Meter Swap I C�33�5-
5 ���ao
oti `��
�
Request Number: 8999
Public Works Division
Service Request
Problem Address: 140 Christensen Ct NE Requested By: Deb Kizer
Department: WATER Address: No address provided
Problem/Issue: INSTAI,L ANIIt METER Phone Naarber: 763-350-7781
Scheduled Date: 2014-10-08 Scheduled 13me: 07:30:00
ACTION NEEDED:Install AMR
Created by: Julie Horak Date Created; 2014-09-29
AC'TION TAI�1V:
Old meter#97132388 Old reading: 44 940 Newmeter#44920999 ERT#35159531
Status: Completed Resident Contacted M-
Date Completed: 2014-10-08 Completed by: RyanJohason
Hours
�
M�
-'J
� Request Number: 8999
Public Works Division
Service Request
Problem Address: 140 Christensen Ct NE Requested By: Deb Kizer
Department: WATER Address: No address provided
Problem/Lssue: INSTALL AMR METER Phone Number: 763-350-7781
ScheduledDat : 2014-10- 8 Scheduled'ITime: 07:30:00
c�� `-� � �',�,
ACTION NEEDED:Install AMR
Created by: Julie Horak Date Created: 2014-09-29
ACTION TAI�N:
...................................................................................................................................................................................................................................................................................................................................:............._._...................................................._._.........
_..._�....._�.��,...#......................................`�_�...�....._Z:3��....................................................................................:...................._....._.............._..................................._.�_..__._.._
�
...._��...........�-�,�.�.�...-.......:...................�..�...�...1...........���..................................................,.........................._....................................._..................................__._..._.._.......
,
_...�:�.......���.�:�:..�..................._��Z:._�..���...................................................................................:......................._....................._. _._._...�_.�._.
... . . . ...................
__���............e�:��.�._�....-..�1...................__._.
.. ................................_.................................................................................._..............._...................._..........................._..__................_................_
_........._���......_.35.1.._S�5,�.._�....................................................:..................................................................:
............................._..........................._.................................................
Status: InProgress - ResidentContacted ❑
Date Completed: Completed by:
�~ � '
�
� City of Fridley
. _, �a�er t�e��rtment
_ _, . _
..._ .: ..._�_ _
6431 University Avenue NE
fridley,MN 55432
�763)572-3566
i/we hereby authorize the Lity of Fridley andJor its
employe+es to do what is rt�cessary to replace the water meter, I understand that the property owner
is liabfe for the water Iine from the main to the premise and af)interiar ptumbing. (Per City code
401.06) I also hold the City of F�idley andJits employees harmless ar any amages a may -
while dotng tf�is operation. This ta inciude,but nat limited to;valves,piping,walls,floors or the curb
stop box and sen+ice line. 1 undecstand 1 am alsa required tu o6taln a permit prio�to any work,ff
necessary.
Final meter reading{old meter)
O � f � ��O
Name: Address: l-6� `'�'� ` $��%�'��' t-v"� 1
4hone Num6er. [yate: c�� ° �
a
Signature:
Witness Signature�
FRlDLEIf CITI(CODE
CHAPTER ri02.WATER,STWtM WATER,AND SANlTARY SEW�R
ADMINI5TRA710N
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
4A2.45.PERMIT FEE
Prior to canstructing or repair af any water or sewer line connecting the existing municipal system and any house
or building for which the application is made,the owner or contractor shall be required to obtain a permit for such
connettion,and shalf pay a permit fee as pruvided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shall be notified. IC shall be unlawful to cover any connecting line until an
inspection has been made and such connection aad the wo�k incident thereto has 6een approved by the City as a
praper and suitable connection.
402.06.REPAiRS AND MAiNTENANCE TO CONNECTION
�f�r�q�iQitiaLcoapec#i,o�.�a5l�,�marla to the water service cur6 stau box nr the sewer lead at the propert�
line or a water service or sewer lead has been extended to the propertyline for connectian,the applicant,awner,
or the occupant or user of such premises shal{be tiable for all�epai�s required to any water line and sewer lines
necessary for connection of tfie premises from the main to the premises. If the prap�tty owner requests
maintenance service or repairs be performed by the City,the property owner shali be charged for the costs of the
. maintenance and/or repairs, including any necessary street repairs,at a rate set annually by.an administrative
policy. It shall be the respansi6ility of the applicant,owner,occupant or user to perform standard maintenance of
• the sewer service line from the premises ta the main including debris clearing or root cutting and to maintain the
water$enrice cur6�top box for aperability and at such height as will ensure that it remains abave the finished
. . . . ., . .__. -- - .
„graiie of tfi�e{and or�rop�t�y.�(REf 63S,-I,�S,.l�n�:� __ _ . .. . . ._ _ .