Meter Swap ��l.l�"IU�—���
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Request Number: 9194
Public Works Division
Service Request
Problem Address: 6180 Starlite Blvd Requested By: Anise Khatoon
Department: WATER Address: No adckess provided
Problem/L4sue: INSTALL AMR METER Phone Number: 612-270-�125
Scheduled Date: 2014-10-22 Scheduled Time: 10:30:00
ACTION NEEDED:2014 AMIt
Created by: Wendy Hiatt Date Created: 2014-10-16
ACTION TAKEN: � �
Old meter#43592414 Old reading 029 10 Newmeter:Usedoldbrass ERT#35172566
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Status: Completed Resident Contacted I'!
Date Completed: 2014-14-22 Completed by: Ryan Johnson
Hours
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� �� ���INSTALLA ION ����
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U.noF AUTOMATIC METER READER
FRIDLEY
Address ��Z�� ����t�� ���
Name �l��C-�
Date ��� 1�
Old Meter Number �� 1�p�
Ofd Meter Reading ��
Replacement No. �5 1 a'1 i
Replacement Reading ('�
Replacement Make ���P�(��
ERT# ���o�l��� �^
Replacement ERT#
Remarks:
�S Signed:
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City of Fridley
Water Department
8431 University Avenue NE
Fridley,MN 55432
(763)572-3566
Iiwe hereby authorize the City of Fridley and/or its
empioyees to do what is necessary to repiace the water meter, I understand that the property owner
is tiable for the water line from the main to the premiss and all interior ptumbing. (Per City code
402.06j i aiso hold the City of Fridley andJits employees harmless for any damages that may accar
while doing this operation. This to include,but nat limited to;valves,piping,walis,floors ar the curb
stop box and service line. 1 understand I am aiso required ta obtain a permit prior to any work,if
necessary.
F9r�al meter reading(old meter) ����`��
Name• Address• lLJ����, ,�„ l..�Z(� c`�)t�J
Phone Number: Date: -u ������ .
Signature•
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMfNfSTRATION
(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 municipai system and any house
or building for which the application is made,the owner or contrador sha41 be cequired to obtain a permit for suth
connection,and shall pay a permit fee as provided in Chapte�11 of this Code. After such connect+on has been
made,the Water and Sewer Department shall be notified. It shall be unlawful to cover any connecting Ilne until 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
After the initial connection has been made to the water service curb stop bax or the sewer lead at the property
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 property owner requests
maintenance service or repairs be performed by the City,the property owner shatl be charged for the costs of the
maintenance andlo�repairs, inc4uding any necessary street repairs,at a rate set annua{ly by an administrative
policy. ►t shall be the responsibility of the applicant,awner,occupant or user tu 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 operahility and at such height as will ensure that it remains above the finished
grade of the{and or property. (Ref 638,1156,1191)
��
.
Request Number: 9194
Public Works Division
Service Request
Problem Address: 6180 Starlite Blvd Requested By: Anise Khatoon
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-270-7125
Scheduled D�te• 2014-10-22 � Scheduled Time: 10:30:00
� � V1 �
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-16
ACTION TAI�N:
.......................................................................................................................................................................................................................................................................................................................................... ............................................................................
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Status: TnProgress ResidentContacted Q ..�
Date Completed: Comp eted
Hours
�
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y 4
//.y
' - City of Fridley
- , . Watpr Department
.
___, .s....
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
��We hereby a�thorize the�ty of Fridiey and/or its
employees to do what is necessary ta replace the water meter. I understand that the property owner
is liahie for the water tine from the main to tfie premise and all interior plumbing. (Per C'ity code
A02.06f i alsa hofd the City of Fridtey and/its emptoyees fiarmfess r ahy amages - may occur- �
while doing this operation. This to include,but not limited to;valves►pipi�B►wa��s,floan or the curb
stop box and service line. I understand I am also required to ahtain a permit prior to any work,ff
necessary.
Finai meter reading(old meter) �� ` � ��D j -/
Name:
Addre�• �--C t U� � 1'�..r �!*�'� '`✓��C
� � Phone Number: � � Date: ����������� � �
Signature: , �-�"'Zd _
Witness Signature: _�.�_
FRIDLEY CITY CODE
ER eW2.WATER,STORM WATER,AND SANII'ARY SEWER
ADM{NtSTRATlON
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
4Q2.05.PERMIT FF�
Priar ta constructing or repair of any water or sewer line connecting the existing manicipal system and any house
or building for which the appficatian is made,the owner or cnntractor shafl be required to obtain a permit for wch
cannectian,and shall pay a permit fee as provided in Chapter 11 of this Code. After such cannection has been
made,the Water and Sewer Department shall be notified. It shali be unlawful to cover any connecting 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 suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTtON
��b�p�����t,op�rnade to the wat r service curh stop box or the sewer lead at the propert�
(ine nr a water servtce ar sewer lead has been extended to the propertyline far connection,the applicant�owner,
or the ocwpant or user of such preen'�ses shall be liable for all�epairs required to any water line and sewer lines
necessary for connection of the prem9ses from the main to the premiset. If the prop�[ty flwner reque�ts
maintenance service ar repairs be performed hy the City,the property owner sha!!be charged for the c4�ts of the
maintenance and/or repairs, inciud'ing any necessary street repairs,at a rate set annually by.an administrative
policy. It shall be the respansi6ility of the appficant,uwner,occupant o�user to perform standard maintenance of
• the sewer service line from the premises to the rnain including debrisdearingor root cutting and to maintain the
water 5ervtce curh stop box for operability and at such height as will ensure that it remains above the finished
,:,gsa�e Bf�tii�tand orprop�ttY.�¢Ret 63o,�L5,.Z�n3:� _. ..