Meter Swap ���� �-- �IC��
��-�a-
; � ��..��--�
� Request Number: 8220
1 '
i PubUc Works Division
1 S�rvice'Reque�st
i Problem A�ddress: 217 69th Ave - Requested By: Olen Carlson
� pepartmer�t: WATER Address: No address provided
Problemflssue: INSTALLAMR METER Phone Numb�r: 574-9546 �
i
I
Scheduled Date: 2Q1407-02 Saheduted Time: 09:00:00
ACTION NEEpED:2014 AMR
;
I
' Created by: Wendy f-6att Date Created: 201406-24
AGTION 7AKEN:
Old meter#18423305 Okl reading: 15 50 New meter#44921109 ERT#35171594
,
, Status: Complefeal Residettt Contacted O
Rate Completed: 201407-02 Completed by: Ryan Johnson ,
Hours '
Request Number: 8220
Public Works Division
Service Request
Problem Address: 217 69th Ave Requested By: C�en Carison
Department: WATER Address: No address provided
Problemllssue: INSTALLAMR METER Phone Number: 574-9546
Scheduled Date: 201407-0 Scheduled Time: 09:00:00
� �
ACTION NEEDED: 2014 AMR
Created by: Wendy Hiatt Date Created: 201406-24
ACTION TAKEN:
.........................................................................................................�_........................,............................................................................................................................_..............._.................
...��:�.....��� � Z �Os
......_�.�...._�....................1................_�I................._�..__........................................................._..................._..................._.._.
............................__.._..........................................._._......................._.._
_._��.......��.�.._-.............._�.._��fo....�_�ti............:.........._........................................:....:...:.......................................T._..._...........:.......:.._.__....._.............__..:.........._....._..
_...��:w......_��-.�...-_�........�1.�..�.�-.._l.l._o...._�....................................................................................._.___...:........._.........:__._._._.._.__.......__............._.....
.. .
.._N��......��..:._�.�....�-..�....��4.�._�.-.........�...........................................................:.
............................................................................................._.._..__.......................__..._.................__.................._._..:.........._
......�:�:�'._�......_3_�.._1....-..?..........l..s...��....__.................................................................................:.............................:...._.................................�. _.
...... .................................._........._.............�...
Status: In Progress Resident Contacted ❑
Date Completed: Completed
� 'I�,
� � `
- City af Fridley
� --- Water Department . _... .
6431 University Avenue NE
Fridfey,MN 55432
(763}572-3566
I/we hereby authorize the City of Fridley and/or 1�
employees to do what is necessary to replace the water meter. {understand that the properly owner
is liable for the water line from the main to the premise and ali interior plumbing. (Per City code
402.06) 1 also hold the City of Fridley and/its employees ha�nless for any damages that may occur
while doing this operation. This to include,but not limited to;vaives,piping,walls,floors or the curb
stoQ box and service line. i understa�d i am also requtred to obtatn a permit prior to any work,if
necessary.
finaf ineter reading(old meter) L�`� "` "� �`�
Name: Address• �1 � � `` � �J�
Phooe Number: Date: ����'�
Signature: ��
Witness Signature:
FRIDLEY CITY C�DE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMiNiSTRATI�N
(Ref Ord No 113j 464,565,566,629,638,662,922,988,1144�1156,1191)
401.05. PERM17 FEE
Prior to constructing or repair of any water ar sewer line connecting the existing municipal system and any house
or building for which the application is made,the owner or cantractor shall be required to obtain a permit for such
connection,and shall pay a permit fee as provided in Chapter 11 of this Code. Afte�such connection has been
made,the Water and Sewer Department shail be notified. It shall be unlawful to cover any connecting line until an
inspeetion 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 cu�b 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,
ar the occupant or user of such premises shaff be iiabte for ail repairs requireci to any water line and sewer tines
necessary for connection of the premises from the main to the premises. If the prop��ty owner requesis
maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the
maintenance andior repairs, incfuding any necessary street repairs,at a rate set annua{ly by an administrative
policy. It shaii be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
° the sewer service line from the premises to the main including debris clearing ar root cutting and to maintain the
water service curb stop box for operabifity and at such height as wiH ensure that it remains above the finished
grade of the(and or property. (Ref 638,1156,1191}