Meter Swap � ���
��--��v�� �il����
Request Number: 6479
Public Works D'nrision �
Service Request '
Problem A�ddress: 6870 Washington St Requested By: Norman Bendl
Departmerrt: WATER Address: No address provided
Probleml�sue: INSTALL METER Phone Number: 763-571-7123
Schedu�d Date: 2013-07-25 Scheduled Time: 08:30:00
ACTION NEEDED: 2013 AMR '
1
Created by: Wendy FGatt Date Created: 2013-07-23
ACTfON TAKEN: �� �
Old meter#86453073 Old readin •.d 2550�60 New meter#44248428 New reading: 0 ERT#35191396
�l.�t-
Status: Completed Resident Contacted ❑
Date Completed: 2013-07-25 Compieted by: Pete Gunderson
Hours
�°!)�'
a
f
Request Number: 6479
Public Works Division
Service Request �
Problem Address: 6870 Washington St Requested By: Norman Bendl
Department: WATER Address: No address provided
Problemllssue: INSTALL METER(WAIER) Phone Number: 763-571-7123
Scheduled Date: 2013-07-25 Scheduled Time: 08:30:00
��� " � ��
ACTION NEEDED: 2013 AMR �`
3#:
� ::;
Created by: Wendy Hiatt Date Created: 2013-07-23 :
«
ACTION TAKEN:
.,
...............................................................................................................:..........................................................................................................................................................................................................................................................................................................
� �� �� � � ���� ��� � �
................c�..........._�:��...................................................................................................................................................._......................................................................................................................................_..__...............
............�:.�....._���._�......................_...................�..._�_�.....�._�..............................:..................._........._....:.....................................:....__.__.._......_
_
........:....�..�...........r...���-....�.-.................:....�1_�.�_�...�_`�.._�.�............:...........................:.........................................:.....:.....:....................._..............._
�
��''�1 iJ(�
... ..
........:....��................................................................................................. ........�....�..................................................................................:...................................................................:.....:......._:............................::::.........................._..............._
�� �� ��-� �- ��t�. t � .....:........................:.................................._
_........................................................................................................................................................................
................... .............�............._�...........:..........................................._..........:..................._:... . ...
Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
.- � �,��
�� ��r
4
� - City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
I/we hereby authorize the City of Fridley and/or its
employees to do what is necessary to replece the water meter. i understand that the property owner
is liable for the water line from the main to the premise and ail interior piumbing. (Per City code
402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may occur
while doing this operation. This to include,but not limited to;valves,piping,walis,floors or the curb
stop box and service line. I understand I am also required to obtain a permit prior to any work,if
necessary. -O � p �,
Final meter reading(old meter) ` �-
�e'V
Name� Address•_ �V�� � ��
Phone Number Date:��'� — �
•� � ��
Si�nature:
:�
:i�
Witness Signature:
�
FRIDLEY CITY CODE �
r
CHAPTER 482.WATER,STORM 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 ar sewe�line connecting the existing municipal system and any house
or building for which the application is made,the owner or contractor shall be required to obtain a permit for such
connection,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shaU be notified. It shali be uniawful 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 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 applicant,owner,
or the occupant or user of such premises shall be liable for all repairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. If the property 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 annually by an administrative
policy. It shall be the responsibility of the applican�,owner,occupant or user to perform standard maintenance of
• the sewer service line from the premises to the main inc{uding debris ctearing o�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}
}. � � � ���Y:'"• .. .
� �� � y4�A.' ,
. . . �'"� . r�y..' .
_._.. . . .,��'.� ` � ., . � . .