Meter Swap i ��� �s�o�
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Request Number: 9251
Public Works Division
Service Request
Problem Address: 6280 University A� Requested By: D Camp
Department: WATER Address: No ac�dress provi�d
Problem/Issue: INSTALL AMR ME1ER Phone Number: 571-1450
Scheduled Date: 2014-10-23 Scheduled Time: 11:30:00
ACTION NEEDED:2014 AMR
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Created by: Wendy Hiatt Date Created: 2014-10-22
ACTION TAI�N:
Old meter#89487149 Old readin : 1031 00 New meter#44921660 ERT#35172322
Status: Completed Resident Contacted i�
Date Completed: 2014-10-23 Completed by: Ryan Johnson
Hours
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Request Number: 9251
Public Works Division
Service Request
Problem Address: 6280 UniversityA� RequestedBy: D Camp
Department: WATER Address: No addtess provided
Problem/Lcsue: INSTALL AMR METER Phone Number: 571-1450
Schedule 2014- 0-23 Schednled Time: 11:30:00
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,
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-22
ACTION TAI�N:
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Status: In Progress Resident Contacted I�
Date Completed: Co let
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� City of Fridley
- -... V1IatPr Department
,._ . ... .
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��w� hereby authorize the C+ty of Fridley and/or it�s
employees to do what is necessary ta replace the water meter. t�tderstand that the property owner
�s�iabie far the water line fram the main ta the premise ans!all interior pium6ing. (Per Gty code
402.46) !atso hold the City of fridley and/its empioyees harmless or any amages a may�c -
white doing this operadon. This to indude,but nat timited ta;vaNes�piping,walls,floors or the curb
stap box and service line. 1 understand t am also required to ohtafn a permit prior to any work,if
necessary. o ^ � �O
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Final meter reading(old met�erj
Name• Address�
��U� U \ ��l V�e•-
Phone Number Date• /D��✓�`�
Signature:
Witness 5ignature•
FRIDLEY C17Y CaDE
R 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINI5TRA1'ION
(Ref Ord Na 113,464,565,566,629,638,662,922,988,1144,1�.56,1191)
402.05.PERMIT fEE
Prior to constructing or repair of any water or sewer line conneeting the existing municipat 5ystem and any hause
or building for which the applicafian is made,the ow�er or contracto�shatl be�equired to obtain a permit for such
connecti�n,and shall pay a permit fee as provided in Chapte�11 of this Code, After such connection has been
made,the Water and 5ewer Department shaii be notified. It shall be uniawFul to cover any connecting line until an
inspection has been made and such connecCion and the work inciderrt thereta has been approved by the Ciry as a
proper and suitable connection.
40�.06.REPAIRS AND MAINTENANCE TO CQNNECTION
���b�p����a�,......„�.�o*.,r�,p watPr service cur6 stop box ur the sewer{ead at the propert�
liae or a water service ar sewer fead has been extended to the property line for connection,the applicant,owner,
or the occupant or user of such prerri�ses shall be liable for all repain required to any waterline and sewer lines
necessary for connection af the premises ftom the main ta the premises. If the propetty owner requests
maiatenance service or repairs be performed by the City,the property uwner shall be charged for the costs of the
. maintenance and/or repairs, including any necessary street repairs,at a rate set annually by.an administrathre
palicy. It shail be the responsihility of the applicant,owner,occupant or user to perform standard maintenance of
- the sewer service line from the premises to the main including debrisclearingor raot cutting and to maintain the
water senrice curb stop box for operability and at such height as wi�ensure that it remains above the finisfied `
"•grade of�tf7�land ur�rap�r�y.��ReF 638,]��5,.'t��3:) ..