Meter Swap ,
� Request Number: 16572
Public works Division
Service Request
Problem Address: 7425 Concerto Curve Requested By: Sonham'
Department: WATER Address: No address provided
Problem/lssue: INSTALL AMR METER Phone Number: 763-270-9554
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Scheduled Date: 201?-08-08 Schednled Time: 0730:00
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ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-08-03
ACTION TAI�N:
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Status: In Progress Submitter Has Been r.
Contacted
Date Compteted: Completed by:���
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��'�� �rerebv�authorize the Caty of FrridPey artdjor�ts empioyees to do�rhat ss necessary t<
rep(ac2 the urater�eter, !�anderstand tteat the;oroperty�vner is�iable far ttae rovater line from the vraain to the premise and ell�rrter9o�
v9ur�bing. {Per City s.ode 4��.06) !alses 4�old the�'rtg�f Fssdtey andJ�ts employses har�nless f�r arry�iaenages that may occur aArhile doing thi:
o�seration, Z'4�is to�nclude,!mut not�imited to valves,pipir�g,vuaBts,f9oors�r the curb stop box and service line. !n undersCand 1 arn also a�qui
tcs�btain a germ�fi preor to any wortc,if�ecessary.
FlN�9L MEl'ER R (MG(cld meterj � � � � � � �
Name: � I�� Address � ! � � ���i' j�i{(�-� (j�l-��'�
Phone tVumber 4 `L�"d��"' 1��� �ate v _ v.,� ��
Signature Witness Signature —
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OtD READ�NG � � �� � �/ �
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FRIDLEY CITY CODE
CFBAdrCEtB Q��.wlA�l�,Sl'�RNt WATER a4filD SAN9TARY SE�/ER
ADM9RlIS'!'KAITlOi1t
�13ef Ord No 9.13,464,�65,5�6,629,538,562,922,988, 1144,1156,si��3
402.5 �ERMlT FEE
� Prsar to�onstructing ar repair o�F any water of sewer iine connecting the existing municipai system and arry i�ause or building for which the
appiication is rnade,#he owner ar contractor shal!be required to obtain a permit for such conrtection,and shatl pay a permit fee as provided ir
�hapter 11 of this�ode. After such connection has been rreade,the Water and Sewer Departmerrt shalt be notified. it shaH be unlawful to cov�
any connecting line urrti(an inspectiorr has been made and such conrtection and the yvork inciderrt thereto has laeert approved by the City as a
proper and suitabie connection.
402.06 REPAtRS AiVD iMA9N'1'ENANCE TO�ONNECI'tON
After t�e initiai connection has been+nade to the water sen+ice curb stop�ox ar the searer tead at the property line or a water service iead has
been extended to the property 9ine for zonnection,the appiicarrt,owrter,ur occuparrt or user of such premises shall be liabie for atl repairs
required to any water tine and seaver lines necessary For conneccion of the premises from the main to the premises. If the properiy owner
requests mairrtenance se�rice flr repairs be performed hy the Crty,the property owner shall be charged for the c�ts of the mairitenance artdJo
repairs,including necessary street repairs at a rate set annualty by an administrative poiicy. It sha(I 6e the responsibility oFihe applicarst,
awner,occupant or user to perform standard mairrCenance of the sewer service line from the premises to the main inctuating debris clearing or
root cutting and to maint-ain the+�vater senrice curb stop hox for operability and at such height as will ensure that it remains above fihe finished
grade of the(and or propert�,/. (Ref 638,1156,2.191)
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city of Fridley
Water Department
Address ��p(� �p k-�o 2�
Name �jOyA� �u t'C��P�
Date_ �`� (3��q
Old Meter Number I� �?j
Old Meter Readin 5� S3 � fl
Replacement No. ��s ie6ea
Replacement Reading �
Replacement Make "�
Remarks• Q� /V���
S igned_1��'����, �
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REQUEST FOR SERVICE REPORT
CITY OF FRIDLEY
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Reference Na Date: �
Request Type: Entered By:
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Department: Citizen Name: �`� �C����
Address: ��,�,� ��Ck,��� c-u(�sC= Phone Number: �63 ` °� ?v
Scheduled Date: Property Owner:
Location Details: Request Details:
Action Taken:
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Res onsibLe Person: ���
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Approver:
� Completion Date: �_l � Citizen Notified:
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