Meter Swap i r� ����-u�c�q�
ai—����
Request Number: 9241
Public Works Division
Service Request
Problem Address: 175 Sylvan Ln Requested By: Jonathan Haage
Department: WATER Address: No ac�ress provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-559-1983
Scheduled Date: 2014-10-23 Scheduled Time: 09:00:00
ACTION NEEDED:Install AMR
Created by: Julie Horak Date Created: 2014-10-21
ACTION TAI�N:
Old meter#35261778 Old reading 019 190 New meter#'Uaed ld bzass ER 5172569
i
......................................................................................................................................�...............................�............................................................«................................�..................................��.....................................�...�..........e..................................... `
Status: Completed Resident Contacted I'" �
Date Completed: 2014-10-23 Completed by: Ryan Johnson
Hours
v V�
/y.,Q
. ✓
j
°� b>�x "' r' la . ���� '� +fi
� ���€ �`� � t " ,��t �
t� ,4�,'� ,�4 ' '�� 1"p��hy��+�d � �
� .�- �Lk i ]' X* � Y} $ry�4 �:
, .
nF
��a��� ��--t�f��
'Old Meter Number �-1 ��
Old Meter Reading � � � �4
Replacement No. 5 Q`IE� �7��
Replacement Reading
Replacement Make ���Z.
ERT#
, Replacement ERT#
; �' �_�, ` ^��" �-��
�CI11a2'ICS. ��.J J. .-�,���
_ +.. _��
_ Signed ��
�
Request Number: 9241
Public Works Division
Service Request
Problem Address: 175 Sylvan Ln Requested By: Jonathau Haage
Department: WA1ER Address: No address provided .
Problem/Issue: INSTALLAMRMETER PhoneNumber: b12-559-1983
Scheduled Date: 2014-10-23 Scheduled Time: 09:00:00
� �' � �'-� .
ACTION NEEDED:Install AMR �
Created by: Julie Horak Date Created: 2014-10-21
ACTION TAI�N:
_............................................................................................_............................._......_......................................................................................................................._..................._......................................................__............ .._..._�_�__-�____.._._...._.._.
�
_.._�........��.�...�...R...-..�:........................�, .�.�......5...�..�..........�..._.�..........................................................................._..............._.._.�......._.............._...__.........._..........._.....__. ._...w.
.:...o�........._�.:.�.�_��:�.�...-........................e...l..._`�._2..-.-....1......�..._.....o............................__.._.
.
... ............_................................................__._..__..........................______........................._
.....���......�T�:.�:.._:�......................................................................:.....:............. .....................:......_v�:�.-�..............._......b._....��.......__w..�....o.. �......................__....__
_...��.�.........._�����c�...-.....�.............................................................._...............................................................................................:.
.............�._��....._�........:3�r�.._z.s_��......__........_..........................................:............._..............................................._..................................................._.
............................_..__..............................
5tatus: In Progress Resident Contacted [�
Date Completed: Completed by:
l
b���"i�f
. � City of Frid{ey
_ _- . Watpr Department
. ._ _:� _ ��.. .
6431 University Avenue NE
Fridtey,MN 55432
(763j 5723566
�jWe hereby autharize the tihf af fridley andJor i�
, employees to do what is necessary to reptace the water meter. 1 understand that the property owner
is liabie for th water line from the main to the premise and al)interior plumbing. (Per Ciry code
402.06) f also fiofd the C'ity►of Fridfey and/its emptoyees harmtess r any amages a�may�o -
while deieg ifiis op+eradon. This to include,ht+t nat limited ta;valves�p�pf�g.wa�ls►fl°°�s or the curb
stap box and service line. 1 understand 1 am also required to obtafn a permit prior to any work,if
necessary.
Final meter reading(old meter) O� L � ` �.�
Name: Addre�: ��� �l V�'���
Phone Number: Date: ��^��^` /
Signature:
Wltness ature•
FRIDLEY qTY CODE
CHA 402.WAT�R,STORM WATER,AND�►NITARY SEWER
ADMINlSTRATION
(Ref Ord No 113,464,565,566,6Z9,638,b6Z,922,988,1144,1156,1191)
402.05.PERMfT FEE �
Prior to constructing or repair of any water or sewer line cannecting the e�asting municipai system and any house
or buiiding for which the spplicatian is made,the owner ar contractor shail be required to obtain a petmit for such
connection,and shell pay a permit fee as pruvided in Chapter 11 of this Code. After such connection has been
made,the 1Nater and Sewer Department shal{be notif ed. It shaN be uniavrful to cove�aoy connecting tine until an
inspection has been made and such connection and the work incident thereta has been appraved by the City as a
proper and suitabie connection.
402.06.REPAIRS AND MAINTENANCE TO CONNECTION
�b���pe���,,,�i, M��+�+�rhe water service cur6 stoa 6ux nr the sewer lead at the propert�
line ar a water service ar sewer lead has been extended to the propertyline for connection,the appficant,awner,
or the ocwpant or user of such premise5 shatl be tiable far a41�epairs required ta any water line and sewer lines
necessary for connection af the premises from the main to the premises. if the prop�ty owner requests
rnaintenance service or repairs be performed 6y the City,the property owner shal{be tharged for the costs of the
. maintenance and/or repairs, including any necessary street repaics,at a rate set an�uaUy by an administrative
poticy. It shall be the responsi6ility of the applicant,awner,occupant or user to perfarm standard maintenance of
• the sewer service line from the premises ta the main inciuding debris clearing flr 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
,-.grade of�3t7e land or�rop�riy.�(Re�63$,1���,.t�`��� _. ._ . . . . ._ _.