Meter Swap -
���j�j���✓,�'�C��
� �'
bl- `�
Request Number: 9355
Public Works Division
Service Request
Problem Address: 180 Sylvan Ln Requested By: Greg Smith
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-222-9302
Scheduled Date: 2014-11-12 Sc6eduled'Iime: 07:30:00
ACTTON NEEDED:Install AMR
Created by: Jeannie Benson Date Created: 2014-11-03
ACTION TAI�N:
Old meter#22376126 Old reading.08 130 New meter#44922254 ERT#35171863 "
Status: Completed Resident Contacted I"'
DateCompleted: 2014-11-12 Completedby: JosephKatzung
Hours
�`��`0
a
Request Number: 9355
Public Works Division
Service Request
Problem Address: 180 Sylvan Lane NE Requested By: Greg Smith
Department: WATER Address: No address provided
ProblemfTssue: INSTALL AMR METER Phone Number: 763-222-9302
5cheduled Date: 2014-11-12 Scheduled Time: 07:30:00
2 '� � � 3
ACTION NEEDED:install AMR
Created by: Jeannie Benson Date Cre�ted: 2014-11-03
ACTION TAI�N:
...................................................................................___..__..............................................._.........................._..,...................................................................................................__....._..........................._...._......_.._........._........_.._...................._...._._..._........_....__...
..........._o._I�::......._�:��_:�:-�:�r._._..�...........�...�.�... -?.a.......7.._�'._�:�....��.....................................................................__..................___.......__�...__._. _. _. : . _. _. _.__..
......... .......... ................. .... ............ .
U �
. ,
...:..........................!........:.............._+t��.:�.�...... .........�........�....���..._`�......!..........._�........................................................._.___�.�._.
�` ......................__...._......_........._..____..............._.._._...........___...__............__....__............._.
� �
...................�.�..�........:.1�1�.+�.r:..:�:...._"............._1.�....�./..�;Z.._�.L:�.��.f..............................................._
_.................................._.........................._..._...............................__.._................_........................._........_......................
�.::. _...............:....��:.�...:......_:�.�`..�.. .......-.......�......................................................................................._....._.........................................__....�_......._....................._____....__............_......._...........__......___........_____._....
�
........................�..�.:-r.....:�.......-_._.�..���7_�:...�'�..._�...�.............................................._.........................................._.............�_._..........._......._.__.........__...................._._.................._..........._................__.._..............�.
Status: In Progress Resident Contacted p
Date Completed: Completed by:
t}� i�,� ,y ���Yv ����{
t Y�
u
;
�� '��'
� City of Fridley
- _ , WafiFr Department
_. ._ .. .. .�....
6431 Uni�ersity Avenue NE
Fridley,MN 55432
(763157Z-3566
��We hereby authorize the t+hi o��'�dley and/or i1x
employees to da what i�r�ecessary to replace the water meter, i understand that the property owner
is liable far the water line from the main to the premise and all interior plumbing. (Per Gty code
402.06) I alsa hold the Gty of Fridley and/its employees ha Irm�ess or any amages - a may o�t�-
while doing this operation. This to include,but nat limited ta;valves.pipinB.wa(Is►floors°�the curb
�top box and service line. I understand i am also required to ahtain a Pesmit Pnor to any work�if
necessary.
final meter reading(oid meter) � � � �
Name: Address:�� .��Vah �.r� —
. :
Phone Number: Date� ��`��`�f
' Signature•
' UVitness Signature: �
FRIDLEY CITY CODE
CHppTER 4p2.WATER,STORM WATER,AND SANITARY SEWER
ADMINiSTRATION
(Ref Ord No 113,464,565,556,629,638,662,922,988,1144,1156,1191)
402.05.PERMIT FEE �
Prior to constructing or repair of any water or sewer line cannecting the eacisting municipal system and any house
or building for which the application is made,the owner or contractor shall be�equired to obtain a permit for such
connection,and shall pay a permit fee as pruvided in Chapter 11 of this Cade. After such connection has been
made,the 1Nater and Sewer Department shall be notified. It shail be uniawFui to cover any connecting line until an
inspection has been made and such connection and the work incident thereto has been approved by the Ctty as a
proper and suitable connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
�.�b�p��qe4,,,,,h���,ppn rnade to the water Servlce curh stoa hox or the sewer lead at the propert�
line or a water service ar sewer lead has been extended to the propertyline for connection,the applicant,owner,
or the occupant or user of such premises shall be liable foc all�epain required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. tf the propetty owner requests
maintenance senrice�r repairs 6e performed by the�ty,the property awner shall be d�arged for the costs of the
. maintenance and/or repairs, including any neces�ary street repairs,at a rate set annually by.an administrative
policy. It shail be the responsi6ility of the applicant,awner,occupant c�user to perform�tandard maintenance of
• the sewer service line from the premises to the main incfuding debris clearingor root cutting and to maintain the
� water service cur6 stop box for operability and at such height as will ensure that it remains above the finished
.,gracte of�tt�e iand or�rop�r[y.�jReF 638,-1#�5,_�,���:j - -