Meter Swap �j
� x
l
� � � Re uest Number: 6857
S� �� q
Public Works Division
Service Request
P�oblemAddress: 775 Mississippi St Requested By: Steve Baker
Department: WATER Address: . No address provided
ProblemJlssue: INSTALL METER Phone Nurr�ber: 571-2076
Scheduled Date: 2013-09-04 Scheduled Time: 10:00:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 201�08-30
ACTION TAKEN:
�d meter#36720121 Old reading• 604 30 New meter#44922424 ERT#35159532
Status: Completed Residerrt Contacted ❑
Date Completed: 2013-09-04 Completed by: Pete Gunderson
Hours
V
�
��
♦
s
Req uest N u m ber: 6857
Public Works Division
Service Request
ProblemAddress: 775 Mississippi St Requested By: Stev�e Baker
Department: WATER Address: No address provided
Problemllssue: INSTALL METER(WATER) Phone Number: 571-2076 .
Scheduled Da : 201 09-04 C�.�_ Scheduled Time: 10:00:00
4'•� � �1
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-08-30
ACTION TAKEN:
_..................................................................................................................................................................................._................................................................................................................................................._............_.................__._........_.._...........__............
_....�...�.�n..��-�.-.�:...........-.................................�...�...��.,�.._.......�....�......_.I_....�.._�........_.........................._..................................:............................._...........
���v� � ba��� ���
_.._c��..........�.....�............................................................................................................................................................................................................................................................................_._.........................._.__._._........................._............_
_..........�_�.._�.E�.-��--�.-...._�.-........................_��-.-�`�..�.._�._�-:1'._�.�...:................_........................................................................................:...........:............:......:..._
_......._�.�......_��..._���..........:............._�...............:.......................:...................................................................................................................................:
...................................................._..__.................._
_..........................:.........:......_�".._�......................_�_�.�...�..�...�_�.�..:..................................:.....:.................:............................_................__.._._�... _.�._
Status: In Progress Resident Contacted �
Date Completed: Completed by:
�L(.. ��
� J
.
_ 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 oWner
employees to do what is necessary to replace the water meter. I understand that the property
is liable far the water line from the main to the premise and al��ss for�an'dam,a�es that may occur
402.06) I also hold the City of Fridley and/its emploYees harmle Y
while doing this operation. This to inciude,but not limited t obtain a�perm t/priur to any wo k e f urb
stop box an d service line. 1 u n d e r s t a n d I a m a l s o r e q u i r e d t o
necessary. �
Final meter reading�old meter)
V
Name•
Address: ��� �'�,�1
. Date: `w�✓i�
Phone Number.
Signature:
.r--
Witness Signature:
FRIDLEY CI'TY CODE
CHAPTER 402.WATER.STORM WATER�AND SANITARY SEWER
ADMINISTRATIDN
(Ref Ord No 113,454,565,566r 629,638,662,922,988,1144,1156,1191) _ _
402.05.PERMIT FEE
Prior to constructing or repair of any water ar sewer line connecting�t shall be equiredto'bt in a perm'rt for such
or buiiding for which the application is made,the owner or contract
connection,and shall pay a permit fee as prol�be not f ed.tit shail be unlawful to cover any conne'cti g lineeuntil an
made,the Vllater and Sewer Department sha �oved h the City as a
tnspection has been made and such connection and the work incident thereto has been app Y
proper and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stopine forrconnect onI the appficantpovi►ner,
line or a water service or sewer lead has been extended to the property
or the occupant or user of such premises shall be fiable for all�epairs required to any wate��ne�nduestsef��nes
necessary for connection of the premises fram th�e Ci n tthe p operty owlne shati be harged for he costs of the
maintenance service or repairs be performed by th tY,
maintenance and/or repairs, including any neces5ary�w e�t occupant or user to perform sta da d ma ntenaince of
policy. It shall be the responsibility of the applicant,
• the sewer service line from the premises to the mai c�nn�dn adebii ensure hat t ema ns above the fin shed he
water service curb stop box for operability and at su g
grade of the tand or property. (Ref 638,1156,1191}