Meter Swap _._ ���J'-1"1 ��� �'1�� ��
C�f -O�
Request Number: 8342
Public Works Division - (���
Service Request t�
Problem Address: 200-67th Ave NE Requested By: Megan Anderson
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 952-649-0490 Cell only
Scbeduled Date: 2014-07-23 Scheduled Time: 10:00:00
ACTION NEEDED:Install AMR
Created by: Cheryl Pellegrin Date Created: 2014-07-03
ACTION TAI�N:
Oldmeter#87758270 Oldreading 344 AO Newmeter#44921426 ERT#35171725
............................................................................................._._....�......,�..._........_..............................._._.._..._..............................._............................................._..........................,......_.................._..................._........_........_................._..........._........
.........................................................................................................................................................................................................................................................................................................................................................._........_..__..�......................
_........................................................................................:..........................................................................................._......_........_.................................,..................................................................._........................................................................._........................
............................................................................................................................................................................................................................................................................................................................................:.............................................................:.....
..................................................................................................................:......................................................................................................................................................................................................._....�..._.....�............................_....._.................
Status: Completed Resident Contacted 1'"`
Date Completed: 2014-07-23 Completed by: Ryan Jobnson
Hours
�
Request Number: 8342
Public Works Division
Service Request
Problem Address: 200-67th Av�e NE Requested By: Megan Anderson
Department: WATER Address: No address provided
Problem/Issue: INSTALLAMR ME'TER Phone Number: 952-649-0490 Cell only
Scheduled Date: 2014-07-23 Scheduled Time: 10:00:00 � /��
/
ACTION NEEDED: Install AMR
Created by: Cheryl Pellegrin Date Created: 2014-07-03
ACTION TAKEN:
................................................................................................................................................................................................................................................................................................................................................................................................................
oL� � � g��� �Z C�
...........................�.,�.�.�......�..................................................................................................................�....................................................................................................._................._..................._.............................._........_
_...�:..�......��=�.�-..-...............:.:�.�1.�_`�...�....�_.....o...._..............................:.........._.................:............................................_......._....:..........._......................_....__..............._.........._
_..��....��.-.�..�..:._.�:..............�1 Gl....�..�....�-..._1�.ZC�..............................................................._...........................:......................................................_..__............................
_..��..........._�=�:��:...-....�............................:...................................................................................................................:....................................................:.................................: __.._.
... . ..........................._
_..�.._�.-�:...._�........._��..1.......-..7.........._�..`.7......_......Z.........�...._............................................................................................._.._....................................................:................_.............._._._............................_
Status: In Progress Resident Contacted ❑
Date Completed: Complete by:
����I�
�
,���,: .
�. ,
, �: . .
_ - . City of Fridley
. . __. Water Department . _.. -
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
fiwe hereby authorize the City of Fridley and/or its
employees to do what is necessary to replace the water meter. I understand that the propertY ow�er
is liable for the water line from the main to the premise and all interior piumbtng. (Per C'ity cflde
402.06) 1 also hold the City of Fridiey and/it5 employees harmless for any dam�es that may acur
while doing this operation. This to include,but not fimited to;valves,pipin�,walis.floors or the curb
stup box and service line. 1 understand i am also required tu o6tain a permit prior to any work,if
necessary.
Final meter reading(old meter) �� 1 � � � "
Address� l�" ��� ��
Name• •
Phone Number• Date• .���� /�
Signature•
:
Witness Signature:
,
FRIDLEY CITY CaDE
CN R 2.WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1591�
402.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line conneeting the existing municipal system and any hous.e
or building for which the appiication is made,the owner or contradorshall 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 shalt 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 cannection.
402.06.REPQIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box ar the sewer lead at the property
line or a water senrice or sewer lead has been extended to the property line for connection,the applicant,owner,
or the occupant or user of such premises shall be liable for all repairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. If the propgtty owner requests
maintenance service or repairs be perfarmed by the City,the property owner shall be charged far the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
palicy. It shall be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
� the sewer service line from the premises ta 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 the land or p�operty. (Ref 638,1156,1191)