Meter Swap I 39�5- u57a�a
o�sp��
Request Number: 9133
Public Works Division
Service Request
Problem Address: 6231 Trinity Dr Requested By: Julie Brown
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 572-2098
Scheduled Date: 2014-10-15 Scheduled'Iime: 08:30:00
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-13
ACTION TAKEN:
Old meter#87599052 Old readin 227 30 New meter#44920925 ERT#35172140
Status: Completed Resident Contacted 1""`
Date Completed: 2014-10-15 Completed by: Ryan Johnson
Hours
�
��
Request Number: 9133
Public Works Division
Service Request
Problem Address: 6231 Trinity Dr Requested By: Julie Brown
Department: WATER Address: No address provided
ProblemlIssue: INSTALL AMR METER Phone Number: 572-2098
ScheduledD te: 2014-10-15 ScheduledTime: 0830:00
� �C7CJ
ACTION NEEDED:2014 AMR
Createdby: WendyHiatt DateCreated: 2014-10-13
ACTION TAI�N:
.................................................................____....._............................................................................................................................................................................................................................................................m_................:...............__...__......................_..
i.JC�(� vwt-- � l �� �V J �
......................................................................�.........�.......�........�.................................`�..........................................................................................................................._......................_.
...._....................................._...._................_
..._��-�........_f�..�._���c:�s:�....-................_2..2.-...�..7.....Co..._�_�30........................................................................�.._............_........._......:............................ _. . _
... ...................
..._�.�.�.........l��.r.�.�.....�....:...........��_...f..�.....Z:d_�...2::_5.........................................................................................................__..................................__. .
_...�..��.............................��:.�..r��..:-.......�.......................................................................................................................................................:
..........��.-:r....�:..........1.�.�:1...�.....7.........�1.G�o............................................................................................................................................................................__. .._. . _.__._
..........._ ...................... .. ..
Status: In Progress Resident Contacted ❑
Date Completed: Completed b :
C�0 t S'��
.
_ , ,._
� City of Fridley
r_w . Water Department
. .�.. .
,_.�, .z.. P�ax-- .
6431 University Avenue NE
Fridley,MN 55432
(763)57Z-3566
I/we herehy authorize the tity of Fridley and/ar its
employees to do what is necessary to replace the water meter. I understand that the property owner
_is liable fur the water(ine from the main to the premise and all interior plumbing. (Per City code
402.06) I alsa hold the Gty of Fridley and/its employees harmless or any amages a may -
while doing this operadon. This to inciude,but not limited to;vaives,piping,wails,floors or the curb
stap box and service line. I understand I am also required to obtain a permit prior to any work,if
necessary.
Final meter readin�(old meter) ��� `{ � ✓�
Name• Address• v� ~ ` ��
Phone Number: Date: �V��` ��` -/
Slgnatur
Witness Signature:
FRIDLEY CITY CODE
R 4U2.WATER,STORM WATER,AND SANITARY SEWER
ADMINfSTRATION
(Ref Ord No 113,464,565,566,6z9,638,662,922,988,1144,1156,1191)
402.05.PERMIT FEE
Prior to constructing ar repair of any water or sewer line connecting the existing municipal system and any house
or building for which the applicatian is made,the owner or contractor d�all be required to obtain a permit for such
connectian,and shali pay a permit fee as pravided in Chapte�11 of this Code. After such connectian has been
made,the Water and Sewer Department shall be notified. It shall be unlawful to cover any cannecting 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
-A#teFthainixial conne�t�r�ha�hPan rnade to the water service curb stou box nr the sewer lead at the propert�
line or a water service or sewer lead has been extended to the properry line far connection,the applicant,awner,
or the occupant or user of such premises shall be liable for all�epairs required to any water line and sewer lines
necessary for connection of the premises from the main to the premises. If the propetty owner requests
maintenance service or repairs be performed by the City,the property owner shali be charged for the costs of the
. maintenance and/or repairs, including any necessary street repairs,at a rate set annually by.an administrative
policy. It shall be the responsibility of the appli�ant,owner,occupant or user to perfarm 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 cur6 stop box for operability and at such height as will ensure that it remains above the finished
- - _ . . ._ . .__. . .._ .
,:'grade of t�ie land or�ropEriy. (Rst 63�,_1#�5,.t��3:) _.. .� . . . . . �