Meter Swap �ua i��5uf�(��
OI�Q��'�
Request Number: 9021
Public Works Division
Service Request
Problem Address: 6481 Clmstenson Lane Requested By: MatthewMok
Department: WATER Address: No address provided
ProblemlIssue: INSTALL AMR MEZER Phone Number: 574-2289
Scheduled Date: 2014-10-03 Scheduled 11me: 01:30:00
AGTION NEEDED:2014 t�MR-Phase 2
Created by: Wendy Hiatt Date Created: 2014-09-30
ACITON TAI�N:
Old meter#98448983 Old reading:090 20 New meter#44920912 ERT#35159555
Status: Completed Resident Contacted C"
Date Completed: 2014-10-03 Completed by: Ryan Johnson
Honrs
�W�
Request Number: 9021
Public Works Division
Service Request
Problem Address: 6481 Christenson Lane Requested By: MatthewMok
Department: WATER Address: No address provided
Problem/Lssue: INSTALL AMR METER Phone Number: 574-2289
SchedWedDat • 2014-10-03 Sche,FiuledTime: 01:30:00
, ��C� r c� � �, ��
ACTION NEEDED:2014 AMR-Phase 2
Created by: Wendy Hiatt Date Created: 2014-09-30
ACTION TAI�N:
..............................................................................................................................................................................................................................................................:.............................................................................................................._......_......._...___..........._
.....�_�.......�...............�.-......._��..�..........................1...._��,,,,�..._�.......1...._�.._�............................................................................................................................................_....�......_........_.__...............
�
..........(,�:�.........�:�-:t�'-�.�......................._�............_�_d.._C�..�-.o.............................,..........._..............................__..........................._.
.....................................................................................
...._�u��....._t�:�_.�:._�............Lf`��_�Z..4_�.C...�.-..........................._
_..............................................................................................................................................._._
_....�u:�<�......:��.�..�....-..�.................................................................................................:.................................................._
.........�.��..�......_�Sl._�._�.sss�...................................................................
...................................................................................................._......................_.._...._................_._...........
Status: In Progress Resident Contacted �
Date Completed: Complet b :
Aours
Go-���
, - City of Fridley
__ � ___ _ . �.• W�te�_t��partment
__ ._. _ ._
_. _ .., Y �,...._. .,
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
1/we here6y authortse the�ity of f-�idley and/or its
employees to do what is necessary to replace the water meter. I understand that the property owner
is liable for the water(ine from the main to the premise and all interior plumbing. (Per City code
402.06) 1 also hald the City of Fridley and/its employees harmiess ar any amages fh�a may�6'-
whiie doing this operation. �'his to inc{ude,b�rt not timited ta;valves,piping,walls,floors or the curb
stop box and service line. t understand 1 am also required to obtain a permit prior to any work,if
necessary.
Finai meter reading(old meter) �
Name• Address: ��U� ���T"""`�'� ��'
PhonQ Number� Date' /0�3 r�/
5lgnature• �
Witness Signature•
�RIDLEY CITY CODE
` APTER 4Q2.WATER,STORM WATER,AND SAN{TARY SEWER
ADMINtSTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
4Q2.05.PERMIT FEE
Prior to constructing 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
cannection,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 shall be notified. It shall be uniawful to cover any connecting line until an
inspection has been made and such connection and the work incident thereta has 6een approved by the City as a
proper and suitable cannection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
�������,����rnadP to the water service curb stoa bnx or the sewer lead at the propert�
line or a water service or sewer lead has 6een extended to the praperty line for connectian,the applicant,owner,
ar the occupant or user vf such premises shall be liable for all�epair�required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. If the propgtty owner request5
maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the
. maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
poticy. It shall be the responsi6ility of the applicant,owner,nccupant or user to perform standard maintenance af
• the sewer service line from the premises to the main including debri�clearing or root cutting and to maintain the
water service cur6 stop box for operabiliry and at such he9ght as will ensure that it remains above the finished
.. . . . ., . .__. -- . .
"gratle df�tfie land orprop�tiy.�(Ret 6�5,-1�5,_Z���:� __ .� . . . _ �