Meter Swap t:,`a��-` '�
Request Number: 16550
Public Works Division
Service Request
Problem Address: 514Q 3rd St Requested By: Robert Strandberg
Department: WATER Address: No address�ovic�d
Problem/Issuc: INSTALL AMR METER Phone Number: 763-572-9556
Scheduled Date: 2017-08-10 Schedaled 1lme: 08:00:00
�� ��
ACIIflN NEEDED:Tum off water for val�repair.Install AIVIIt,
,�
,,:
Created by: Wendy Hiatt Unte Created: 2017-08-01
�y
ACIION TA.I�N:
T�
`"� W _ .._ �— `
_............._______..._.._............._...._..............._� _�.....�._..W._�__...�--�'�.........____..._��.��..�.1�.__ �
��
- � :
. .
...................................___.._ _......._....�.�...._......_._....._.............._... ._..._.____..__..._.............._..__........_....._.__ ._�..... ._.... �
r
Status: Iu Pro ess 5nbmitter Has Been �.,
� Contstcted ^� �
Date Completed: Completed by:
:;�.,
���!i„� -
�"�--,-�
. . ���
� . ���� . � � � �
.. �
:�= �
�
�'������o�� l b�— � ��7 3 a— Q/
•s ` �r�#�����a�����
�43�.lJ�oversdty Avencae NE ��# c��
Frasll�y, MN 55432 �
7fa3-5�2-35fi6
��'"re hereby authorize the�ity o#Fridley and/ar its emp4oyees to sio what is necessary to
repiace the water meter. I understand#hat the�roperty owner is(iable for�he+nrater line from the rina6n to the premise and alt irrterior
plumbing. (Per�L'ity code 402.06] 0 a(so hoid the�C'�ty of Fridley and�ats employees harmless for arry dama�es tt►at snay ocxur while doing this .
operatiom. This to incfude,but not limited to vafves,piping,walis,floors or the curb stop box and service line. [n undersfiand t am atso requirE•
to abtain a permit prior to any work,if necessary.
.� �
�zt�au �� � ���� � :
s.r
FINAL METER READiNG{cld meterj
�,_
Name: Address � � l V` ��,r -J 1 ,
t ,�s .
Phone 9Yumber Date ' l�
.,;'-':
Signature Witness Signature
OLD MfTER# � l �� , ',�',�,
� a� �.r
�.:.{
oLD R�►D��� 7n �! �
.
P1EM/METER# _ �'I�' d�� �j 1�
,; �
NEIA�READIMG
ERT# �� ��3��r
FRIDLEY C1TY�ODE -
Ck6APTER 402.WA'�ER,STORM WATER AND SANlTARY SE11!/ER
ADMINISTRATION°R
�Itef Ord No 113,464,565,566,629,638,66Z,922,988,1144,1156,1191�
402.5 PERMIT FEE
� Prior to consCructing ar repair o�f any water trF sewer line connecting Che existiog municipal system and any house or buitdin�for which the
applicafion is made,the awner or contractor shali be required to obtain a permit for such connection,and shaii pay a peemit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shal!be notified. lt shall be unlawfu{to cover
any connecting line unfiii an inspecCion has been made and such connection and the work incident thereto has(�eert approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCF TO CONNECTION
After the initiai connection has been made to the water service curb stop box or the sewer lead at the properiy line or a water service iead has
$' ' been extended tfl the property line for connection,the applicarrt,owner,or occuparit ar user of such premises shail he liable for alt repairs
required to any water!'sne and sewer fines necessary for connection of the premises from the main to the premises. If the property owner
requests mairrtenance service ar repairs be performed by the City,the property owner shall be charged for the costs of the mairitenance and/ar
repairs,including necessary street repairs at a rate set annuaity by an administrative policy. It shall be the responsibitity of the appiicant,
owner,occupant ar user ta perform standard mairrtenance of the sewer senrice line from the premises to the main including debris clearing or
root cufiting and to maintain the wa#er service curb stop hox for operabiiity and at such height as will ensure that it remains above the�nished
``��ade af the land or properiy. (Ref 638,1756,1191'
��:, . �
4
. � �,�._ . .'E�i
. � . �:;YY,:�.
� . � . . � .. . � . F�