Meter Swap < . �Ci����rad0�ey 2 ( � '" �p�`[�`� ` � J
,��` �a#e��e�sa�rnent
� b43�.l��iversBty A�renue iVE ��r `Ti j„
Erisltey,MN 55432 j v
763-572-3566
���""�e hereby authorize the City af�ridtey andjor+ts emp{oyees to da what is necessary to
replace the water meter. t vnderstand that the property�awner is liabie for tl�e water line from the main to the premise and all irterior
pfumbing. �Per�City tode 402.a6) 1 also hold t0�e City of Fridley ar►d/its empfoyees harmtess#or any damages that may occur while doing this
operation. This to+nclude,but nat timited to valves,pipirrg,uvaiis,floors ar the curb stop bax and service iine. fn understa�d i aro atso require
to abtain a permit prior to any work,if necessary.
FIMAL ME'iE�i READ{NG{old meterj � ��
Name• l.V L����J � �1 /Jv� �qddress f 1 ►w� �
s
Phone�tumber��,�"_J�f " �� ` Date � � � � � � /
�ignature �v�, Witness Signature -'
��.,
OI.D METER# � �/ �� '✓ ��
O[.D READING __ �.11�3 ��
�EwM��R� ��3� .�� 30
NEW READING v
ERT� �7a Z �c3� b
FRlDI.EY CITY CODE
CHAt�TER 402.V6/ATER,STC)RM difATER AND SAN{TARY SEWER �
ADMiNISTRATION
4�ef Ord No 113,464,565,566,629,638,662,92Z,988,i144,1156,1191j
402.5 PERMtT FEE
� Prior,to constructi�or repair af arry water ofi sewer line connecting the existing municipai system and arry house or buitciirtg#or which the
apptication is made,the owner or corrCractor shali be required to obtain a pesmit for such connection,and shal(pay a permit fee as provided in
Chapter 11 of this Code. After such connection has i�een made,the Water and Sewer Departmerrt shatf be notified. It shat!be untawfui to covec
any connecting line unfii{att inspection has been made and such cannection and the wor&incident thereto has been approved by the City as a
proper and suitabte connection.
402.06 REPAIRS AND MAiA1TENAIVCE TO COAt9YECTiOPi
After the initiat connectian has been made Co the water service curb stop hox or the sewer iead at the property line ar a water serv�ce iead has
been exfiended to the property line for connection,the applicarrt,o�vner,ar occupant ar user of such premis�s shali be liabte for all repairs
required to any wafier fine and sewer{ines necessary for con�ection of the premises from the main to ttte premi�s. !f the property ooaner
requests mairrtenance service or repairs be perforrr�ed by the City,the property owner shai!be charged for the costs af the maic►tenance andjar
repairs,inciuding necessary street repairs at a rate set annuafty by an administrative policy. It shail be the responsibi{ity of the applicant,
owner,accupant or user to perforrr�sCandard maintenance of tf�e sewer secvice line from the premises to ihe main includirig debris dearing or
root svtting and to mairnain#he�ratec service curb stop box for operabifity anci at such height as wil{ensure Chat it remains above the finished
grade of the ta�d oc property. (Ref 638,1156,1191)
�
., , .
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Request Number: 16490
Public Works Division
Service Request
Probl�m Address: 5375 Matterhom Dr Requested By: Charles Anderson
Department: WA1ER Address: No address provid�ed
Problem/Issne: INSTALL AMR METER Phone Number: 763-571-8461
-�`"
;�i -
Scheduled Date: 17-08-t 1 � Scheduled 13me: 1130:00
. � � �
.
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ACITON NEEDED:
;'`+�reated by: Wendy Hiatt Date Created: 2017-07-2?
ACTION TAKEN:
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Statas: In Progress Submitter Has Been �.
Contacted
Date Completed: �1 � � ` ' Completed by: � �
� a �
„�,
Request Number: 8978
Public Works Division
Service Request
Problem Address: 5375 Matt�rhom Dr Requested By: Mazk Jacobson(nephew) .�.
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 561-212-3504
Scheduled Date: 14-09-26 Scheduled'I�me: 01:30:00
w� ``�
ACTION NEEDED:Install AMR
Created by: Wendy Hiatt Date Created: 2014-09-25
ACTION TAI�N:
.................................................................................................................................................................................................................................................................................................................................................................................................._._._..._
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Status: 1n Progress Resident Contacted ❑
Date Completed: Completed by:
q/��f�
� �
Hiatt, Wendy
S'ubject: Charles Anderson is Owner-- Mark Jacobson(nephew)will meet guys to change out very old
rn�ierfor�liVlR 5��1-�12-35a4 c�il - . . . . _ , _.
Location: 5375 Matterhorn Dr NE
Start: Fri 9/26/2014 1:30 PM
End: Fri 9/26/2014 2:00 PM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: Hara, Sandra
Required Attendees: Hiatt, Wendy
Owner is ill&in hospital and has vision issues. Nephew is helping him but lives far away so AMR is needed.thanks.
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