Meter Swap o�-=���-n�
��--`f fi�i9�
, City of Fridley
Water Department
Address 1�-� 1�51551�j
Name •�,(Z`� �J�{�
Date Ll ��y'�l=�
Old M ber �� �
�.noia �� Cab �
(,tr�CQ• ,�u:�.w��1� .
Re�lacemen�No. ��3��3
Replacement Reading
Replacement Make �l��x�
ERT# ������
Replacement ERT#
Remarks: �[ '� Ll�-j� �
� Signed .�a�, _
��vS'l� __, -
, •
� Request Number: 9818
Public Works Division
��C� (:n l�S, Service Request
Problem Address: �45�1`3�+e Requested By: Hazry Bahr
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-439-2888
Scheduled Date: 2015-03-02 Scheduled'l�me: � O1: •00
n �
ACTION NEEDED:AMR frozen.Cbange entire meter.Sandi Hara has already collected for entire meter.($230.85)
Created by: Wendy Hiatt Date Created: 2015-03-02
ACTION TAI�N:
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Status: 1n Progress Resident Contacted ❑ '
Date Completed: Completed by:
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.
- City of Fridiey
- . . ... Wat?r Dppartment
6431 University Avenue NE �
�ridley,MN 55432
(763)57Z 356fi
��We hereby authorize the�ty����ey and/or its
employees to do what is nec�ssary to replace the watec meter, l understand lfiat the property owner
-7s liable for the water line from the main to the premise and aN interior piumbing. (P�r t�ty code
402.06) I.alsa hold the Ciiy of Fridley and/it�employees harmiessfar any damages tna maY
while do9ng this aperatinn. This ta indud�,but not limited to;vaWes�P�ping.walls�floors ar the curb
�top box and service line. I understand I am also required to oht�n a permit prior to any work,if
- necessary. � tll ^
`�D ..-� ��
�inal meter reading(oid meter)
Name•
Address• ��O 15`lJ 155�
. . � . i �S � . .
Phone Number• �te� -----'—"
Signaivre: "
Witness Signature�
FRIDI.E1f GITY CODE
CHRprER 4p2.WATER,STORM WATER,AND SANITARY SEWER
ADMINiSfRA'110N
(Ref OCd t�o 113,464,565,566,629,638,562,9Z2,988,1144,1156,1141j
4A2.05.PERMIT FEE �
Prior to consttucting or repair of any water or sewer Iine connecting the e�ddsting municipa(system and any house
ar building for which the application is made,the owner or contractor shall be ree{uired to obCain a petmit for such
conttectian,and shal!pay a permit fee as pravided in Chapter 11 of this Cade. After such connection has been
made,the 1Nater and Sewer Department shall be notified. it sha116e unlawful to tover any canne�ting time u�rti)an
fnspection has been made and such cnnnection and the work incident thereto has been app�oved by the Ciry as a
properand suitable connection.
402.d6.REPAlRS AND MAINTENANCE TO CONNECi1QN
��]pj��,,�ppnarttnn naS�' an m�an+..++�a W�rPr��rvice curh staa box or the sewer lead at the propert'
line or a water senr[ce ar sewer lead has 6een extended to the properiy line for connectionr the apptican�owner,
or the occi�p�nt or user af such premises shall be liable far ai(�epahs required to any wate�r�n�e a�nd��r lines
necessary for connection of the premSses frorr►the ma9n to the premises. If the prop�Cy q
maintenance servite ar repairs 6e performed by the City,tF►e property owner shall be charged for the cflsts af the
. maintenance and/or repairs, including any necessary street repairs,at a rate set annuallyby an administrathre
poticy. it sfiaf{be the respons�hi�fi►af t�e appticant,owner,occupant o�user to perform standard maintenance af
• the sewer service line from the premises to the main including de6ri5�learing or root cutting and tv maintaln the
water service curb stap box for o rability and at such height as w�11 en�ure that it remafns abave the finished
P.e. . . . .. . _ . .. _ .. . ....... ... --
.,,g�,ade of't�ieiared or�ro���ty.-jReF 63�,1�55,t�`��� _. .� . . . . .