Meter Swap � uq�G �- � S� oG �
_
.
c�i ����
Request Number: 9338
Public Works Division
Service Request
Problem Address: 6161 Trinity Dr Requested By: Geoff Cain
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 651-283-3225
ScheduledDate: 2014-11-12 , ScheduledTTime: 02:00:00
ACTION NEEDED:AMR install
Created by: Cheryl Pellegrin Date Created: 2014-10-31
ACTION TAI�N:
Old meter#13477336 Old reading:060 20 New meter#44922243 ERT#35172497
Status: Completed Resident Contacted I""
DateCompleted: 2014-11-12 Completedby: JosephKatzung
Hours
. ���,� '
L ^ ,
�
Request Number: 9338
Public Works Division
Service Request
__ ._.._. � ... _ _ , . _ _ __.
Problem Address: 6161 Trinity Dr. Requested By: Geoff Cain
Department: WAT'ER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 651-283-3225
Scheduled Date: 2014-11-12 Scheduled Time: 02:00:00
�'W
ACTION 1V�EDED:AMR install
Created by: Cheryl Pellegrin Date Created: 2014-10-31
ACTION TAI�N:
......................................................................................................................................................................................................................................................................................................................................................................................_.._.,.........._....._........_
...........U.._�.....0-.............n��:.._�...._:�:::..._"........1.�...�......._`?�.�.��...3.�....._.............................................................................................................._.
.. .............................................................
..........._�.._(..._j...............�-�._�:::.�...A:.�.�....... . -......_Q.C�.C�,..�..�..o......................................................................................................................_......,................._...............:...................................
, . .....�..�_���..........u��-�-�....._ ................-......�..�....1.�.....�:.�i....�.............................................................................................................
�
. _f�.J.-e�. .....s��-..,_ ... ...........::...:.. ................_............................_........__..._......_..................................._.............................................................................................................................._........................_
....... �
�I�.�(."..-.......:�.-..:_-.:................�...5�1."�.��.�/...`1....�................_............................._................................ .
Status: , In Progress Resident Contacted 1"'
Date Completed: Completed by:
�, ` r�r��
���� �
� ,,.
� City of Fridley
- _ Wac�r Department
_
, ., .p....
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
�/We hereby authorize the�h►�fridfey and/or its
emptoyees to do what is necessary to replace the water meter. I w�derstand that the pro�rty owner
is liable for the water tine from the main ta the premise and all interior plumbing. (Per Cny code
402.06) I alsa huld the City of Fridley and/its empioyees harmless or any amages - may�r-
while doing this operadon. This ta inciude,but nat timited ta;valves►Piping,walls,flaocs or the curb
�top bax and service line. I understand I am also required to ohtain a permit prior to any work,if
neces5ary.
Final meter reading(old meter) �l ��� ��
�� / � ` .
Name: Address: �Q
` �
Phone Number �t�' t� � `�.
Signature�
"Gt�1---
Wttness Signature:
FRIDLEY CITY C�DE
�HAPTER 4Q2.WATER,STORM WATER,AN�SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,5b5,566,629,638,662,922,988,114A�,1156,1191)
402.05.PERMIT FEE
Prior to constructing or repair af any water or sewer line conaecting the existing municipal system and any house
or building for which the applicatian is made,the owner ar contractor shall be required to obtain a permit for 5uch
connection,and shall pay a permit fee as provided in Chapte�il of this Code. After such connection has been
made,the Water and Sewer Departme�t shall be notified. It shall 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
praper and suitable connection.
402.06:REPAIRS AND MAINTENANCE TO CONNECTION
�����ac haan made to th water service curh stoa bux or the sewer lead at the propert�
line or a water senrice or sewer lead has been extended to the propertyline for connection,the appli�nt,owner,
ar the occupant or user af such premises shall be{iable for al{repairs required to any waCer line and sewer lines
necessary for connection of the premises from the main to the premises. if ihe prop�tty owner requests
rnaintenance service or repairs be performed 6y the City,the property owner shall be charged for the costs of the
. maintenance and/or repairs, in�luding any necessary street repairs,at a�ate set annually by an administrative
policy. It shali be the responsi6iliry of the applicant,awner,occupant�user to perFarm standard malntenance af
• the sewer service line from the premises to the main including debri5 clearing or root cutting and to maintain the
water service curh stop bvx for operabitity and at such height as will ensure that it remains abave the flnished
. ..--- ._ .
:,grade of�tf7e land or�rop�rty.�(Ret 638,-L�S,.:t��3:) .. .. . ._ . ._ _ .