Meter Swap , _ . �f D
0
� v 1� � �53 �� U � �C
Request Number: 9477
Public Works Division
5ervice Request
Probtem Address: 5807 2 1/2 St Requested By: Denise Janz
, Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 763-502-6925
Scheduled Date: 2014-11-17 Scheduled Time: 02:00:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-11-14
ACTION TAI�N: J
Old meter#7030418 Old readin :60 40 New meter#44921463 ERT#35172117
Status: Completed Resident Contacted I� �
Date Completed: 2014-11-17 _, Completed by: Joseph Katzung
Hours
���
Request Number: 9477
public Works Division
Service Request
Requested By: Denise Janz
Problem.Address: 5807 2 1/2 5t �aress: No address provided
Degartment: WATER 763-502-6925
ProblemlIssue:
INSTALL AMR METER Phone Number:
2014-11-17 Scheduled Time: 02:00:00
Scheduled Date: `y� �
� � Nv� � '
ACTION NEEDED:2014 AMR
Created by: Wendy Hiait
Date Created: 2014-11-14
ACTION TAI�N.
Old meter#
..............................................................................:.......................................
................._..............................
.. C�3� tl�`.� ...............__......_............................__.._............_............_
.� .............__.
� ( �-: �:�_�::�-� .... ............................_.........................._....
....._..........................................._._.
.........................
............................................
... ...............
_ ........:............_...._.�..��:
......... ............._. . .
_.............:........t�...k_�...............:..�:�.r�.`.�..e .................................................��5..�_._......._�.................:..........................................................................._. _._.
� - . .
....... . ..............._.____..
..........................�J.�:;�......_...s�.�:�.:.,�:....._�-..._-....`�.._....._.�.�...�.._I...Y.�._:�.........................................................._.........:........................ __._. . -
, . ......................_.._____....._____......_
,� , .....................................__......__.._....................._.___.
..........................�`�...5�...).............9...�tJl.. :►.k.... :........._
..... .............._...................._.................................._........__._................,
. _.. _.
r-� �
. ... ........___.._...._..__....
f .... .....
�r�...�......�. : .............................................._.........._..
...............................__. _. _.�.__._._. _�.__.
........................................................ ................................
.............. ......�....................._..�::..._...............................
InPro�ess ResidentContacted ❑
Status: '
Completed by:
Date Completed:
I G�L��'/��, ��'�
t� i�/ 1 y `� y�G�
.
� City of Fridley
- -.. Wat,�r Department
_._....
6431 University Avenue NE
Ftidley,MN 55432
(763)572-3566
1/we hereby authorize d�e�ih►of Fridley andJar its
employees to do what is r�cessary to repface the water ineter. i+u�de�tand that the propertY owner
is liable for the water line from the main to the premise and ali interiur plumbing. (Rer Gt11��
402.Q6� I.alsa huld the Cify of Fridley and/'�employ+ees harmlessfor any damages tnat may occur
while doing this aperation. This to include,but not limited to;val�es�piping,walls,floors or the curb
�top box and service Nne. 1 understand I am also required to obtafn a permit prior#o any work,if
necessary.
Finai meter reading(old meter) �'d j� �O -
Name•
Address:,��`�'� `� /`� ��' --
Phone Numbe Date: �1�7�/y
5ignature: '
Witness Signature�
FltiDLEY CITY CODE
CHAP7'ER 402.WATER,STORM WA7ER,AND Sp►NITARY SEWER
ADMlN15TRA710N
(Ref Ord No 113,464,565,566,629,538,662,922,988,1144,1156,1191)
4U2.05.PERMIT FEE �
Prior to constructing ar repair of any water or sewer line connectingthe existing municipa{system and any hause
ar building fo�which the application is made,the owner or contractor shall be required to obtain a permit for such
con�teetion,and shal4 pay a pecmit fee as p�atllbe notified. tt hail 6e unlawful ta cover any conneict ng li eeuntil an
made,the Water and Sewer Department sh
inspection has been made and such connection and the work incident thereta has been approved by the Gty as a
praper and suitable connection.
402.�fi.REPAIRS AND MAINTENANCE TO CONNEC170N
��•,��jpj�(,�pt�pef•tinn ha�,j�etlr•ry�uy'��*^*he wat�r<ervice curh stoo bnx orthe sewer tead atthe propert�
line or a water service ar sewer lead has been extended to the property line for connection,the appticant�owner,
or the�cciipant or user of such premises shall be liable far atl�epairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. If the prop�ty oamer requests
maintenance senrice ar repairs be perFormed hy the City,the property owner shaN be charged for the costs of the
maintenance andlor repairs, including any neces�ary street repairs,at a rate set annually by.an administrative
policy. It shal{be the responsibility of the appitcant,uwner,occupant or use�to perFarm standard maintenance of
• the sewer service line from the premises to the main including de6r�clearing or rout cutting and Co maintaln the
water ser�rice'cur6 stop box fior operabiliry and at such height as will ensure that it remains above the�inished
,,.gn.ade�f tii�land or�ropetty.-(ReF 63�,-1�5,-1:���:) _� - � - - - � --