Meter Swap ��" �
��` ����>�
� � �
�`� � Request Number: 6824
Public Works Division
Service Request
Problem Address: 6720 Madisor�St Rsquested By: AAaureen
Department: WATER Address: No address{xovided
Problemllssue: INSTALL METER Phone Number: 571-9626
Scheduled Date: 2093-08-30 Scheduled Time: 09:00:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-0&26
ACTION TAKEN:
Old meter#6741332 Old readin�90 New meter#44922506 ERT#35 59002
................................_...._.�......................_....._....._......_.._.._........._..._._._.______.._.._.._......_....._._..._____......._......_._.........._._.._._.. _....�....___._._.._.. _..._......
Status: Completed Resident Contacted O
Date Completed: 2013-08-30 Completed by: Pete Gunderson
Hours
�$�
�
Request Number: 6824
Pub(ic Works Division
Service Request
Problem Address: 6720 Madison St Requested By: Maureen
Department: WATER Address: No address provided
ProbleMlssue: INSTALL METER(WATER) Phone Number: 571-9626
Scheduled Date: 2013- -30 Scheduled Time: 09:OQ:00
� � �
ACTtON NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-08-26
ACTION TAKEN:
_.............................................................................................................._................................_..._...................................................................................................................................._...._..._....._................................_._.__._.._._......................___.................
........c��.-�,�....r'r1��--z-.�..�-.......-.........................�..��..�'1.�......._�.�......�:...._............................._..._.............................................................:___�........_...........:....._.......
........��..._..��._�..��--.........................._...............`��..�.:._c��....c.....�.........................................................................._.._........._...:..._........................__.�.. _
_...:.:....x�.��.....n�._�:T��-..........................._�_`�:��_�.5.��.........:................:.............................................................................._.�_.........................._. _
...............����...:..._��_��._�.-............�............................................................................................................, ...._
--_.�.....................��.�........._�-.:..............._�._�..._�.5..._`�:._t�.0�.......................,................_.....................:...........................:................................................... _.
... ..............................._.._
Status: In Progress Resident Contacted O
Date Completed: Completed by:
✓� �.. i
,
f �
City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��We hereby authorize the City of Fridley and/or its
employees to do what is necessary to replace the water meter. i understand that the property owner
is liable for the water line from the main to the premise and aii interior pfumbing. (Per City code
402.06) 1 also hold the City of Fridley and/its empioyees harmiess for any damages that may occur
while doing this operation. This to inclade,but not limited to;valves,piping,walis,floors or the wrb
stop box and service line. t understand I am also repuired to obtain a permit prlor to any work,if
necessary. � �
Final meter readin (old meter) ��� �
�
Name� — -- Address• �� � � �� -
Phone Number Date• �.�T��
Signature: '���L .
Witness Signature:
FRIDI.EY CI'!'Y CaDE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,565,629,638,662,922,988,1144, 1156,119Z)
4�2.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipa!system and any house
or building for which the application is made,the owner or contracto�shal!be required to o6tain a permit for such
connection,and shall pay a permit fee as provided in Chapter 12 of this Code. After such connection has been
made,the Water and Sewer Department shall be notified. It shall be unlauuful to cover any connecting line unti!an
inspection has been made and such connectian and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06.REPAtRS AND MAINTENANCE TO CONNECTtON
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 appiicant,owner,
or the accupant or user of such premises shall be liable for all repairs required to any water tine and sewer lines
necessary for connection of the premises from the main to the premises. If the prope[ty owner requests
maintenance service o�repairs be performed by the City,the property owner shali be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
poiicy. It shall 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 box for operability and at such height as wili ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191�