Meter Swap /�7�5--�5���
�/9-7''`�
-;, � .
Request Number: 9209
Public works Division
Service Request
Problem Address: 6140 Starlite Blvd Requested By: Francis Plautz
Department: WATER Address: No address provided
Problemflssae: INSTALLAMRME'TER PhoneNumber: 763-688-1757
Scheduled Date: 2014-10-27 Sc6eduled Time: 01:00:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-20
ACTION TAKEN:
Old meter#29786384 Old reading 087 04 New meter#449216b3 ERT#35172549
Status: Completed Resident Contacted 1-
DateCompleted: 2014-10-27 Comptetedby: RyanJohnson
Hours
��
`�,1-;��"�''��c"t`��%
� �.��',`� INSTALLATION
��.�� AUTOMATIC METER READER
FRIDLEY
Address �J t_1�� ��s�--.�7� �L�
Name �,�� \_ J(i��
Date �L`"��
Old Meter Number ��� ���
Old Meter Reading � �
Replacement No. �J Uln � i L��
Replacement Reading�v
Replacement Make
ERT# ��� o�l���
Replacement ERT#
Remarks:
�� Signed:
Request Number: 9209
Public Works Division
Service Request
Problem Address: 6140 Stazlite Blvd . Requested By: Francis Plautz
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-688-1757
Scheduled Date: 2014-10-27 `� SchedWed Time: 01:00:00
, l.J�.�� O�� ' c✓
ACTION NEEDED:2U 14 AMR
Created by: Wendy Hiait Date Created: 2014-10-20
ACTION TAI�N:
....................................................................................................................................................................................................................................................................................................._.........._._.........................._..:......_...._...................................:............_....
.........._�_c.��...�..--.-��:..�........-........_.2�..�1.......�...�......�.._�...��.............................................................................................__..:.............................................._._
�
............�_�.:�...::.����_�C�.._--............._a�.��..._2�...........................................................................................::................_............................ . _. . .
................... ...................
................�.���........r�..��-..�.�:......._�:`�_�:_Z..��_�.._3....................................................................__........_........_............................................................:....__
� � ,�
._...._.......�1.�.......K�..._�._-._....... ........................:.......................................................................................:......................._.
...............................___......................................._....._........................_......_
�- � -- 3S 1�12.J � `�
.......................�......................................................................................................................................................._..................................................�__._._.m_.
Status: InProgress ResidentContacted L�
Date Completed: Completed by: :
Hours . .� '��
�� �
�
-,
- City of Fridley
_ _ ... Waxer[�epartment
. ,__ ___
_.._ .. .,..,�_- _ . ,
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
i/we hereby authorize the�tY af Fridiey and/or its
employees to do what is r�ecessary to replace the water meter. I understand that the praperty owner
�s.l�able for the water(ine from the main to the premise and al)iMerior plumbing. (Per Gty code
402.Q6) i aiso hold the City of�ridley and/its emptoyees harmless ar any amages t�ta ma— y o�`-
whife doing this operation. This to include,but not iimited to;valves�P�Pi�g►wa��s,floors or tfie curb
stop box and service line. I understand i am also required to o6tain a permit prior to any work,if
necessary.
Final meter reading(old meterj ���� �`�
Name• � Address:, �E`]�� ���� ��
Phone Number Date• ��'~�����
5lgnature: ,
Witness Signature: `
FFtIDLEY CITY CODE
ER 402.WATER,5'fORM WA'fER,AND SAN{TARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.05.PERMIT FEE
Prior Co constructing ar repair of any water or sewer line connecting the existing municipal system and any house
or buitding for which the appiication is made,the owner or contractor strall be required to obtain a permit for such
connectian,and shaN pay a permit fee as pravided in Chapter 11 of this Cade. After such cannectian has been
made,the Water and Sewer Department shall be notified. It shall be unlawful to cover any connecting line until an
lnspection has been made and such connection and the wark incident theseta has been app�oved by the City as a
proper and suitabte connection.
402.Q6.REPAIRS AND MAINTENANCE TO CQNNEC170N
�b�pj�k�p���}��}wan mad to the water service curb sto�box nr the sewer lead at the propert-
line or a water service or sewer lead has been extended to Che propertyline for connection,the applicant,owner,
ar the occupant or user of such premises shal(be liable for all�epairs required to any water line and sewer lines
necessary for connection of the premises from tfie main to the premises. If the propgtty owner reqaests
maintenance service or repairs be performed by the City,the property awner shati be charged for the co�ts of the
. maintenance and/ar repairs, including any necessary street repairs,at a rate set annually by an administrative
policy. tt shali be the responsihility of the applicant,awner,occupant or user to perFarm standard maintenance of
• the sewer service{ine from the premises to the main including debri5 clearing nr raot cutting and to maintatn the
water service curb stop box for aperability and at such height as will ensure that it remains above the finished
. .. . . .. .� . .--- ...
„'graiie of tfi�land orprop�rty.�(ReF 63�,_1�55,_t���:� _. �