Meter Swap ����
����-�rs�s�
1 ,����
Request Number: 8628
Public works Division
Service Request �
Problem Address: 6291 RiverviewTerr NE Requested By: Michael Erickson-Ray Eiliis Property
Mgmt
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-282-8584
Scheduled Date: 2014-07-31 Scheduled Time: 02:00:00
ACTION NEEDED:Install AMR
Created by: Julie Horak Date Created: 2014-07-28
ACTION TAI�N:
Old meter#88891286 Old readin 172 90 New meter#44921084 ERT#351?1780
.........................................................................................................................................................._._.._...._........................._............................................................................._....,__......................................................_..........................................._....
...................................:............................................_..�...�......�................................_.._......................................................_.................,......................................,.........,.......................:..............,......................................_.............._.................................
.............................................................................................................................................................___..........................._........................................................_............................................_............_.........._.............�..__............_......._..__..__.._........
Status: Completed Resident Contacted t '
Date Completed: 2014-07-31 Completed by: Ryan Johnson
Hours
�
Request Number: 8628
Public Works Division
Service Request
Problem Address: 6291 Ri�rview Terr NE Requested By: M�chael Erickson-Ray Eillis Property
Mgmt
Department: WA1ER Address: No address provided
Problem/Lssue: INSTALL AMR METER Phone Number: 612-282-8580
Scheduled Date: 2014-07-31 Scheduled Tlme: 02:00:00
I (t(X'S Qt ,�,.J,i.�, � � S? G� Y'��
ACTION NEEDED:Install AMR
Created by: Julie Horak Date Created: 2014-07-28
ACTION TAI�N:
.........................................................................................................................................................................................................................................................................................................................................................................................................................
.��..�......._�.�:.._�..�::..�:............d��_�...1..2-.��.........................................................................................................._............................._.__.
.. ........................._.
....��::_�............�:��_�_�_-:..............�........2......�.E.......��..o.........................................................................................................................__.
...................._..._................................
�
_.c���.......r�_�:�:_t�::�.................... ...`�.�.2.._l.o......_��-f
.............................................................................................................................._.........................._............._
��� ���=�Sc�—
..._���.":..�:......�.....�.�....1.....:�....._.1...�....��.........................................................................................:.......................:
................................_................................................................
Status: 1n Progress Resident Contacted ❑
Date Completed: Compl by:
�
t� I � �
� � �
..:�
�
�
�
- 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 its
employees to do what is necessary to replace the water meter. 1 understand that the property owner
is liable for the water line from the main to the premise and all interior plumbing. (Per Gty code
402.06) 1 also hoid the City of Fridley and/its employees harmless for any amages a may r �---�
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 1 am also required to obtain a permit prior to any work,if
necessary. �
Final meter reading(oid meter) l � � ��v
Name•
Address: ���( �t��•✓I Ui � �'�1�
Phone Number: Date: t� ✓��` �
Signature:
Witness Signature:
FRIDLEY CITY C�DE
CH E 2.WATER,STORM WATER,ANO SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,b29,638,662,922,988,1144,1156,1191)
402.05.PERMIT FEE
Prior to constructing or repair of any water ar sewer line connecting the existing municipal system and any house
or building for which the appiication is made,the owner or contractor shall be required to 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 shali be notified. It shail be unlawful to cover any connectirtg line unti!an
inspection 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
�q{���� • ari��o 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 prope[ty owner requests
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
policy. it shall be the responsibil'�ty 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 ofith�land or property.�(Ref 638,1155;�1�}. �----