Meter Swap I 51$�u`r-�f572�f Q
e I-��.�-,
Request Number: 9186
Public Works Division
Service Request
Problem Address: 6250 Trinity Dr Requested By: Robert Tate
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-502-7909
SchedWed Date: 2014-10-22 Scheduled'IYme: 08:00:00
ACITON NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-15
,,,y',m�"'�--�� trrr'(�- 3y�-1'£��l-��r►��
ACTION TAI�N: -(',�71` e('
Old meter# 19118080 Old reading:343 30 New meter#44921170 ERT#35172556
Status: Completed Resident Contacted I"""
Date Completed: 2014-10-22 Completed by: RyanJohnson
Hours
�
'^��
VJ
w y
y Request Number: 9186
Public Works Division
Service Request
Problem Address: - 6250 Trinity Dr Requested By: Robert Tate - - --
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMIt METER Phone Number: 763-502-7909
Scheduled Date: 2014-10-22 � Scheduled 15me: 08:00:00
Z'� � ��
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-15
ACTION TAKEN:
_.....................................................................................:..:...........................:......................................_.................................._..............................................._................................................__........_........................................_......_..._.................................�_...._
cx-d � L � �� ��
...........................................�:�_.r.....�..... �:..............._1...............................,.......................................................�._..__.�............_................................................_...................__..._..................._...........__........._.................._
�
...._�.........._�=�:���.c�.....i.-:........��..................._:................7........�.................................................:.............._._......_..._____.__:_...._:__._....__..__............__
� . e�.�-�-�.�- ��-�f ��
_.��.�........................................................................... . .............................�.f....�............................_............................................._.............................:....................................._..........................................._............__.
.................
�
. �
_.i:�..�.�._�................_�:�-..���v.................::...--.-::.... ......:..........................................................................................................................................._..................................___...............................__.....
� � 3s�� z�s�
................-...�::...........f.......................................J.......:.................................................._..........._............................................................................................................................................._.........._..........._..._........................._..........._.._
Status: Tn Progress Resident Contacted ❑
Date Completed: Completed b :
C`r Z2'�
� "r
E
� - City of Fridley
. _ . � ..• w�ter Ile�a�tmerit
,, x . . .
6431 University Avenue NE � � � '-��._
Fridley,MN 55432
(763)57Z-3566
I/we hereby authorize the C�tV of Fridiey and/ar its
employees to do what is necessary to repiace the water meter. I understand that the property owner
_is liable far ihe water line from the main to the premise and afl interior ptumbing. (Per Crty code
4�D2.Q6) 1 aiso hold the Ciiy of Fridfey and/its empioyees harmiess ur any amages a may -
while doing this operation. This to inciude,but nat limfted to;valves,piping,walis,floors or the curb
stop box and servica line. 1 understand f am aiso required to ohtain a permit prior to any work�if
necessary, r�
fina!meter reading(old met+er)
� l � � ✓O
/� �` r f ��
Name• Address: LY�I—� �ri
Phone Num6er: Date: G'0��Z���
^---,
5ignature:
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER,ANQ SANITARY SENfER
ADMtNISTRA.TION
(Ref O�d No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.05.PERMfT FEE
Prior to constructing or repair of any water or sewer line connecting the emsting municipal system and any house
or building for which the application is made,the owner or contractor shall be required ta obtain a permit fior such
connection,and shali pay a permit fee as provided in Chapter 11 of thss Code. After such connection has been
made,the WaCer and Sewer Department sha!!be notified. It shall be unlawful to caver any connecting tine until an
inspection has been made and such connection and the work incident thereto has heen approved by the City as a
proper and suitabte connection.
402.05.RERAIRS AND MAtNTENANCE T0 CONNEC170N
�.���p��ba�t,pan mad to the water service cur6 stou box or the sewer(ead at the propert�
line or a water service nr sewer lead has been extertded to the propertyline for c4nnection,the applicant,owner,
or the occupant or user of such premises shail be liable for all�epairs required to any water tine and sewe�lines
necessary for connection of the premises from the main to the premises, if the prope[ty owner request5
maintenance service or repairs be performed by the City,the property owner sha11 be charged far the cnsts of the
. maintenance and/or repairs, 9ncluding any neces�ary street repairs,at a rate set annua{ly by an administraUve
policy. it shail be the responsi6itity of the applicant,owner,occupant or user to perfarm standard maintenance af
• the sewer service(ine from the premises to the main including debris clearing or root cutting and to maintain the
water service cur6 stop box for operabifity and at such height as will ensure that it remains above the finished
_ . . ._ ._.._ .-- .
,.'gradeofti��iandor�rnp�riy. (R�63�,-1�5,.t��1) _.