Meter Swap I�Rc�►��5��`0
G�_ ,�
��'
Request Number: 9183
Public Works Division
Service Request
Problem Address: 160 Satellite Ln Requested By: Ganga
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMIt METER Phone Number: 574-0531
Scheduled Date: 2014-10-15 Scheduled Time: 02:00:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Cre�ted: 2014-10-15
ACTION TAI�N:
Old meter#95625400 Old reading 235 10 New meter#44920931 ERT#35172148
Status: Completed Resident Contacted C"'
Date Completed: 2014-10-15 Compteted by: RyanJohnson
Hours
�O�
�
.
Request Number: 9183
, Public Works Division
Service Request
— Problem Address: 160 Satellite Ln Requested By: - Ganga --
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 574-0531
ScheduledDate: z014-10-15 Schedul 1�me: 02:00:00
S'� � �
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-15
ACTION TAI�N:
............................................................................................_............_.._._......................_............................................................................_....._......................................._.............................................._................................._...___..____........................._
� ��r��.-� �',���Z 5�60
.......................................................................................................................................................................................................................................................................................................................................................................................................................
b�........�:�.-b��..-.....:.........��.�.�.��._o..�b.........._............................_................._...................._._............._._......�...____..__..........__.._.........._
.�.�.�.......w����..��.............:.�1 y�2_0.._�.�..._1....:.:..........................................................................................................................................__..................�.....
_�:�............�=��N_�-.........:...
..............................................___................................................................................................._......................................___........................................_.__.__........._
............�...�......'��._�......_���........7........._Z._l.�g.._........_.....:....................._................:........................................_........_
Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
b-15-1 �
� �
- City of Fridley
_ _ _ ,_ _ �:w__ W�ter Department
: .___. . _
6431 University Avenue NE � � F.T'� -
Fridley,MN 55432
(763)572-3566
{/we hereby authorize the�itY uf fridtey and/or its
employees to do what is necessary to replace the water meter. I understand that the property owner
ic liahle for the water line from the main to the premise and all interior plumbing. (Per qty code
402.Q6� i alsn hoid the Giy of Fridley and/its employees harmless or any amages may -
while doing this operation. This to include,but nat limited to;valves,piping,walls,floors or the curb
stop box and service line. I understand I am also required to obtain a pe�mit prior to any work,if
neces�ary.
final meter reading(old meter) ����I � ��
Name: Address:, jl�� C�'^�` —"�`�
,�.....-._-..-.�...._� l�-t 5�l`�
Phone Number. ���
....
_ . —�,.
Signature:
Witness Signature•
FRIDLEY CITY C�DE
C R 402.WA7ER,STORM WATER,AND SANITARY SfWER
ADMtNISTRATION
(Ref Ord No 113f 454,565,566,6z9,638,662,922,988,1144,1156,1191)
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 appficatian is made,the owner or contractor shall be required to obtain a pecmit for such
connection,and shall pay a permit fee as pravided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shall be notified. It shall be unlawful to cover any conneding line until an
inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitahle connection.
402.06.REPAIRS AND MAINTENANCE TO CONNEC710N
�����#;�5 heen made+�the water servlce wrb staa 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,awner,
or the ocwpant or user of such premises shail be liable for all�epaia required to any water line and sewer lines
necessary for connection of the premises from the matn to the premises. If the propetty owner requests
maintenance service or repairs be performed by the City,the properly 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 responsibility of the applicant,awner,occupant or user to perFarm standard maintenance af
• the sewer service tine f�om the RremiSes to the main including debris clearing or root cutting and to maintain the
water service curb stop box far aperability and at such height as will ensure that it remains above the flnished
. .. , . __ ____ .__ .
.,'graiie of�tine land or�ropet�y. (ReF 63$,_L1�S,.t�g�:� _. .. . .. . . -
,