Meter Swap �o7�Co�=5��/D
o�-��
Request Number: 9034
Public Works Division
Service Request
Problem Address: 154 Christenson Court Requested By: Mary Epsky
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 574-2446
Scheduled Date: 2014-10-02 Scheduled Time: 10:30:00
ACTION NEEDED:2014 AMR Phase 2
Created by: Wendy Hiatt Date Created: 2014-10-01
ACTION TAI�N:
Old meter#97176119 Old readi 018 90 Newmeter#44922292 ERT#35159787
Status: Completed Resident Contacted I"'
Date Completed: 2014-10-02 Completed by: Ryan Johnson
Hours
�
n�V,
- "J
Request Number: 9034
Public Works Division
Service Request
Problem Address: 154 Christenson Court Requested By: Mary Epsky
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 574-2446
Scheduled Date: 2014-10-02 �cheduled Time: 10:30:00
� � �Y�
ACTION NEEDED:2014 AMR-Phase 2
Created by: Wendy Hiatt Date Created: 2014-10-01
ACTION TAI�N:
...................................................................................................................................................................................:.........................................................................................................................................................................................__............_.._............._..
�� � � �7j 7 � �
. . . .... ..... ...... .......................................................................__.._.__..............................
_......................................�......�...............�............................................................,..................��.................................................................. ..... .... ... . .
.......� �� � .......
_._..t�a...:........�_�D�_�s_c�...�.'.................................._6 ........ .............. .............................�..............................................................................._............_.._....._................_.._.__......._........._...................
��w ' `���2 22q2
_.............................................r�-�.��.�_.....�............................................................_......_..............................................................................................................................._.._...............................
�%� Q�����,� ...................__.................____......._.........._
.................................................. ..... ..............................................................................................................................._...................................................._...._.._....__...._......................................_.
...........�.��.._�.:.........._�f s...�'._�_�.......7......................................................................................................................_....................................................................._.................�_.....
Statns: In Progress Resident Contacted CJ
Date Completed: Completed by:
�d�2"�L�
♦ ,
- City of Fridley
. _ ,__: _ Vll�t�c,!],�nartnne�t
. , _ _ _ . :,� . _ �._<._ _
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
I/we hereby authorize the tity of Fridiey and/or its
employees to do what is necessary to replace the water meter. I understand that the property owner
�s_Ifable for the water line from the main to the premise and all interivr plumbing. (Per City code
402.Q6) 1 alsa hold the City of Fridiey and/its employees harmless or any amages a may oc�u�-
while doing this operation. This to include,but nat limited to;valves,piPing►waUs�flaers or the curb
stop box and service line. I underst�and i am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter) ��� �� "
Name• Address• �7"/ �1��-�iSY\. �(1�"
Phone Nu Date: /��Z'/ � __
5ignature:
Witness Signature:
FRIDLEY CITY CODE
C R 402.WA7ER,STORM WATER,ANO SANITARY SEWER
ADMINISTRATIUN
(Ref Ord No 113,464,565,566,629,638,662,922,988,114�1,1156,1191)
402.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipai 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
connectian,and shall pay a permit fee as provided in Chapte�11 of this Code. After such connection has been
made,the Water and Sewer Department shall be notified. it shal)be unlawful to cover any connecting line until an
lnspection has been made and such connecCion and the work incident thereto has been approved by the Ciry as a
proper and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
���i��.,.,a�+s��ha�hppr,made to the water senrice cur6 stop box or the sewer lead at the propert�
line or a water service or sewer lead has been extended to the propertyline for connection,the applicant,owner,
or the�ccupant or user af such premises shall be liable for all�epairs required to any water line and sewer lines
necessary for connection of the premises ftom the main to the premises. if the propetty owner reque�ts
maintenance service or repairs be performed by the City,the property uwner shall be charged for the costs of the
. maintenance and/or repairs, including any necessa�y street repairs,at a rate set annually by.an administrative
policy. It shall be the responsi6ility of the applicant,owner,occupant or user to perform standard maintenance of
• the sewer service line from the premises to the main incfuding debris clearing or root cutting and to maintain the
water 5ervice cur6 stop box for operability and.at such height as wiil ensure that it remains above the finished
.. . _ . .. . . .._ _. .__ .
::gra�e df�tt���iand or-�roper�y.�(Rsi638,_�,�55,.t�n3:� .. . . .. . . . . _ .