Meter Swap ��'�-'�"�� �
City of Fridley � �}�y�
Water Department '���
Address ��� r�at, e y�
Name �c,,. ���'j,��,.,,�
Date T ' t�"'Q-�
Old Meter Number � 9,�/�.�.�3
Old Meter Reading (�.'�— �/��.
Replacement No. /fL�J"',� ',��
Replacement Reading �
Replacement Make_ .��,��_�,�„�
ERT# ��-(} � 9,S"�
Replacement ERT#
Remarks: !�/�,�
Signed ���r�
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Req uest N u m ber: 7301
Public Works Division ,
Service Request
Problem�4ddress: 940 Pandora Dr Requested By: Jeff Miller
Department: WATER Address: No address provided
Problemllssue: INSTALL METER(WATER) Phone Number: 612-32&3517
Scheduled Date: 2013-12-10 Scheduted Time: 11:00:00
ACTION NEEDED: Install AMR
Created by: Wendy Hiatt Date Created: 2013-12-10
ACTION TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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City of�ridley L.t�„'"�, � �'j I�
W�ter Depart�re�nt
6���.tJnfv�rsity Avaennee!�E t��q��, F���
Frldiey,MN 55�32 �
�����sia-ssr� ��i 1 l 1 �j
1/we hereby authorixe Yhe City of�ridi��r and/ar Dikss
er�ployees tu slc�wfrat is n��cessary to repiat�the water meter. I untlen�t�trd that tfie pro{�e!rty a�rner
is ttab�e faar the w�t�r line from the maFn to the prernise and�(9#nter��rr plumbing. (Pee�ity r.�cie
�}2.06) I alsa h�ld th�City of Fridley andJits errapioyees harrnies�fvr any d:�m�ges that may arcu.•
while daing thi���erat�on. Thts ta irfclude,twt not 3Emit�d to;vaiv�s,pdping,walls,fia�rs or tf�e curb
�ts�p br�x�nd s�rvtCe line. !und+erstans!1 arr�also r�quired to obta3n a permtt priar ta any Mr+�s�k,!f
necessary.
Fir�al►r;eter reacling(ol�meter) �� �„�„ � � � - -- —
Name: Aiidr�sss:__���_����_� .�...
Pt�a�elVumb+�1:,;,,, Date: �SL=�`�_..;-.tic
Signature:
Vtitit,r�ess�ignature:
FRIDCEY CITY CODE
CHAPTER 4U2.WATER,STC9RM WATECt,AND SAt�ITAFfY SEVItEPi •
ADM1Nl5YRAT10N
(Ref Ord No 113,454�S65, 565,629.638,662,922,9fi$� 114A, 1156,1191}
402.05. PE�MiT FEE
Pri�,r tU��unstructing�r repair of any water os sewrer line connecting the exEsting rrt�nicEpaf syst�m arid aa�y hau.�
o�tauiie�in�for�rrhich tB��e�pplicataar,is made,the c��ivner ar cdntrac#oc�hal!be req+.;ired to o�►taln a persrEi.+.far s�c�;
ccrir.�ctaon,ar�d shalS pay a per�r�it f�a as pra��idett in Ghapter 11�f this�odEs. ,�ft�er sur.tr corsnettinr+has beer�
�a��,th�Wate�and Sewet�e�artrrient sha11 be rtotified. It s�sa�9 be�rnlawfui t�cnver any corsne��t'sr��(ine wntil�+n
i��pection h�s be�rs made aa�d sur.h conne�t'¢on and the wark incider��ther�to has bAen approve�by l��C+�v 3,�
pr�pe��nc!suita�le cQc�nedion.
�lO�.Q�.REPAtRS AND MltIRP'1'tENANCE TO CONIY�CTriON
Atter th�ir�ltia!connectian has been rnade to the water service curb stop box�r:Me s�wer lead at the�r�perty
� FF�f?z�r a watzr serv6ce or sew�r iead has beera extended to the prope!ty ian�fc.s�ct nnec,-t�ors,the appsicanc,owner,
t+r tha e�ccupani r�r tsser c+f such premises shali b�fiabie for ai!fep�irs;eqvjr��t�s�a,y�nrater tin�an�s�u�e�Ii��ses
�;ecessary�rar connect�on of khe pr�mis�s from the main ta the premises. If th�prc;�erty nwner reqisests
r�aint�r,ance senrice ar repairs bp performed by the�City,the pa�apert/tr�n�r sh�i!tr�th�r�ed for the�Qsts e€t�e
rr�aintenancra and�ar�epairs, includira�any necessacy street repairs,at�rate set a�i��uaily�y an�dm4nistrativ�
policy. #t shall b�the res�onsibility ai the�ppiicant,o��+ner,occupant nr use�ta��erforrn sta�da�dl maint�r�ance c,f
th�s�vr�r se��srir.e iine f►om Lhe premises te the ma�n lnciuding debrrs�t�arir��csr►��at tuttir�g an,�',i�maintain the
u���ter service�urb st�p b�x fa�o�rerabkiity and at s�ch hei�ht as wrili ensur�that st xerlta'sns above the ft�;�hed
grad��f the iand or�rtiperYy. (Ref�3&,1156, 1191�
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