Meter Swap Request Number: 16271
Public Works Division
Service Request
Problem Address: 590 Kimball St Requested By: Joan Franzen
Department: WA'IER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-233-169�
SchedWed 2017 7-1 Schednled 1lme: 11:30:00
� �
ACITON NEEDED:
Created by: Wendy Hiatt Date Created: 2017-07-07
ACTION TAI� :
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Status: . 1n Progress Submitter Has Been r,
Contacted
Date Completed: Completed by:
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Hiatt, Wendy
Subject: 10NE FRANZEN AMR 763-233-1697
Location: 590 KIMBALI ST NE
Start: Tue 7/11/2017 11:30 AM
End: Tue 7/11/201712:00 PM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: Vang, Mai
Required Attendees: Hiatt,Wendy
AMR SCHEDt1LE
1
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City o#Fridley �
Water Departeveent (� � �'L�A��
fi431 University Avenue NE J `7 �•�
Fridley,MN 55432
763-572-3566
��We hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. i understand that the property owner is liable for the water line from the main to the premise and all interior
plumbing. (Per C'ity code 402.06) I also hold the City of Fridiey and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and senrite line. in understand i am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READIN6(ald meter)__� v Z� �"'"�
Name: �6�W� � Address ✓ F V `����1 ��
Phone Number� J� ✓d' ��V V� pa� �� �/�' I�
�Si nature WitnessSignature
OLD METER#_��� �� U�
OLD READING C��� (��
NEW METER# !q, LJ 7CJ��
NEW READING O
ERT# 4 li`�l� � KJ I �
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and arry house or buiiding for which the
application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerit shall be notified. It shail be unla�aful to cover
any connecting line until an inspectio�has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECT{ON
After the ioitial 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 to the property line for connection,the applicarrt,owner,or occuparrt or user of such premises shall be liab(e for all repairs
required to any water line and sewer lines necessary for connecfion of the premises from the main to the premises. ff the property owner
requests maintenance service or repairs be performed by the C'rty,the property owner shall be charged for the cosis of the maintenance and/or
repairs,including necessary street repairs 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 line from the premises to the main including debris clearing 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�nished
grade of the land or property. (Ref 638,1156,1191)
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� S'a# h� .ry;�,t h i ��i����x.H 1�FN ie�f."F
T '
'� �,,'�a�T t�Qa�,tment
Addre�s S�� P`�i F+'{ C��'
Name � O ��� Z�
,
Date �j � "a�
Old Meter Number � 'a'r �j�� � �" 1'
Old Meter Reading �$ ���
Rep2acement No. � �� � ����
Repla�ement Reading �
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' Replaceme�t Make � ��-�r
Remarks• OIU I'Y}��
S igned ,�...��/�-�—�