Meter Swap ` Request Number: 12944
Public Works Division
Service Request
Problem Address: 6810 Channel Rd Requested By: Gina Cl�ros
Department: WA'1F.R Address: No ad�ess provickd
Problemllssne: INSTALL AMR METER Phoae Nnmber: 651-214-6384
Schedi e Date: 2017-01-25 SchedeledTime: 07:30:00
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ACTION NEEDED:
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Created�y: WendyHiatt DateCre�ed: 2017-01-19 -
ACIION TAI�N:
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S�bmitter Hn�Beea �"'`'
Status: In Progress Co�acted �:
Date Completed: �� �� `�� Completed by: ,�'� ra`/"
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Hiatt, �Vendy
Subject: Gina Choros (owners sister)651-214-6384 install AMR to replace very old meter
Location: 6810 Channel Rd NE
Start: Wed 1/25/2017 7:30 AM
End: Wed 1/25/2017 8:00 AM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: Hara, Sandra
Required Attendees: Hiatt,Wendy
1
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6431 lOniversit�►s4venue 9Y�E Z D� � -/ 7'c�Ct��'J " � 'J��
Fradleya MA! 55432
753-572-3566 ��, '� '�� � Z,
' �l"�� hereby authorize#he City o#Fridley and/or its empioyees to do what Bs necessary to
replace#he wafier�neter. 1 understand that the property owner is liable for the water(ine from the main to the premise and all irrterior
plumbing. (Per City code 402.06j i also hold the City of Fridley and/Fts employees harmless for any damages that may occur while doing this
operation. This to include,but not limi#ed to valves,piping,waiis,floors or the turb stop box and service line. In understand!am also require�
to obtain a permit prior fio ar�y work,if necessary.
FINAL METER READING{o!d meterj� I � `�' � "
lYame: "�`V� ��"\�3 V�3� Address ��✓ �v �r'Kh we� � �
Phone Number�����1�� �� �� Dafie �������
r-
Signature �tness S�nature
OL�MET�R#��� � �� 7
OLD READtNG 1,1,0 � lSl-O
NEW METER#_' 1 l �I � / (��!
NEW READING v
�R�# � � gBC�`�'7 �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY 5EWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,985,1144,1156,1191j
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer tine connecting the existin�municipat system and any house or Ex�itdir�for which the
appiication is made,the owner or corrtractor shatl6e required to obtain a permit for such connection,and sNall pay a permit fee as provided irr
Chapter 11 of this Code. After such connection has been rnade,tfie Water and Sewer Departmertt sha8 be natffied. R shail be unlawful to c�r
any connecting(ine urrti(an inspection has 6een made and such connection and the worlc inciderrt thereto 6as be2n approved by the City as e
proper and suitable connection.
402.06 REPAIRS AND MAINTEtYAPYCETO CONNECTfOAi
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a water service Iead has
been extended Lo the property line for connection,the appiicarrt,owner,or accupant or user of such premises shalf be Itabie fw all repairs
required#o arty water line and sewer lines necessary for connection of the premises from the main to the premises. If ti�e property owner
requests mairitenance service or repairs be performed by the City,the proper#y owner shail be charged for the costs of the maicrtenance and/or
repairs,including necessary street repairs at a rate set annuaily by an administrafive policy. It shail be the responsibility of the applicarrt,
owner,occupant or user to perform standard maintenance of the sewer service line from tiie premises to the main inciuding debris dearing or
root cutting and to mairrtain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191i