Meter Swap f� ���� - �-��
`aa�-—4`�
r
Request Number: 8734
Public Works Division
Service Request
Problem Address: 20 62 1/2 Way Requested By: AndrewBrandt
Department: WATER Address: No address provided
Problemllssue: INSTALL AMR METER Phone Number: 612-558-4547
Scheduled Date: 2014-08-14 Scheduled Time: 02:00:00
ACTION NEEDED:2014 A1VIIt
Created by: Wendy Hiatt Date Created: 2014-08-07
ACTION TAKEN: ✓
Old meter# 16976037 Old reading•03 70 New meter#44921257 ERT#35171643
....................................:................................................_._.._..............................................................._....................................._......................................................................................................_......._.._...........__...__.._...._....._.................w.....................
..................................................................................................................................._..............................._............._........................................................................................................_._.......__._._..........._..__..................._........_..._......._......_......._..._
....................................................................................................:.........................................................................................................................................................................................................................._..._....__...._......._....__................_.._.............
Status: Completed Resident Contacted M"`
Date Completed: 2014-08-14 Completed by: Ryan Johnson
Hours
�7��
Request Number: 10589
Public Works Division
Service Request
Problem Address: 20 62 1/2 Way Requested By: Greg-Contractor
Department: WATER Address: No address provided
Problem/Issue: 1URN WATER ON/OFF Phane Number: 763-242-8376
Scheduled . 2015-10-09 Scheduled TSme: 09:00:00
nd � �► ,
ACTION NEEDED:Turn off water for winterization.****BILL****
Created by: Wendy Hiatt Date Created: 2015-10-01
ACTION TAI�N:
�hv� t�,a,f er O��
............................................................................................................................................................................_....................................................................._.................................................................__......._.................._.._...................._......_...___.._._
...................................................................................................................................................................................:._._............................................................_........._._................_..................._.............................._.................__............�..._........_..._
_.........................................................................................................................................................._._............................................................._._...............................................................__.....................__..._........._..__...._.........._.__..__......................_.._._
.............:........................................................................................._........_...................................................__..................................._.......................................................................................................__.........._.._......_......._...._._......._....._..__...._.___....
_....................:................................................................................................................................................................._......................................................._...........__............_......_.._................__...........................__.._._................._._.......__................_
................................................................................................................................................................................................................................_._.....................................................................................__._.__.._......._.........._......___......._..............__
Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
.
1� `� - I S �,-� CJ(d,�r�.e`(
Request Number: 8734
Public Works Division
Service Request
Problem Address: 20 62 1/2 Way Requested By: AndrewBrandt
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Nwnber: 612-558-4547
Schedule ate: 2014-08-14 Scheduled Time: 02:00:00
� � ��
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-08-07
ACTION TAI�N:
...................................................................................................................................................................................................................................................................................................................................................__............_........_._._.._.__..._.........
C�D �r� I ���I CD0 3�I
......................................................................................�.-.�..................._...................................................................................................._..........._.
....._..................................._.._.......__._.___ ______._.............._..........._...._..._
� 2�����-- c�34S�Z 0 . , .:� :a
....................................................................................................................................................................................................................�.................................._.
................._.................................................................._.........._._......_....____._......____.
. �� .._�T��.� �l��Z �Z.��7
�............... . ................ ..................... ......................................................................................................................................................................................................................__._..............................__..................._..._..................:._...._..........
. _
��w........_����,�....�.....�........................_............................_. .............:...................................................._.........__..............................._......__
.................._................_..........................................._.
.....�.�..-:...�...........��:_1...-....7.......1_�..�3................................................................:........................................................................................_..........:.........:..............__....._.__.._...�._.
Status: in Progress Resident Contacted p "
Date Completed: Complete
l ���
��
�
- City of Fridiey
� ` � Water Department
6431 University Avenue NE
Fridiey,MN 55432
(763)572-3566
��We hereby authorize the City of Fridley andJor its
employees to do what is necessary to replace the water meter. 1 understand that the property owner
i�liable for the water line from the main to the premise and all interior piumbing. (Per C'ity code __ _
402.06) I also hold the+C'i'ty of Fridtey and/it5 employees harmless�or any amages a may occu --
while doing this operation. This to include,but not limited to;valves.piping,walls,floors or the curb
stop box and service line. I understand I am also required to obtain a permit prior to any wark,if
necessary. ��O
�# Final meter reading(old meter)
Name•
Address: vt/ �� '�
Phone Number• Date: �` �i��
' Signature:
r
Witness Signature:
FRIDLEY CITY CODE
C ER 402.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 or sewer line connecting the existing municipal system and any house
or buifding for wfiich the appGcat9on is made,the owner or contrador shalt 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 shali be noti�ed. It shall be unlawful 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 CONNECTfON
����p���nnnartinn h hPPn made to th�•••�`er service curb stop bax or the sewer lead at the propert�
line or a water service or sewer lead has been extended to the property line for connection,the applicant,owner,
or the�ccupant or user of such premises shall be(iable for atl repairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. If the prop��ty 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 responsibil'ity of the appiicant,awner,occupant or user to perform standard maintenance of
• the sewer service line from the premises to the main including debris clearing or 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
ri �#-63�,:1�5,�.193) � _. __ _ _ _
_________,..: ._._._ .
..'.�gr�de afthetana-or{x�{� Y:, ____ _._.:._.,__._._ ___ _.---------_____._.�.... , ._.__._ .__ . ._ . ..__
REQUEST FOR SERVICE REPORT
CITY OF FRIDLEY
Reference No. � � Date: —�
�� �� �� j�;l b �1
Request Type: Entered By:
Department: Citizen Name:
Address: "3��— �'��'��„� q Phone Number:
�
Scheduled Date: Property Owner:
Location Details: Request Details:
Action Taken:
�j�1r� ��� \2,►Ac��l� — l 1J 5 j f��-I..�� ��
A��- ���
�L� R���k � �5 �`l �� 3�-�
o�r �:� ��(� �- 5 d�C�
�� ��� - � ��� � �. `�C�
�r�� ���N� -�
Responsibl_e Person: ,�^ fr�� .
Approver:
Completion Date: i ,�/` � Citizen Noti�ed:
l� E7 �