Meter Swap 't
` Request Number: 16287
Public Works Division
Service Request
Problem Address: 158 63 1/2 Way Requested By: Arly
Department: WATER Address: No address provided
Problem/Issue: MALF[JNC7IONING MET'ER Phone Number: 5'71-2911
Sched d Date: 2017-07-12 �,� � Schednled 1lme: 01:00:00
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Created by: Wendy Hiatt Date Created: 2017-07-11
ACTION TAitEN:
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Status: 1n Progress Submitter Has Been �..
Contacted
Date Compieted: �` ��_ �� Completed by: (�
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Water Department � �z �
6431 l�niversity Avenue NE
Fridley,MN 55432
763-572-3566
��`"�e hereby authorize the City of Fridley and/or its employees to do what is necessary to
repiace the water meter. 1 understand that the property owner is liabte for the water line from the main to the premise and all interior
plumbing. (Per City code 402.06) 1 also hold the City of Fridley andrts employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop boz and service line. in understand i am also requiced
to obtain a permit prior to any work,if necessary.
FINAL METFR READIMG(o(d meter) v� �`r �"� �
Name: �r �� Address { lY �/ �`�••
Phone Number b� � �� t � ` p� �" �p� " �,� ^
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�Signatur Witness Signature
OLD METER# � J� ��V�� %�a�� �'�`��--� 3 3 3 7 n�8 n
OLD READING ������'"�
NEW METER# b ! �,� ���p"L
NEW READING �
ERT# ���/ �� � �/
FRtDLEY Cti'Y CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 213,46�,565,566,629,638,662,922,988,1144,1156,1141)
402.5 PERMlT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or building for which the
application is made,the owner or contrador shali be required to obtain a permit for such connection,and shall pay a permit fee at provided in
Chapter li of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notif'ied. It shall be unlawFul to cover
any connecting line urrtii an inspection has been made and such connection and the work incident thereto has been approaed by the Gty as a
proper and suitable connection.
402A6 REPAIRS AND MAINTENAMCE TO CONNECTIOIY
After the iaitial connection has been made to the water service curb stup box or the sewer lead at the property iine or a water senri�lead has
been extended to fihe property line for connection,the applicant,owner,or occuparrt or user of svch premises shaN be tiable for atf repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. if the property oarner
requests mairitenance service or repairs be performed by the City,the property owner shali be ct�arged for fi6e costs of the matr�tenance and/or
repairs,inciuding necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applipr�t,
owner,occupant or user to perform standard mairitenance of the sewer service line from the premises to the main induding de6ris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished
�rade of the land or property. (Ref 638,1156,1191)
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� � ��`� �INSTALLATION
u.noF AUTOMATIC METER READER
FRIDLE,Y
Address ! �� v 3`(Z- ��`' �
Name ��'�� Y_ G- /'�S�( S(
Date �� -� �--
Old Meter Number C� �_�—�-
Old Meter Reading D �" � `
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Replacement No. S �� ��.5 • r
Replacement Reading � �
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Replacement Make
ERT# �3 �� 7 �v '/+
Replacement ERT#
Remarks: ��I��,./,
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Hiatt,•Wendy
From: Hara, Sandra
Sent: Friday, April 13, 2012 11:01 AM
To: Hiatt, Wendy
Subject: AMR appt
Hi,
I scheduled an AMR install to replace a very old, hard to read, possibly stopped meter
at 158 63 '/2 Way NE on Thursday 4/19/12 at 2:OOpm. Arlie Epsky is the resident and
her phone # is 763-571-2911. it's on the calendar.
Sandi Hara
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