Meter Swap I�l l���l�- �5�3��
01���
Request Number: 8773
Public Works Division
Service Request
Problem Address: 120 River Edge Way Requested By: Heather pouglas
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-639-7349
Scheduled Date: 2414-08-13 Scheduled Time: 01:30:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-08-12
ACITON TAI�N: ��
Old meter#95625356 Old reac�ng 173 920 New meter#44921256 ERT#35171632
........................................:.................................................................................................._....................._............................................................................_._........_.�...._.�..................................._._.........................................................
................................................................._..............._........................................................................................................._......................................................................................._.................__............_..._..........._...._.._....._.__......................_.._..._._...
..............._._......................................................................................._..............................._............................................................................_...................................................................._.....__�_......._...._......__..._.__.._........_._......_..........__..�_.........
Status: Completed Resident Contacted !-
Date Completed: 2014-08-13 Completed by: Ryan Johnson
Hours
���
Request Number: 8773
Public Works Division
Service Request
Problem Address: 120 River Edge Way Requested By: Heather pouglas
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-639-7349
Scheduled D 2014-0 3 � Scheduled'Iime: 01:30:QQ
� 1
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-08-12
ACTION TAI�N:
_........................................................_.......................................................................................__.......................................................................................:............................._..............._.........................................._.._.._...................................__...................._...........
�.� -� � �� 2�3 5 !o
................................�..................�................:.............................................................................................................................................................................._...................._...:..................._......................_.___......................................_
bu�......�=���..................................�._�.....3� � 2�
..................................................................................................._...................._............_........_..........._.........................._.._..........._.._...
..:��......_r��r���......�=�......._Lf.��.2._12��.................................................._...........................:.:.._.._._.._...........__.__.........................._...._..___........_
_���...........Q--�.�.-��:�._�-.....�...�.............................................................:..........................................................__....................................................:.............._..................................__..........:.......__.......:.._
....::.....�.P�.�...............v 5..1.._�...._��_.�.�.....-.......................................................................................................................:..............................................................._........._............:................_......
Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
/ /��
��
� .
- City of Fridiey
� Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
I/we hereby authorize the City of Fridley and/or Fts
employees to do what is necessary to replace the water meter. I understand that the property owner
is liable for the water line from the main to the premise and a!I interior plumbing. (Per C'ity code
402.06) 1 aiso hold the�ty of Fridiey and/its empioyees harmless for any amages a may oc u ---
while doing this operation. This to include,but not limited to;valves,piping,walis,floors or the curb
stop box and service line. I understand i am also required to obtain a permit prior to any work,if
necessary. �^ O
Final meter reading(old meter)
�� 3� L
Name• Address• ,1n-��
Phone Mumber: Date• [J�` �`�
Signature•
Witness Signature:
FRIDLEY CITY CODE
PTER 402.WATER,S70RM WATER,AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.05.PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house
or building for which the appl+cation is made,the owner or contractor shail be required tu 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 shall be notified. It shail be unlav+rful to cover any conneding line until an
inspection has been made and such connection and the work incident thereto has heen appr�ved by the City as a
proper and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
-A#€r-.tt�g-iaitaal connection has�n made to the Water service curb stop box or the sewer lead at the propert�
line or a water service 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 prape[ly owner requests
maintenance service or repairs be performed by the City,the property owner shal{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 responsibility of the applicant,owner,occupant or user to perform standard maintenance of
• the sewer service line from the premises to the main including debris clearing 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 ofthe ia�d or property. fRef 63$,�15�,�39�}__ _ ,. ._. ... __ . _.._. ._._ _.__.... _ _.�__ ..__. ._