Meter Swap c � Request Number: 14846
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Public Works Division
��� Service Request
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Problem Address: 5594 Meister Rd Requested By: Charlotte Olson
Department: WA1ER Address: No a�iress providcd
ProWem/Issue: INSTALL AMR METER Plrone Number: 574-1437
Schedule :, 2017-04-28 � SchedNed'IIme: 09:00:00
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AG"1Tt'�rf�F,�U:She alresdy had an AMR installed on her regul�meter.Neecls aa�A�1R.for irr{gltion meCer.
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Created by: Wendy Hiatt Date Created: 201'7-04-21
ACTION TAI�N:
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Status: Tn Progress Snbmitter Has Been r
Contacted
Date Completed: Compteted by:
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City of Fridley
Water Department
6431 University Avenue NE �Q„ ���jcYl��
Fridley,MN 55432 0�
763-572-3566 ��- ���
�/We hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all iMerior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley andf its employees harmless for arry damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the aub stop box and service line. In u�derstarn!I am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter) �� �� � � ,�+�(•�•
Name: l/h_�i �,'� 1� V� Address �J J w t Y "�`~l�� �
Phone Number � b"l��' 1�'�1� 7�� Date ����L ` !
Signature J Witness Signature � �
OLD METER# Z (�b�����
OLD READING �� �� �
NEW METER# `�a � �`��
NEW READING V
E�# `� �--�2-�D3 0
FRIDLEY CI7Y CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,624,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to construding or repair of any water af sewer line connecting the existing municipal system and any house or building for whkh the
application is made,the owner or contractor shall be required to obtain a permit Eor such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connedion has been made,the Water and Sewer Department shall be notified. It shall be untawful to�ver
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the Ctty as a
proper and suitabte connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initiai connection has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable for ail repairs
required to any water line a�d sewer lines necessary for connection af the premises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maimenance and/or
repairs,including necessary street repafrs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicant.
owner,occupant or user to perform standard maintenance of the sewer service�ine from the premises to the main induding debris clearing or
root cutti�g and to maintain the water service curb stop box for operabitity and at such height as will ensure that it remains above the flnished
grede of the land or property. (Ref 638,1156,1191)
. � Request Number: 13196
Pu�lic Works Division
Service Request
Problem Address: 5594 Meister Rd Requested By: Chazlotte Olson
Departmeut: WA'IER Address: 5594 Meister Rd
. Fridley,MN 55432
Problem/Isaue: INSTALL AMR METER Phone Number: 763-574-1437
Scheduled Date: 2017-02-10 � Sc6edn[ed Time: 09:00:0(T
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AC'ITON NEEDED:
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Created by: BethKondrick Date Creatcd: 2017-Ot-31
ACIION T .
A����/� �
__-__�1��� 1-�►�---
Status: �n rro�ess submitt�r H�S seen �,
Contacted
Dxte Completeds Completed by:
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Wate�Department v --1 (p
5433.llniversitvf Arrersue NE �u � l ` "�
FridAey,MN 554�2 �
� 763-572-3565 � � � — � �j ��(,i� —L:
,
!/we_. hereby authorize#he Cit•y af Fridley andJor its empiopees to cio what is necessary to
replate#he water rneter. �understand that the property owner�s liabie for the�erater line from the main to the premise and all interior
pluenbing. (Per Crty code 402.06; i adso hold the City�f Fridiey and{tts employees harmtess#ar any damages that may otcur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box ar�d service line. In understand 1 am a{so require�
to ohtain a perm'rt prior to any�ror4c,if necessary.
F1NAL METER READIPiG(old meter} ��Q (�� ���
l�ame: � �� Ac(dress _���— 1 1-�ei��� �
�.
PhoneNumber�i����" `��� p�. 2°- ���,�
Signature - Witness Signature
OCD METER#��Z.�S 3�
OLD READE11iG_ �� L_- � (,J�U./
NEW METER# � "' � i��
NEW READIIVG �
� ►fJ �� W1 �
ERT# � �,or
4�� �
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t,�'0,�- U� .
FRIDLEY C1TY CODE �
CHAPTER 402.WATER,S70RM WATER AND SANtTAttY SEWER ��
ADMIAIISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,i191}
402.5 PERMIT FEE
Prior to constructing or repair of any water o#sewer line conn+ecting tfie existing municipal system and any house or bui{ding for which the
apptication is made,the owner or con#ractar sha(t be required to a6tain a permit for such connection,and shall pay a permtt fee as provided in�
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmer�t shall be notified. it shall6e un(awfut to cover
any connecting line until an�nspection fias been made and such connection and the work inciderrt thereto has been appro�ned by the City as a
proper and suitable connection.
4Q2.06 REPAIRS AND riRANYTENANCE TO CONNEC170N
After the initiaJ cortnection has been�nade to the water service curb stop box or the sewer Iead at the property line or a water servioe iead has
l7een extended to fihe property line for connedion,the appliprtt,owner,or accuparii or user of such premises shatt be liabie{p�a1�repairs
required#o any water line and sewer iines necessary for connection of the premises from the main to tfie premises. ff ii�e property owner
requests maintenance senrice or repairs be perFormed by the City,the proper�.y owner shaii be charged for tfie costs vf the matrttenarroe andf a�
repairs,inciuding necessary street repairs at a rate set annuaily by an administrative policy. It shatl be�e tespansii�ility o�f the applicant,
owner,occuparrt or user to perform standard mairKenance of#he sewer service line from t�e premises to fihe maia including debris dearing or
root r.utfiing and to mairtitain the water service curb stop boK for operability and at such height as witl ensure that it rernai�a6ove the finished
grade of the land o�property. (Ref 638,1156,1191)