Meter Swap Request Number: 11363
Public Works Division
Service Request
Problem Address: 5566 Waldeck Xng Requested By: Rick Zandquist
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-298-4618
Schedul ed Date: 2016-04-20 Schedul ed Ti me: 07:00:00
� I �d`� � �
ACTION NEEDED:AMR
Created by: Wendy Hiatt Date Created: 2016-04-18
ACTION TAI�N:
.................................................................................................................._._..................................................................__............_....................................._.........._............._............__......_._...T.._.............................._.......................____._.....___..........
..............._�Ln...:...........l�--......c...c�:.�-.....---......................._�.:.�.._�..._l`�._...`�..J......_.......................................................................___. _._.
� ......... . ...............................__.............�.....__.._..�.
_
..........._6i...�..�............�........�.........'�..!..�............................._o�...`.�.9.�1......�..�.....�........�...............................................__..............................
................,�..��,�__.���:���:_�:............................���I�...._�:...��..�....�................_........................................_........................_...._..................__.___._.......................__.._......_...._...
....................�,�.��....._...�.....�......�.�....�...........-.t�..........._......:................................................................................._..............................................._....._......................................................................._._.....................:......
....................................:��:.._�t-::..........�................._��..����a.....................:..........................................................................._._.............._..__..................................._
Status: In Progress Resident Contacted C�'
Date Completed: Completed by:
� — �n ��J��vL�-
� � + � v
. .
- City of Fridley
- :_ =...• Watrr Department
.... - ._ _, ..__
6431 University Avenue NE
fridtey,MN 55432
(7b3)572-3566
1(we bereby authorire the City of Fridtey and/or its
employeas to da what is nesessary ta replace the water meter, �u���nd that the prop+erty own�
�liable for the water line from the main ta the premise and a�interior plarnbir�g. (Per f�ty cade
4a2.Q&� i.also hold the City of Fr3dley andJitc employees harmless r any amages�F�at maY�cc�+�
while daing this aperatian. This ta�ndude,but not limited ta,��►P�Pi�B•�►�oors or the curb
�tap box and service line. I anderstand 1 am aiso required to ohta�n a Permit P�o�t'D'any worl4 if
neces5ery.
�inal meter readin (old meter) �� � .
. g .
Name: Address:, ���(J �QL �,�—�
z�, _ ��, .
Phone Number• Date: .
5ignature: �
Witness Sgnature:
FRIDIEY ClTY CODE
CHA;PTER�02.WATEiC,STOttM WA'[Et�,AWO�NITARY SEWER
A�MINISTRATIQN
(Ref�rd No 113,454,565;566,6Z9,638,56Z,922,9&8,1144,1556,1191)
4i�Z,05.PE4tMiT FFE �
Priar to tonstructing or repair uf any water ar sewer fine connectingtfie existing municipal system and any hause
ar building for which the appiication is made,the owner or c�ntractar shatl be required to obtain a permit for such
canrrecGan,and shail pay a permit f�e as provided'm Chapter 11 of d�is ibde. After such cannectian has been
made,the 1Nater and Sewer Department shall be notified. It shalf he unlawful to caver any�onnecting line until an
inspection has been made and such connecCion and the work inddent thereto has 6een approved by the[�/as a
properand suitahte connectfan.
402.Ofi.REPAIRS AND MAtN'CEWANCE t0�C4NNECTION
��������� .. ,___�___.....aa+�t wa r service curb sta�bax or the sewer lead at the propert"�
line or a wa�er service er sewer lead has 6een exteaded ta the propertyline for connection,the applicant,owner,
ar the occupant or user af such premises shall be liable for ali�epai�required to arry water tine and sewer line�
necessary for connection of the premises from the main ta the premises. if the prap�[ky awner requests
maintenance service�r repairs be performed by the City,the prop�ty uwner sha11 be charged for the costs of the
. maintenance and/or repairs, including any necessary street repairs,at a rate 5et annaaf{y by.an admtn4sttative
policy. It shall be the responsihil'rty of the applicar�t,owner,occupantor user ta pecForm 5tandard maint�ance of
• the sewer service line from the premises to the main i�cluding dehri�clea�ing ar raot cutting and to main�ain the
water service cur6 stap box for operability and at such height as w�I ensure that it remains abave the finished .
.,.gra�te nf t���tand arprup�riy.-(R�63S,��55,.Z���:� .. .� . � . .. . . � =.-