Meter Swap q Co�J— ���q��
a �-���
Request Number: 9244
Public Works Division
Service Request
Problem Address: 6121 Starlite Blvd Requested By: Kim Verbrugge
Department: WATER Address: No address provided
Problem/Lssue: INSTALL AMR METER Phone Number: 612-877-2821
Scheduled Date: 2014-10-29 Scheduled Time: 07:30:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-22
ACTION TAI�N:
Old meter#93004034 Old reading 141 20 New meter#44921584 ERT#35171682
Status: Completed Resident Contacted I"`
DateCompleted: 2014-10-29 Completedby: RyanJohnson
Hours
� �
.
.
Request Number: 9244
Public Works Division
Service Request
Problem Address: 6121 Starlite Bl� Requested By: Kim Verbrugge
Department: WATER Address: No address provided
Problem/Issue: IN5TALL AMR METER Phone Numbex: 612-877-2821
ScheduledDa*P� '^'�-10-29 Scheduled'I�me: 07:30:00
- ��.��� C�� � � ,
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-22
ACTION TAI�N:
.................................................................................................:................................................................................................................................................................................................................................................_............................__..........................:...._...
bc,� cu�;��-�� ��C�� �C� 3�
......�.............._._.....m..................................................�...................................................................................................................._...................................._.
....�.:......_����c�...�.........................._l�f l��.ZC�................................_............................................_
......._.............__._......___............w.______.._..�__._....._
.
.._��-,�.....�-�-r:..��-:�:............_�'�`�._�-::..1_�.�..............._.......................................................:..._....._............._.:._....._.....................................__. _._. _
....... .. ......
........��:�..........��-��:.�.�...-...�............................................................................. ..
......................................................................._....._......................................................................._._..........___._ .
.........�:...P.-�...:�..........:.�.�.".:1.�.....7..._...��.._�..�......................................................:...........................................:. .
...............................................__................................._._.................................
5tatus: In Progress Resident Contacted �
Date Completed: Completed by:
l�-Z�'/�
y � � +' .
. - City of Fridley
- . Wat.�r Department
_ _._.v,...
6431 University Avenue NE
Fridley,MN 55432
(763}572-3566
i/we hereby authorize the City of Fridtey and/or its
employees to do what is necessary to replace the water meter. F understand that the property owner
. __
�s l�abie for the water line frvm the main to the premise and all interior plumbing. (Rer City code
402.Q6) i aisa hold the�ity of Fridley and/its employees harmless or any damages tnat may�o -
whiie doing this operat�on. This tn include,but not limited ta;va4ves,piping,Wa��s,floors or the curb
�top box and service line. I understand 1 arn also required to otrtaina permit priorto any work,if
necessary.
� l�l ����
Final meter reading�old meter) /
Name•
Address:�� G�( ""' l/ T<i �/Q�
� __ j
Phone IVumber;"�.� � te, 1�' ��� �
Si�'natur � e ��
�.:�'
Witn s gnature:
FRIDL�1(GTII CaDE
CH R 402.WATER,STORM WATER,AND SANITARY SEWER
ADMIN{STRATlON
(Ref Ord Na 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 municip�l system and any house
or building for which the applicatian is made,the owner ar contractor ahatl be required ta obta9n a permit for such
connection,and shall pay a permit fee as pravided in Chapte�11 af this Code. After such cannectian has been
made,the 111/ater and Sewer Department shafl be notffied. ft shal{be un4awful to tover any connecting line until an
inspection has been made and such connection and the work incident thereto has been approved by the Gty as a
proper and suitabie connection.
402.06.REPAIRS AND MAiNTENANCE TO CONNECI'{ON
����p��pqe�b�e haan rn�a�}^�he�■�ater senrice curh stop bux or the sewer lead at the propert'
line or a water service or sewer lead has been extended to Che propertyline for connection,the appticant�owner,
or the occiipant or user of such premises shall be liabfe for all iepairs required to any watef line and sewef.lines
necessary for cannection of the premises from the main to the premises. if the propetty owner requests
maintenance service or repairs be performed hy tfie�ty,tt�e praperty awner shal!be charged for the c.astsof the
. maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
policy. It shall be the responsibif'�ty of the appficant,awner,occupant or user to perform standard maintenance af
• the sewer service tine from the premises to the main including debris clearing or root cutting and to maintain the
water service curh stnp box for operabilittir and at 5uch height as wilt ensure that it remafns abave the finished
,.. � � - �
graif"e of ti��land or-prop�rty.�(Re�635,-1�5,.1.���:) .. .� . . . .
,
Request Number: 9080
Public VVorks Division
Service Request
Problem Address: 6120 Stazlite Blvd Requested By: Randall Benedict
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 574-1561
Scheduled 2014-10-09 � Scheduled Time: 02:00:00
E►e�e�--�--� ' �� �
� ��.
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-07
ACTION TAI�N:
_......:................................................................................................................_........................................................_..............................._____..._.._._......_._....._____--__-_____......._..........._.._...................._...................................._.._.............................._
_...��...................... .r ......�..... ........................._��:��...`��.��......................................................................._................._......................._.................._......_......_.._...............__.__
�� � �
..�......�_�-.��.s�...-..................._�..1.:..1....._�...�.._�.................................._......._.:.................................................................................._........._................_............:...._....._._..............
..�.�w.....:...��...�.............���..2 b.��:3..........................................................:................................................................................_..................................._
�F�s
..................................................�=-�.��...-..... ... ..........................................................................................................................................................._.................._.._...................................................._..._.._....................._
_...��.....�........:.�zSIS���.l......._..............._..............................................................................:....................._................................................................................._. __. __. .
............... ........... .....
Status: in Progress Resident Contacted ❑
Date Completed: Completed by:
��-1�
::
. . �?;r,K:.
�
'+'S
!
'
. City of Fridley
. . _ Water Departnnent
_ ._. �. _ .__....__.._ ._
6431 University Avenue NE
Fridiey,MN 55432
(763)5T2-3566
��we hereby authorize the t�tY�Fryd��and/or its oW�er
employees to do what is necessary ta reptace the water meter. !understand that the propertl►
�-��-�-�� or the water line from the main to the premise and ail interior piumbing. (Per City code
402.46) f also hoW the Gty of Fridley and/its empioyees harmiess or any amages a may�-
while doing this aperadon. This to include,but not limited to;val��.P�P��B►�ails,floors or the curb
stop box and service line. I understa�d 1 am also required to obtain a permit priar to any work,if
necessary. �
3G v
Final meter reading(old meter� �� ! �V�
Name: Address:„
� � Date: ��� �� ----
Phane Number�
5ignature•
Witness Signature:
FRIDLEY CITY C�DE
ER 402.WATER.STORM WATER,ANU SANITARY SEWER
ADMINISTRAT�ON
(Ref Ord No 113,464,565,566,629,638,662,922,9$$,1144,1156,1191)
402.D5.PERMIT FEE
Prior to constructing or repair of any water or sewer line connectingo�hall ben equiredto�obta n a permitforsuch
ar building for which the applicatian is made,the owner or contract
connection,and shaii pay a permit fe ent sha{I�be notified.tlt hall be uniawful to cover any con eicti g li eeutil an
made,the Water and Sewer Departm
inspection has 6een made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
qOZ.06.REPAIRS AfdD MAINTENANCE TO CONNECi1�N .
�����a er service curb sto box or the sewer lead at the propert�
line ar a water servite 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 wator 1�iner`n�du e�wt5er lines
necessary for connection of the premises from the main to the pre¢�eow`ne shall be charged for the costs of the
maintenance service or repairs be performed by the City,the prap rtY
maintenance andJor repairs, +nciudi fthe anel cant ownert occupant or user to perform standard mai tena'nce af
palicy. It shall be the responsibdity o Pp
• the sewer service line fram the premises to thd at such hie gh as bf!e eu e hat t ema ns above the finished�e
water service curb stop box for aperabdity an __
.. . .. . . . .
Re�638,-�,155,.t�9�:� _� .
_ . - _..__ ._. _ .....__
_._. _....
"'grac�e of tirie land or�rnp�r�y. (