Meter Swap 1uo�--����o
ai��
� ��
Request Number: 9192
Public Works Division
Service Request
Problem Address: 6271 Trinity Dr Requested By: John I�rs
Department: WATER Address: No address provided
Problem/Issue: INSTEkLLAbIItMEZER PhoneNumber: 571-9726
Scheduled Date: 2014-10-21 Scheduled'lime: 02:00:00 �
ACTION NEEDED:2014 AMR
Created by: Wendy Hiatt Date Created: 2014-10-16
ACTION TAI�N:
Old meter#35048647 Old reading•026 80 Newmeter#44921172 ERT#35172591
Status: Completed Resident Contacted 1"'
Date Completed: 2014-10-21 Completed by: Ryan dohnson
Hours
��
��
�' }� � y ' a ,�T #� �� �� � ���'�"� �;� � 4
� `:�,�,,1+�,� Del�ift � � �"_
, �
�� .
�aar�ss �? l ��'"e
� �(,7Pt ,�
Name
Date 7 "l�� � � �
Old Meter Number 7, � � �'�------
O1d Meter Reading �� ��
o �'/ a
Replacement No. C7 L. ��' ��
Replacement Reading �
�� ���
Repl.acement Make�_
/ � ��c�'�
Remarks• (�/"��'`'���-�� �
S igned
�
Request Number: 9192
Public Works Division
Service Request
Problem Address: 6271 Trinity Dr Requested By: John ivers
Department: WATER Address: No address provided
Problem/Tssue: INSTALL AMR METER Phone Number: 571-4726
Scheduled Dat� 2014-10-21 �� Scheduled Time: 02:00:00
� � 2 �
ACTION NEEDED:2014 AMR
Createdby: WendyHiatt DateCreated: 2014-10-16
ACTION TAI�N:
....................................................................................................:.............................................................:................................................................................................................................................................................................_.....................................................
�/� �� �� l �
'''_�/ j�����=��'-� .................._........................._......__..._..._....................................._.._
........................................ .......... ..........................J........................................................ ..................................................................................................
..... .....�......��-:_�.�.��.........:........:.....:.._�2�_�:l_�_�.�....................................................__.......................___...._......__.........................................
�- G � ���..� � �i
..�____.�=�..............����..�.�............�.�:f.............................................._�...._7............................................................................................................_.. _. __.
.... ....... . .....................................
....����..........���.-��..�--.�...............................................................................................:............................................................._. .
............................................__.......................
.............��-��-.............._.�S.l.:_..�t......._25_�l._�...................................................._................................................................................................................................:........_....._..._.....................
Status: In Progress Resident Contacted � �
Date Completed: Complet d y:
��-�/''��'
1
- City of Fridley
. .. Mfatpr Dppartment
. _..._
. ___: .�.. .
6431 University Avenue NE
fridley,MN 55432
(763j 57Z-3566
�/we here6y authorize the City of Fridley and/or its
employees to do what is necessary to repiace the water meter. I understand that the property owner
+s liabte for the water t�ne from the main to the premise and a{I interior plumbing. (Per Gty c�e
4a2.06) I alsa hold the City of Fridley and/ifs emPloyees hatmiess or any amages a ma�y �c�r-
while deing this opera#ion. This to include,but not limited to;vatues,piping,walis,ftoors or the curb
stop box artd service line. i urtderst�and i am aiso required to ohtain a permit priorta any work,if
nece�saty.
. c� �c��
Final meter readin�(old meter�
Name: Address:��/ /�!/ • .
Phone Number. Date• j�Z��/�
Signature:
iNPtness Signatur .
FRIDLEY CITY CODE
R 402.WATER,STORM WATER,AND�1NITARY 5EWER
ADMINISTRATION
(Ref ard Na 113,4fi4,565,566,629,638,662,922,988,114�,1156,1191)
4Q2,05.PERMIT FEE
Priar to constructing or repair of any water or sewer line eonnecting the existing municipal system and any house
or building for which the applicatian is mede,the owner or contractor shall be required to obtain a permit for such
connectian,and shall pay a permit fee as provided in Chapte�11 of this Code. After suth cannection has been
made,the Water and Sewer Department shall be notified. It shaif be uniawFul to cover any connecting line untit an
inspection has been made and such connecCion and the work incldent thereto has been approved by the Gty as a
proper and suitabte connectian.
402.06.REPAlRS AND MAINTENANCE TO CONNECTION
���b�����ti,.n.,M�ao r.,rhe watQr servlce cur6 stop box or the sewer lead at the propert�
{ine or a water sen+ice ar sewer lead has been extended to the property line for cnnnection,the applicant,owner,
or the accupant or user af such premises shali be fiable for atf�epairs required to any wate�{ine and sewe�lines
necessary for connection of the premises from the main to the premises, if the prape�ty owner requests
maintenance senrice or repairs 6e perfarmed 6y the City,the property awner shall be charged for the costs of the
. maintenance andJor repairs, including any necessary street repairs,at a rate set annua{!y by.an admtnistrative
policy. It shall be the responsi6ility of the applicant,owner,occupant or user to perform standard maintenance of
• the sewer service line fram the premises ta the main including debris clearingflr root cutting and to maintain the
water senrice curb stop box for operability and at such he9ght as will ensure that it reroains abave the finished
. ._ . .. . .--- ... .
':•grade of tf�e lard orproper�y.�(ReF 635,-��5,�t�91� _. ._ . . . .