Meter Swap � �
�� � �y
�� �� �
�-�� �
Request Number: 6841
Public Works Division �
Service Request
ProblemA�ddress: 763 Mississippi St Requested By: Ms Smo�ch
Department: WATER Acidress: No address provided
Problemllssue: INSTALL METER Phone Number: 571-5381
Scheduled Date: 2013-0&29 Scheduled Time: 01:30:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-0&28
ACTION TAKEN:
Old meter#14491061 Old readng�l0 New meter#44922533 ERT#3 59046
-`/
..................._.._....._................�..._._...�...._._......__._...._......_.__._._.........._._._._.___......___..._ _._....._....__........__._.__._....._.._..._.__ .�.._— .._.
Status: Corr�leted Resident Contacted ❑
Date Completed: 2013-0&29 Compieted by: Pete Gunderson
Hours
�v
��
Request Number: 6841
Public Works Division �„
Service Request �,
Probfem Address: 763 Mississippi St Requested By: N�Smolich
Department: WATER y � Address: No address provided
Problemllssue: INSTALL METER(WATER) , �Phone Number: 571-5381
Scheduled Date: 2013-08- � Scheduled Time: 01:30:00
t t���
ACTION NEEDED: 2013 AMR
!
Created by: Wendy Hiatt Date Created: 2013-08-28
ACTION TAKEN:
_............................................................._............................................................................................................,............................................................................................................................................................................................................_.................._............
�`����-'-�-- ` � � �f l�� �
............Q..............................:..._.............................................. ......................................................_�..................................................................................................................................................................................._..._.........................
,
_....__.....c�:�...�....�......:�_�C�...�:.............................._�`�..'.:�..._......��......._��.............................................:..............................:..........................._..................._._..._.�.._..............._
.............�:�..._....N.....1�-�t-�:._�....:..:................._`.-�!�I_�...�...�..�..��....................................................................................................................:.............:.................._
_...............:�1....�?_�::�--�._�'�-�:...�..`..........�......................................._............................................................................................: .
................._...................._............._...__..._......................................._
.........:......................E�.-7._#...........:............�_�_!._�..�..�._��........:..................................:...................................................................................._....................... . .
........................................
Status: In Progress Resident Contacted ❑
,
Date Completed: Completed by:
�l f `/t� . .
_ City af Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
���� , hereby autharize the City of Fridfey and/or its
emplayees to do what is necessary to replace the water meter. 1 understand that the property owner
is liable for the water line from the main to the premise and afl interior plumbing. (Per City code
402.06� 1 also hold the City of Fridley and/its employees harmiess for any damages that may occur
while doing this operation. This to include,but not limited to;va(ves,piping,walls,floors or the curb
stop box and service(ine. I understand I am also required tv obtain a permit prior to any work,if
necessary. � ��
Finai meter reading(ald meter)
�� �
Name• Address:
�'`(o •��'S� ' �-------
Phone Number: Date: �~��1
Signature: _ "
Witness Signature:
FRIDLEY CITY CaDE
CHAPTER 402.WA7ER,STORM WA7ER,AND SANITARY SEWER
ADMtNtSTRAT1aN
(Ref Ord No 113,�64,565,566r 629,6381662,922,988,11�14,1156,1191) _
402.05.PERMIT FEE
Prior to constructing or repair of a�y water ar sewer line connn�acto shall 6e equ redtoiobt n a permit fo�r such
or building for which the application is made,the owner or co
connection,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the V1later and Sewer Department shall be natified. lt shalt 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
propec and suitable connection.
4Q2.Q6.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water se he�o�e�Pin�farrconn ct on'the appl cant,awner,
line or a water service or sewer lead has been extended to p P
or the occupant or user of such premises shall be liable for all�epairs required to any water line and sewer lines
necessary for connectian of the premises from th�main ta the premis ow'ne shall be charged for he c sts of the
maintenance service or repairs be performed by the City,the property an administrative
mai�tenance and/or repairs, includ+ng any necessary street repairs,at a rate set annuaAY bY.
policy. it shali be the responsibiliry of the applicant,aw ludinC d br s clear ng orr oot tt ng and to mai tain thef
• the sewer service line frbm the premises to thE main inc g
water service curb stop box for operabiGty and at such height as will ensure that it remains above tt�e fin�shed
grade of the land dr property. (Ref 638,1156,1191j
Request Number: 12046
Public Works Division
Service Request
Problem Address: 763 Mississippi St Requested By: Dennis Smolich
Department: WATER Address: No address provided
Problem/Issue: STANDPIPE Phone Nwnber: 763-571-5381
Scheduled Date: 2016-09-30 SchedW ed 1lme:
ACTION NEEDED:Mark standpipe w/paint&flag
Created by: Wendy Hiatt Date Created: 2016-09-30
ACTTON TAI�N:
..................�____...._....��.>....._C�.�_�_��._�...�'_....__.._._�.l.�c.`�......_.__.......__ ___. __....._...__........___..._...
Status: In Progress 5ubmitter Hxs Been r..
Contacted
Date Completed: Completed by:
���-�(� .