Meter Swap ��� �
.�
�•�.� , �----,
� ,�
d ���
��
-�-� Request Number: 6849
Public Works Division
Service Request
Problem Address: 6558 Cbv�er PI Requested By: Myrna Bourcy
Department: WATER Address: No address provided
Problemllssue: INSTALL METER Phone Number: 6132-86&9261
Scheduled Date: 2013-0&03 Scheduled Time: 10:30:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-08-29
ACTION TAKEN:
Old meter#33046544 Old readi : 1143 90 New meter#44921397 ERT#3515938
_._........... .......... ..1�... ...._. .__. ._.. ...�__ ...... .�...................._..__._..._.._.___...�.. ..m.�.._..�.._..._._.._
Status: Completed Resident Contacted O
Date Completed: 2013-09-03 Completed by: Pete Gunderson
Hours
�
�5`38'
�
..; _ _—_ ,,�,s�-�;.,� �, _ •
--._. __ _— ,
.. ���1�- _.
�,
,, City of Fridley ������� -.
water Department ��
,�
,.. Address ��5�j �,L�X�"R ��K�
;� Name ���1�(�
. Date �-n���(J�O � - _
� Old Meter Number 1 � t '�J�l
Old Meter Reading ���
Replacement No. � ��
Replacement Reading�
' Replacement Make �(� �
. Remarks•-�/C� ��� �
Signed
_ ,.. _ , _ . _ , �_. _...
� _.. _ - _. . _ _ _ _._.
.
Request Number: 6849
Public Works Division
Service Request
Problem Address: 6558 Cbv�er PI Requested By: Myrna Bourcy
Department: WATER Address: No address provided
Problemlissue: INSTALL METER(WATER) Phone Number: 6132-86&9261
Scheduled Date: "� _ � Scheduled Time: 11:00:00
`��S -- ��- �'' � - !c���
ACTfON NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-08-29
ACTION TAKEN: '
........................................................................................................................................................................................................................................................................................................................................................................___............_..........................
.
_.....���.._�.�....z.......��-�........:.-........................._... .�....�..._��.......�0_1�.�_�..............................._............:....._..................._.._.._................_......_........_.__........................._
......_a��........_�..���._�.�:'.......................................�.._�...�'_�......_�:.C�.............................................................._........_.___....__._._....._____._�.�_.�......_
.
........._��`�.5......�..1���-..�............:............�����..._1.:�_�_`7..............................................._.................................._._....._...................._...............:...........:..............._....:............._
_........��.........��.._�_c�:-.............�...............................................................................................:..................................._......................................_..._....:................_..........................._. _._. _. .
........... ... ........
�rz..� �.-...................�_�i.....�._�I._���................................................................................................................................................:........:...:..................___..
..................................................................................... _ ..
Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
������
�
e _
,
, - ' - City of Fridley
� Water Department
--_ ___
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
I/we hereby autharize the City of Fridiey andJor its
empioyees to do what is necessary to replace the water meter. 1 understand that the property owner
is liable fur the water line from the main to the premise and all interior plumbing. (Per City code
402A6) i aiso hold the City of Fridley and/its employees harmtess for any damages that may occur
while doing this operation. This to include,hut not limited to;valves,piping,walis,flaars or the curb
stop box and service line. 1 understand I am aiso required to obtain a permit p�ior to any work,if
necessary.
Final meter reading(old meter) � � � � �
� Name�
Address: � `-� ""�(`�--��
Phone Number: Date: �
Signature:_ v �
Witness Signature:
FRIDLEY CfTY CODE
CHAPTER 402.WATER,STORM WATER,AND SANiTARY SEWER
Q►DMINISTRATICIN
(Ref Ord No 113,464,565,566,629,638,662,9Z2,988,1144, 1156,1191}
40Z.05. PERMIT FEE
Priar to cvnstructing 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 contractor shaU 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 connection has been
made,the 1Nater and Sewer Department shali be notified. it shalt be anlawfui to cover any connecting line until an
inspection has been made and such connection and the work incident thereto has been approved by the Gity as a
proper and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECT{ON
After the initial connection has been made to the water service curb stop box ot the sewer lead at the p�operty
4ine or a water service or 5ewer lead has been extended tv the property line for connection,the applicant,owner,
or the occupant or user of such premises shall be liable for all�epairs required to any water 4ine and sewer lines
necessary for connection of the premises from the main to the premises. If the property owner requests
maintenance service or repairs be performed by the�ty,the property owner shall be charge an adm nistrafi ethe
maintenance and/or repairs, including any necessary street repairs,at a rate set annuaily by.
po(icy. It shall be the responsibility of the applicant,owner,occupant or user to perform standard maintenance af
• the sewer service line from the premises to th�main including dehris clearing ar root cutting and to maintain the
water service curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property• {Ref 638,1156,1191)