Meter Swap I ��(� �� -- ���� �
�i -a�-I
��13�1
Request Number: 8327
Public Works Division
Service Request
_._....._.........................._...,........_ ...... ._ . ..._................. _.._........... _..._.._�. .. ...... .... _ .
Problem Address: 295-67th Ave NE Requested By: Seukumar Seriram
Department: WATER Acldress: No address provided
Problemilssue: INSTALLAMR METER Phone Number: 1+763-572-0495
Scheduled Date: 2014-07-18 Scheduled Time: 11:00:00
ACTION NEEDED:AMR Install
Created by: Cheryl Pellegrin � Date Created: 201407-02
,g
ACTION TAKEN:
(�d meter#13477352 Old reading: 59 OO l�ew meter#44921116 ERT#35171885
....................................................................................................................................................:�......._..._._...._.._.m.............._.............................................................................................,...._..,...._......._......._...._...............�............_...................,..._....
,
................._.................................................................................._......,.....................................:�......................................................................................_..........._.................................................__�..._._._..._......�.�_..........__......._..._............................
t
,
........................................................................_._.�..............................................................;;................_...............................................,................................................,...................._._.._..__.....................................................................................,.........
......................................................................................................._..............�.._....�...._..m..............,................................................................................................................................................._._....._..........._....._...............,..........___.m......�............
.....�.�..._......�................................................................._....................................................._...�........_..............._..........,......................._....�...._.......................,.................._........__.._.._........................................._._._............_....................._..._.
';
.
.................................................................................................___.m.._..........................................�.............................................................................._..............,.................................................................._..._.__........_..............,.........._........................_....
t
�
Status: Compfeted '� Resident Contacted ❑
Date Campleted: 201407-18 ; Completed by: Ryan Johnson
Hours `
`r
�
� `
Request Number: 8327
Public Works Division
Service Request
Problem Address: 295-67th Ave NE Requested By: Seukumar Seriram
Department: WATER /kldress: No address provided
Problemllssue: INSTALLAMR METER Phone Number: H-763-572-0495
.�
Scheduled Date� 2014-07-18 Scheduled Time: 11:00:00
. � ,�/�,
/ i i
ACTION NEEDED: AMR Install
Created by: Cheryi Pel�grin Date Created: 201407-02
ACTION TAKEN:
....................................................................................................................................................................................................................................................................................................................................._._................................._......................__..._...._
....c7t.-:�..._�:�....e...-�....................�....3.�....�7.._�....._3....�..�.�.�..........�...._..._............................................................:....._....._:_...._._...__..__...........................................:.:.................
_�.�b....._���:N.�._�.-.............._5...`�'._I......�._C�O..............................................................__..................................__........_.............._...:...._..__._.............._......................._._....._...........__
�� �-�� �._.... ..�1'........2............ ...1._1.....�............................�..................................................................___................:......._......................._..........................................................._.._. �
_................................................................................�.......... �......
_IUEc�.........�,�.�:�.c�c�..`...... ._....:........._............................................................................................................._..................:.........................._._...._...._............._........................_._.._....._.._._:..............._._..._............__
__j:-..._�.....�.........:`�._�.7........�._......�..�......�:�...................:....................................................._........__.......................___....._._.........................._.._.....__..........._..__..__...............__.........._.0
�
Status: In Progress Resident Contacted ❑
Date Completed: Com let
� ����
� �
�
- City of Fridley
. - --- Water Department � - - -
6431 University Avenue NE -
F�idley,MN 55432
- (763)572-3566
i/we hereby authorize the Ciiy of Fridiey and/or its
employees to do what is necessary to replace the water meter. I understand that the propertY owne�
is liable for the water line from the main to the premise and all interior plumbing. (Per City code
402.06) 1 also hold the City of Fridley andJits employees harmless for any damages that may occur
while doing this operation. This to include,but not limited to;valves,piping,wails,floors or the curb
stop box and senrice line. i understand 1 am also required to obtain a permit pNor to any work,if
necessary.
Final meter reading(old meter) � � ��
��� �� ��
Name• Address•,_ ,
P
hone Number Date: . l�`"1����
- r
5ignature•
Witness Signature: �
FRIDLEY CITY C�DE
�{ .WATER,STORM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,624,638,662,922,988,1144,1156,1191j
402.05.PERMiT FEE
Prior to constructing or repair of any water or sewer{ine connecting the existing municipal system and any hous.e
or building for which the application is made,the owner or contractor shall be required to obtain a permit for such
connectian,and sha11 pay a permit fee as provided in Chapter 11 of this Code. Akec such cnnnection has been
made,the Water and 5ewer Department shall be notified. It shail be unlawful to cover any connecting line until an
inspectian 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 CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property
line or a water service or sewer tead fias been extended to the property line for connection,the applicant�awner�
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. tf the prop��ky owner requests
maintenance service or repairs be performed by the City,the property owner shall.be charged for the costs of the
maintenance andior repairs, inc{uding any necessary street repairs,at a rate set annually by an administrative
policy. it shall be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of
• the sewer service{ine from the premises to the main including de6�is ciearing 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 .
grade of the land or property. (Ref 638,1156,1191)