Meter Swap ,�
r��
>' �"� x-� �
t �s. ` u�� ,�a3��f��:�� ����„ ., '� '�'�3�-e n,s�,a' -
�y 3`.
city o� Fridley
Water De artment
Address ��2t���� ��
Name
�
Date — ��
Old Meter Number � S�S�� �
Old Meter Reading ��� ���
Replacement Na. � `
Replacement Reading
Replacement Make ���'Q-
j
Remarks:�_ �
S igned��
Request Number: 6798
Public Works Division
Service Request
Problem Address: 961 68th Av�e Requested By: Joyce Tebben
Department: WATER Address: No address provided
Problemllssue: INSTALL METER(WA1FR) Phone Number: 320-260-2218
Scheduled D te: 2013-08-26 � Scheduled Time: 07:30:00 ,
�
.- ,
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-0&22
ACTION TAKEN:
_....................................................................................................................................................................................................................................................................................._....................................._......................................................._.................._............_
.a_�.........._1M.e:�-,-«............�..........................................................................................�..._�'�........�..�..._�...�.�_�_�............................._..........................................._......_._.............................,........._
n._I..�............�'..e.._�:_d..�...."�............................................................................�....�_�..�.....�.._L�°................................................
............................................................................................._....._
1�._w............._�`^�:�"........._�:..............................................................��..���'�...........�_��y..._5................._�._a...`..':.�'
.............................
__�.e.w................._r�e q._d._�..'.�................................................................................................�...........................
.................................................................................................................................................................
_......._�_�-.71.............._�........................................................................_......�....-'.......�......_�_�..._�_.�....�..,.`�.............................................._........................................._............................................................._
Status: In Progress Resident Contacted�
Date Completed: Completed by:
�-�,6 �- �3
Hiatt, Wendy
Subject: Joyce Tebben, 320-260-2218, AMR @ 7:30 AM
Location: 961 68th Ave NE
Start: Mon 8/26/2013 7:30 AM
End: Mon 8/26/2013 8:00 AM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: White, Karen
Required Attendees: Hiatt, Wendy
1
, •
City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)5723566
I/we hereby authorize the City of Fridiey and/or its
employees to do what is necessary ta 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 piumbing. (Per City code
402.06) 1 aiso hoid the Gty of Fridley and/its employees harmless for any damages that may occur
white doing this operation. This to include,but not limited to;vaives,piping,walls,floors or the curb
stop box and service line. I understand I am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter) ���� � v
Name• � S`�
Phone Number: Date• � '�� �� � � —
Signature:
Witness Signature: �
FRIDLEY C{TY C�DE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
A�DMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988, 1144, 1156,1191)
402.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any hous.e
or building for which the appiication is made,the owner ar contractor shail be required to obtain a permit for sUch
connection,and shaif pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
. made,the Water and Sewer Department shati be notified. ft shall be uniavufu{to cover any connecting line until art
inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402A6. REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property
line or a water service or sewer lead has been extended to the property line for connection,the applicant,awner,
or the occupant or user of such premises shall be liable for ail repairs required to any water line and sewer lines
necessary for connectian of the premises from the main to the premises. If the prope[ty owner requests
maintenance service or repairs be performed by the City�the property owner shall be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
po4icy. It shal4 be the responsibiiity of the applicant,owner,occupant or user to perform standard maintenance of
• the sewer service{ine from the premises to the main including debris dearing or root cutting and to rnaintain the
water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of theland or property. (Ref 638,1156,1191)
Request Number: 6723
Public Works Division
Service Request
Problem Address: 961 68th Av�e Requested By: Joyce Tebben
Department: WATER Address: No address provided
Problemllssue: INSTALL METER(WATER) Phone Number: 32d-260-2218
Scheduled Date: 2013-0&19 Scheduled Time: 08:00:00
�
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2093-OS-15 '
ACTION TAKEN:
_........................................ .................................................................
........... ......................��.!�1.....�uc.��..�L,�+�C�_L.:........_�C-z�2........p�'Z......._ ��h��S
.................._ ..........._`��M� , �CC�S� l S._`.'�'o......_:S�1P�L-l:._..'t"o....._�2Ka►
� � ..............................�.................................
........................... .......... ....... .................................... . ................. ....................
�
5�� ��� ���c� �� R w���Z
.................... ..... ... :.... ...... .. ..... ............. ........ ............................................ .........................._.. ................:........... :�..............,�..-�.-��.,�...........�...�........�..��...r��v��
-
� - �� ��5 z� "z'Hc N1�t'�.
� ,
............................................................................._....................................._.......
_........._.�.................... ...._
.......:......:........ .... ......:........:.................................. ............... ........ ....... .... ........................................................................_.
� Z � �
Status: In Progress Resident Contacted �
Date Completed: Completed by:
t�- � ���
�-- 3
A
l �
- City of Fridley
Water Department
6431 Universiiy Avenue NE
Fridley,MN 55432
(763)572-3566
��We hereby autharize the City of Fridiey and/ar its
employees to da what is necessary to replace the water meter. !understand that the propertY owner
is liable for the water line from the main to the premise and all interior plumbing. (Per City code
402.06) t also hotd the City of Fridley and/its employees harmless for any damages that may accur
white doing#his aperatian. This to include,but not limited to;valves,piping,walls,floors or the curb
stap box and service line. 1 understand I am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meterj
���� �`�
Name• Address: —
Phone Number• Date� U�l�_} /
Signature:
Witness Signature:
FRIDLEY CITY CODE
CHAPTER d02.WATER,STORM WATER,AND SANiTARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1�144, 1155,1191)
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house '
or building for which the application is made,the owner or contracEo�shatl 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 cannection has been
made,the 1111ater and Sewer Department shal!be notified. It shalf be unlawful to cover any connecting line untit 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 C�NNECTION :
R�ter the initlal connection has been made to the water service curb sCap box or the sewer iead at the property
line or a water service or sewer lead has been extended to the property(ine far connection,the applicant,owner,
or the occupant or user of such premises sha(I be(iable far ail tepairs required to any water tine and sewer lines
necessary for connection of the premises fram the main to the premises. If the property owner requests
maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the
maintenance and/or repairs, inciuding any necessary street repairs,at a rate set annually by an administrative
policy. It shal{be the responsibility of the applicant,awner,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 maintain the
water service curb stop bax for operahility and at such height as will ensure that it remains above the finished
grade af the land or property. (Ref 638,1156,1191)
Hiatt, Wendy
Subject: Joyce Tebben, 320-260-2218, AMR @ 8:00 AM
Location: 961 68th Ave NE
Start: Mon 8/19/2013 8:00 AM
End: Mon 8/19/2013 8:30 AM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: White, Karen
Required Attendees: Hiatt, Wendy
1