenance service or repairs be performed by the Gity,the property awner sha11 be charged for the costs of the
. maintenance andJor repairs, induding any necessary street repairs,at a rate set annuafly by an administrative
policy. It shall be the responsi6il'rty of the applicant,owner,occupant�user to perform standard maintenance af
• the sewer senr"ice Gne from the premises to the main inciuding debris ciearing or root cutting and to maintain tk�e
water service curb stup box for operabil'�ijr and at such height as will ensure that it remains above the finished
. _ . .._. ..
="gratt"e of tf�e lard or�rd�er�y.�(ReF 630,-1�`��-��n�) _- _