Meter Swap Request Number: 9379
Public Works Division
Service Request
Problem Address: 5938 2nd St Requested By: Mitch or Jerry McNurlin
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 571-0874
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Scheduled Date: 2014-11-06 Scheduled T�me: 02:00:00
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ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-11-04
ACTION TAI�N:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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� - City of Fridley
- .... Wa��er D�partm�nt
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6431 University Avenue NE
Fridley,MN 55432
(763)57Z-3566
��We herehy authorize the�tY��d�ey and/or its
employees to do what is necessary to replace the water meter.
I understand that the proPert11 o+�nec
t ater line from the main to the prernise and all interier plumbing. (Per t�ty code
402.06� 1 alsa hold the Giy of Fridley and/its employees harmiess vr any amages may
while doing ifiis operetion. This tu inciude,but nat limited to;valves►Pip���,�115��0°�°r the curb
�top box and service line. I understand t am also required to obtain a permR prior to any work,if
necessary.
Flna!meter reading(old meter) ��� �"`6 d
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Name• Address• '� `�" � ` -
Phone Number. Date: ��'��r�
5ignature: ��,� p, ���
Witness Signature:
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FRfDLEY CITY CODE
CHppTER 4U2.WATER,STORM WATER,ANO SANITARY 5EWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,f 29,638t 66Z,922,988,1144,1156,1191)
402.05.PERMIT FEE �
n Prior to constructing or repair of any water or sewer line conne�tingthe existing municipal system and any hause
or bui�ding for whidt the application is made,the owner ar contractor shall be required to obtain a permi�for such
connectian,and shall pay a permit fee as provided in Chapter 11 of this Code. After such cunnectian has heen
made,the iNater and Sewer Department shail be notified. It shati 6e unlawFul to cover any connecting line untii an
inspection 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 CONNECTION
���p��� ___�_.,,,a:.,�,o�u�rpr servlce curh stop bux or the sewer lead at the propert" �
line or a water service or sewer lead has been e�ended to the proPertyfine for connechon,the applicant,owner,
or the�ccupant or user of such premises shall be liable for all�epairs required to any water line and sewer(ines
necessary for connectian of the prernise5 from the main to the premises. If the prop�tty owner requesk5
maintenance service or repairs be performed 6y the City�the property owner shall be tha�ged for the cosfis of the
maintenance andlor repairs, including any necessary street repairs,at a rate set annuafly by.an administradve
poticy. It shall be the responsihiliry of the applicant,awner,accupant or usec ta perFarm standard maintenance of
the sewer service line from the premises to the main including debris dearing or root cutting and to maintain the �,;,,_
water service cur6 stap box far operabilRy and at such height as wiil ensure that it remains abave the finished .
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,,•�rade of tii�iand or�rdp�rty.�jRe�630,-1��5,.t�n3:) _. . .._. ..._ _. .. ..._..
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