Meter Swap � � �o�
�� ��� ��
�'� �2
Request Number: 6939
Public Works Division
Service Request
Problem A�ddress: 6749 Jackson St Requested By: AtOon Johnson
Department: WATER A�ddress: No address provided
Problemlissue: INSTALL METER Phone Number: 571-0284
Scheduled Date: 2013-09-10 Scheduled Time: 10:30:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-09-09
ACTION TAKEN: �
Old meter#35,5l3S7�Old readin 39 0 New meter#44922364 ERT#35160004
3���,`ll�,.._.......___........._..._ _.._........_..._.______..._........_............._....__.__...___ ____.._....__.. _
Status: Completed Resident Corrtacted ❑
Date Completed: 2013-09-10 Completed by: Pete Gunderson
Hours
8-3�y
� ,
'���'� '� ' r.��� , k'� -�� ,� w �dw
rss.; ,..������..
� 1 ��� x#. S, �
City of Fridiey
Nater Department
Address �fJ�� 1 ����-� S�
Name �C'�11dA JC��N�TO1..�
Date ��"' ���
Old Meter Number �b�� p v�'
Old Meter Reading � �
Replacement No. �. ��v
Replacement Reading ]"'
Replacement Make �1�
Remarks: �-��� ►l`��� -
' �
Signed�
� �
, ;': . �
Request Number: 6939
Public Works Division
Service Request
ProblemAddress: 6749 Jackson St Requested By: Alton Johnson
Department: WATER Address: No address provided
Problemflssue: INSTALL METER(WATER) Phone Number: 571-0284
Scheduled Date: 2013-09-10 Scheduled Time: 10:30:00
U� �� �:
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-09-09
ACTION TAKEN:
......................................................................_...........................__........._.____.___.............._..........................................................................................................._............._....._..............._........................._._......._._.........__....................._..._.........._...._
..._:....._�...[...!.......1���-:..._�........`...`................_��._�.�...��..._�._�............................................_................................:............_._.._...._.:.._........_.........._
_..........�_�c�...............��,,sU...'................................._�_��1.._`�:.._yC�....................................._...............:........................._.....:............_._............................_..__...................._
�� /�'1�-��t � ��1� � �C��f
,.........................................................................................................................................................................................................................................._..........................._........._....._.�.................._._........_.........................._......_....__.._......._.._.........._
_.......1���............_�.�.�...�.''�.._�.:��.........-....:.......�.........................................................................................................
..............._......................................._._....................................._.___...................
_:.................................._..:'�7....._'�.-..................._:�.`�.._�_�._�.'��..............................................................................._
Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
`�� « �-�
� �
� �
City of Fridley
Water Department
6431 University Avenue NE
Fridtey,MN 55432
(763)572-3566
��We hereby authorize the C'�ty of Fridfey and/ar its
empioyees to do what is necessary to repiace the water meter. i understand that the property owner
is tiable for the water{ine from the main to the premise and a{I interior plumbing. �Per City code
4d2.06) I also hold the Gty of Fridley and/its empioyees harmless for any damages that may occur
white doing this operation. This to include,but not limited to;valves.piping,walls,floors or the curb
stop box and senrice line. i understand I am also required to obtain a permit prior to any work,if
necessary.
Finai meter reading(old meter) ��� � "�
�Vame� Address• � t �� ` �P�-M1-��
Phone Number: Oate: � l`�"� l 9',_._.�—
Signature: �?��'1`�� \'"�E-�""'f'�
Wltness Signature:
FRIDLEIf CITY CaDE
CHAPTER 402.WATER,STOttM WATER,AND SANITARY SEWER
ADMINISTRATION
(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 municipai system and any house
or building for which the application is made,the owner or contracto�shaN be required to obtain a permit for such
connection,and sha{I pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Watec and Sewer Department shall be notified. It shall be unlawful to cover any connecting line until 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
After the initial connection has been made to the water servite curb stop box ar the sewer lead at the property
{ine or a water service ar sewer lead has been extended to the property line for connection,the applicant,owner,
or the occupant or user of such premises shall be liable for ali repairs required to any water line and sewer lines
necessary for connection 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 annuaHy by an administrative
policy. It shalt be the responsibiiity of the appficant,owner,occupant or user to perform star►dard maintenance of
• the 5ewer service tine from the premises ta the main including debris 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)