Meter Swap �b�1o� �I 5 3��Q
� �'a �;�`'
/�0 �
Request Number: 9250
Public Works Division
Service Request
Problem Address: 6111 RainbowDr Requested By: Marvin&liudy Weiss
Department: WATER Address: No address provided
Problem/Issue: INSTALLAMRMETER PhoneNumber: 571-5613
Scheduled Date: 2014-10-27 Scheduled Tlme: 02:30:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-22
ACTION TAI�N:
Old meter#18862151 Old reading 666 00 New meter#44921655 ERT#35172373
Status: Completed Resident Contacted I�
Date Completed: 2014-10-27 Completed by: Ryan Johnson
Hours
I �
Request Number: 9250
Public Works Division �.
Service Req�est
Pr�blem Address: 6111 Rainbow Dr Requested By: Marvin&Trudy Weiss �
Department: WA1ER Address: No address provided
Problem/Issue: INSTALL AMR IvIETER Phone Number: 571-5613
Scheduled Date: 2014-10-27 Scheduled TSme: � 02: • 0
`� � r
ACTION NEEDED:2014 AMIt
Created by: Wendy Hiatt Date Created: 2014-10-22
ACTION TAI�N:
.................................................................................................................................................................................................._____................................................................................................_............._..............._..__..........�......�.........................___........
L� �- _ ��� 2f S �
..............�......................_�,�-�...._..........................................�..................................................................................._......_.__...._..............................................................................................__._........._........._.......____
...............���..._��._��:-........................_��.����...........................................:........................................._......�..__._.........................._�.__._........_...
.................�U._��._�.�..-�:..�.................��.�_`�.....2......-.��....�._.....s.......................�...__._..............................................................:...__.__.......:.:._.......................__. : .
.........
� ����� �
..................�............._....._......_.................................................................................................................................._....._.
.........................................................................................................................................................__...........__......_...............
.
..................................................�........`�-..........�z..-...._-�....................._...... .�.._�..�......�.......3........�....�.................................._..._�_....._.............._.__..................._...._........................._.._..............__
Status: TnProgress ResidentContacted [3
Date Completed: �� Completed by:
���/
��
j
.
. - City of Fridley
- _ .. Wat�r Dppartment
.. _ , _,_,a.....
6431 University Avenue NE
F�idley,MN 5,5432
(763)572-3566
i/we hereby authorize the City of Fridley and/or its
employees to do what is necessary to repface the water meter, I understand that the property owr�er
�able far the water tine from the ma�n to the premise and aU interior plumbing. �Per Gty code
4U2.06) t alsa hutd the Giy of Fridley and/its empioyees harmfess or any amages maY c�iiP-
while doing this aperation, This tu ir�clude,but not limited ta;va(ves.Piping,Walis,flaors oc the curb
stop box and service tine. 1 understand 1 am afso required to ahtafn a Permit prior to any work�if
necessary.
eadin oid met�r `'" ` ` � ` �
Final meter t g( )
Name• Address• � !����� �`
Phone Number: Date� ` ��` .
Signature•
Wttness 5ignature:
FR{DLEY GtTY CODE
APTER 402.WATER,5T�RM WA'fEit,AND SANiTARY SEWER
ADMINISTRA7'IDN
(Ref Ord No 113,464,565,SG6,629,638,66�,922,988,1144,1156,1191j
402.05.PERMIT FEE
Priar to constructing or repair of any water or sewer line connecting the existing municipal system and any house
or building for which the application is made,tf�e owner or contractor shafl be required to obtain a permit for such
conneetian,and shatl pay a permit fee as provided in Chapter 11 nf this Code. After such can�ectiun ha5 been
made,the Water and Sewer Department shall be natified. It shatl be uniaurful to cover any conoecting{ine untit an
inspection has been made and such connection and the wQrk incident thereta has been apprnved by the City as a
prnper and suitable connection.
402.06,REPAIRS AND MAlNTENANCE TO CaNNECTiON
.A#�tpe-iaitial..c.�uner.tiaahas�irna��+"+''�'•,'rPr<prvice curh stoo bax or the sewer lead at the propert�
line or a water servite or sewer lead has been extended to ihe pr�perty{ine for connection,the appl�cant�owner,
ar the occupant ar user of such premises shalf be liabie for all�epair�required to any water line and sewer lines
necessary for connection of the prernises from the main ta the premises. tf the propetty owner requests
maintenance service or repairs 6e perFormed by the City,the properly awner shali be charged for the costs of the
maintenance andJor repairs, inc4uding any necessary street repai�s,ak a rate 5et annually by.an administrative
poticy. it shali be the responsibii"ity of the appfieant,awner,occupant or user to perform standard maintenance af
• the sewer service line from the premises ta the main including de6ris�learingflr raot cutting and Cu maintain ihe
- water 5ervice cur6 stop box for operabifity and at such height as will ensure tfiat it remains above the frnished
. ._ . .._. _.. ...
_ :
graife of�tf��fard orprop��ty.�;Aet 63�,-1�5,_t}n�;� .. _ .._ .. . _ . _