Meter Swap �a q��— �q�o
��-c� �,�
Request Number: 9065
Public Works Division
5ervice Request
Problem Address: 6100 Trinity Dr Requested By: Joni Waste
Department: WATER Address: No address provided
Problem/Issue: INSTA,LL AMR METER Phone Number: 572-2541
Scheduled Date: 2014-10-07 Scheduled Time: 08:30:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-06
ACTION TAI�N: �
Old meter#18074131 Old reading. 81 70 Newmeter#��e��bra�s ERT#35159558
Status: Completed Resideat Contacted I"'
Date Completed: 2014-10-07 Completed by: Ryan Johnson
Huurs
�3�
�
Request Number: 9065
Public Works Division
Service Request
Problem Address: .6.10U Trinity Dr Requested By: Joni Waste . ...
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 572-2541
Scheduled Date: 2014-10-07 � Scheduled Time: 08:30:00
rJ � � -�-`3a
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2Q14-10-06
ACTION TAI�N: ,
...........................................................................................................................................................................................................................................................................................>..............................................._........_.
................__...........................................
....:.�.�....�:-��_�.:.�.................1...�..a�....�.....1..�....�......................................................................................._.._�_................_....._............_............... ......_..............
� ' �.
_.��.........�..-�.�.�..........................._�.gl � ��
................................................................................................................................................._................................_.._..........._.. _... _
..1..�.��._rr�.-��r-��:,�-............. .........................._... '.......:.........
...._ .....:...................c�..�_........�....,..�.............,.._ofd...............��-s5
.....R..�+�.................�-�:���:�.......�-.-:...�........................................................................................................................................................................................................__...........................__.
.....�..��`.-.....:�............... ......................:...................................... ............:..........��.�..........�...`�........1..:.....�..�.............c'1............5........�...`...�..........:....................................................._..............................................._......._.._._
Status: Tn Progress Resident Cuntacted ❑
Date Completed: Complete
��'� ��� � � �
1
;
, +
� . City of Fridley
�--. . Water Depar�ment .
_ __.. . _
_ -- -_. _�.__,__
6431 University Avenue PfE
Fridley,MN 55432
(763)572-356fi
��We hereby authorize the Gty of Fridiey and/or its oW�er
empioyees to do what is necessary to repface the water meter. 1 understand that the property
;-�:-�.�e;^r the water line from the main to the premise and al)iM�rior plumbing. {Per Cit1l code
402,U6) f also hoid the C+ty of F�idley and/its employees harmless or any amages �at may�oc r
while doing this operation. This to inciude,but nat limited to;valves,piping,v�►a��S�fl°o�'s or the curb
step bax and service line. I understand I am also required to obtam a permit priac to any wark,if
necessary. � � �
Einat meter reading(oid meter)
� .
Name• Address• "--
� �, ,j
Phone Number: Date:
Signature• ' ""
Witness Signature•
FRIDLEY CITI(CODE
CHAPTER 402.WATER,STOR1w WATER,AN�SANITARY SEWER
ADMINISTRAII�N
(Ref Ord Na 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402A5.PERMIT FEE
Prior to constructing or repair of any water or sewer line conneding t(�exi be e�u ed to`obtain aapermtt far such
or building for which the application is made,the owner or contracto q
connection,and shal)pay a permit finent shalllbe notifed.tit shall be unlawful to cover any onnecti B�l e�until an
made,the Water and Sewer Depart
inspection has been made and such connection and the work incident thereta has been approved by the City as a
proper and suitable connection.
402.06.REPAIRS AND MAfNTENANCE TO CONNECTION
������ac h�n rnade to th er service curb sto bax or the sewer lead at the propert�
th licant,owner,
line or a water service or sewer lead has been extended tn the�ropert/line for connection, e app'
or the occupant or user af such prem�ses shall be liabie for ali repairs requ9red to any wate����d��lines
necessary for connection of the premises from the main to the pree�eQ��ne shall be charged for the costs of the
maiatenance service or repairs be performed 6y the City,the prop rtY
maintenance and/or repairs, includi f the anelicant ownert occupant or user to perform st ndard main�tenaince of
policy. It shall be the responsib�lity o PP
• the sewer service line from the premises�Oand at such heigh as w II ensure hat t main above the finish d he
. .. . ..__. . .
water service cur6 stop box far operab�ity . �� _.
_ . .. .
.._ _ ... .
"'grade of�ti�eiand or-�rop�t�y.�(Ret 638,1�5,.1� � �
_ _ _._.._ ._. _ .----