Meter Swap ,�
�� �
�'"��'�--L�!(��
Request Number: 8563
Public Works Division
Service Request
...................._.�..�............��._...........����............................. ..._................_....�............................._..�..........._............_......._��...................................................__ .,......_...... . ............ ......_................_............._................._.........�............._.,_......................_.__.��........._............._
Problem Address: 183 63 1(2 Way Requested By: Robert Masuda
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 571-2938
Sc6eduled Date: 2014-0&18 Scheduted 1ime: 09:00:00
ACTION NEEDED:2014 t�MIt
>
Created by: Wendy Hiatt Date Created: 2014-07-22
ACTION TAI�N: �
Old meter#89287846 Old reading: 841 90 Newmeter#44921362 ERT#35171614
............................................................................................................................................................................................................................................................................................................................................._................�........_..._...._....................
......................._......................................................................................,....................................:...............................................................................................................,..........._........._....................................................._._......................_.........................._.
..�......_._..__.....m..............................................................................................................................................................................................,............................................................_......_......_.........._.............................._.........:....................................
Status: Completed Resident Contacted I"
Date Completed: 2014-08-18 Completed by: Ryan Johnson
Hours
����
�
�.
Request Number: 8563
Public Works Division
Service Request
Problem Address: 183 63 1/2 Way Requested By: Robert Masuda
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMRMETER Phone Number: 571-2938
Scheduled Date: 2014-08-18 Scheduled Time: 09:00:00
`�"�
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-07-22
ACTION TAI�N:
..............................................................................................................................................................................................................................................:......................................................................................._......_..................._........_...................._.................._
_�....���:...... ............................................_�..�._2.-�.._�..�_`�......(..�9.,�........................._..........................._............_._................................................._.._.........................._�. _
. ... �: � _ ....._
o�. �-b . - ��`� ��0
...................b......._�................�o�....._............................................�...... ................................................................................................................................................................................___...................._._................................_
.�� � �E��2� 3��
..��......+�:.............._�-..........................................................................................................................................................................................................................................................._......................................._...._.._.._...............
�� ��,���� ..........._................................_...�................__.................._
___.........._......___..........................._...........................................�..................................................................................................................................................................................................._.
.........�.�.-T....�.............._3S...I......�...7.......�..�..1_�......................................................................................................................_...............__...........................................................:......................_._..........
Status: Tn Progress Resident Contacted � .
Date Completed: Complet by:
.f��(�
� `
� - City of Fridiey
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
I/we hereby authorize the�ty of Fridfey and/ar its
employees to do what is necessary to replace the water meter. 1 understand that the proqerty owner
is tia6le for the water line from the main to the premise and all interior piumbing. (Per City code
402.06) I also hold the Gty of Fridley and/its employees harmless or any amages may u ---
while doing this operation. This to include,but not limited to;valves,piping,walls,floors or the curb
stop box and service line. 1 understand 1 am a{so required to obtain a permit prior to any wark,if
necessary. , r�
Final meter reading(old meter)
��lG t V
Name• Address• V� "� ` Z
Ph
one Number• Oate' . Ur� " _� `
Signature:
Nlitness Signature:
FRIDLEY CITY CaDE
CHAPT 4U2.WATER,STOEtM WATER,ArtD 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 building for which the application is made,the owner or contractor shall be required to obtain a permit for such
connection,and shali Qay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shali be notified. 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 CONNECTIOPI
-A�f-X�g-IAIL4 � - .,,...�e+..+i,a...
• ; 3ter service curb stop box or the sewer lead at the propert�
line or a water service or sewer lead has been extended to the praperty line for connection,the applicant,owner,
or the occupant or user of such premises shall be tiable for a11 repairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. if the prope[ly owner requests
maintenance service or repairs be performed by the City,the property owne�shall be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annuaily by an administcative
policy. It shall 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 or root�cutting and to maintain the
water service curb stop box for aperability and at such height as will ensure that it remains above the finished
_ . ._..---. --
-- -_ _ -- .. grade of tts�I�nd orproperty:-tRef�38,-2�56,-23�1}-. .. . . . . __. ._...__ __. ___ _._ . __ _. _------- --