Meter Swap y��� �� ���
��-f�
Request Number: 6636
Public Works Division
Service Request
Problem A�ddress: 931 Pandora Dr Requested By: Ron Slater
Department: WATER Auddress: No address provided
Problemllssue: INSTALL MElER Phone Number: 5740202
Scheduled Date: 2013-0&14 Scheduled Time: 10:00:00
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-08-0
ACTION TAKEN: f ✓
Old meter#99098797 Old readin • 157 0 New meter# � #35191376
g Sami9 t�6is3 bod.y�RT
Status: Comp�ted Resident Contaated ❑
Date Completed: 2013-0&14 Completed by: Pete C�underson
Hours
�� �
�l./
�'�Y
Request Number: 6636
Public Works Division
Service Request
Problem Address: 931 Pandora Dr Requested By: Ron Slater
Department: WATER Address: No atldress provided
Problemllssue: INSTALL METER(WATER) Phone Number: 5740202
Scheduled Date: 20 0&14 Scheduled Time: 1�:00:00
� � .
ACTION NEEDED: 2013 AMR
Created by: Wendy Hiatt Date Created: 2013-0&08
ACTiON TAKEN:
............................................................................................................................................_..................................................................................................................................................................................................._...............__............_._................................._
_........c�--�.............. ..........��.-........_-...................`..�.._�.._a`�.................:,�....`��............ ..................................._....................__............_...._.........................._.._.
�� .......... ...._.__
_........�L�......._��_��.-................._...._..�.__......._�...�...�_�..........�.`���...................................... ........................_........................_...__..:.._...:............__...............
� � � .
............ . .�-._...m.���._�:........................_-........:::.......................... ..........................:............................_��._���....._�........_......_.............
, ;
..... ........�.��....._t�.�..�.�._�...........�....,�...............................................................................................................................__.
....................................................................................................._..........._.._.._..
_........................_��-:1........_�:..-.........................._�..�.._`_�....._1�.�_G.�....:............:................._.........................._._..._._..:�.....�...._........:.........._.....................:.................__......._
Status: In Progress Reside�t Contacted ❑
Date Completed: Completed by:
_�� � � _ <�
c � ��
� �
_ City of Fridtey
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
�lWe hereby autharize the City of Fridley and/or its
empfayees to do what is necessary to repface the water meter. 1 understand that the property owner
is liable far the water line from the main ta the premise and all interior plumbing. (Per City cade
402.06) I also hotd the City of fridley and/its employees harmless for any damages that may occur
white doing tfiis operatian. This to include,but not lim�te t000bta'n a pe�'m t�P orsta any work if u�
stop box and service I�ne. I understand 1 am aiso required
necessary. � � t � ���
� �'
Fina!meter reading(oid meter)
t �
Name:
Address: ��� f��
Phone Number: �t +���t
Signature:
Witness Signature:
FRIDLEY CITY CODE
CHAPTER�Z•WATER,STORM WATER�AND SANlTARY SEWER
ADMINISTRATiON
(Ref Ord No 113,464t 565,5b6,629,638,662,922,988,1144, 1156,1191j ' Y
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer tine connectingo shat)be equ redtoiob a n a perrri�t fors ch
or bui{ding far whith the apptication►s made,the owner or contract
connection,and shalt pay a permit fee a{Pha�ti be not fed.tlt shall be un awfui to cover any conne�cting li eeuntii an
made,the Water and Sewer Departmen roved by the C+ty as a
inspection has been made and such connection and the work incident thereto has been app
proper and suitable connection.
402.Q6.REPAIRS AND MA{NTENANCE 1'O CONNECT�ON
After the initial connection has been made to the water service cur e�ap'ne for con ect on,the app ca�t awner,
4ine or a water senrice or sewer lead has been extended to the prop rt1+
or the occupant or user of such premises shaff be fiabfe far ait repairs requ9red to any wate��ner requests r lines
necessary for connection of the premises fro bt the Citytthe p operty owne shall be harged for the costs of the
maintenance service ar repairs be performed y
mainte�ance and/or repairs, including any ne'iecsan���ef�o pupant or ser ta pe�fo rm standard maintenalnce af
policy, It sha(I be the responsibility of the app
• the sewer service line from the premises to th�a$uch h�e gh as w li e sure hat it r ma ns above the fin sh d �
water serv�ce curb stop box foc operability and
grade of the tand or property. (Ref 638,1156,1191}