Meter Swap Request Number: 15347
Public Works Division
Service Request
�:ddress: 6416 Dellvvood Dr Requested By: Bernadeae
,�tment: WATER A�ddress: 6416 Dellwood Dr
�foblem/Issue: INSTALL AMR METER Phone Number: 763-571-7446
Schedule e: 2017-OS-17 Scheduled'Ijme: 08:30:04
"1� c�S'•`3o
ACTION NEEDED:
Created by: Beth Ko�ick Date Created: 2017-OS-15
ACTION T N: �
A�� 1 ��-
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Statt�: In Progress Submitter Has Been �.,
Coutacted
Date Completed: Compieted by:
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- City of Fridley
Water Department � � � ?i��
6431 University Avenue NE
Fridtey,MN 55432
763-572-3566
i/we hereby authorize the City of Fridiey and/or its employees to do what is necessary to
replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and ail interior
plumbing. (Per City code 402.06) 1 also hold the City of Fridiey and/its employees harmless for arry damages that may occur while doing this
operation. This to include,but not iimited to valves,pi�ing,wails,floors or#he curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINA!METER READING(old met rJ �./ � 1 ��
Name• Address `�-'`'"t � t/"CJVI��. Y,J'C—
i � -� �
Phone Number ��� '" Date v � �
Signature � Witrtess Signature
���v� �D �--� �� --7 �b �.53��4X
OLD METER#_
OLD READING ��� + ���
NEW METER# `�l � r V�� �
�
NEW READING�
ERT# � t��� �� T
FRlDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,46�,565,566,629,638,662,922,988,I144,1156,1191)
402.5 PERMiT FEE
Prior to constructing or repair of any water of sewer li�e connecting the existing municipat system and ariy haise or lwilding for whkh the
application is made,the owner or contractor shali be required to obtain a peITr►it for sud�connection,and sha(!pay a permit fee as provided in
Chapter il of this Code. After such connection has been made,the Water and Sewer DepaRmerrt shali be not�ed. It shall be unlawFu!to cover
any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPA(RS AND MAINTEMANCE TO CONNECTION
Aker the i�itial cannection has been made to the wate�service curb stop box or the sewer lead at the property line or a water service tead has
been extended to the property line for connection.the applicant,owner,or occuparrt or user of such premises shail be tiabte far atl repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be performed by the City,the property owner shalt be charged for the costs o#the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shali be the responsibility of the applicant,
owner,occupant or user to perForm standard maintenance af the sewer service IFne from the premises to the main ir�dudir�debris 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
grade of the land or property. (Ref 63$,1156,119i)
P. ���� �N���T ON��
'
�.N� AUTOMATIC METER READER
FRIDLEY
Address �"'1!� ����-�-��
_ Name^s„y dk-�� C.�L��
Date L�`"�`— t�
Old Meter Number �� �
Old Meter Reading l
Replacement No. �
Replacement Reading � _
Replacement Make �nv�� _ _ _
ERT# �J� al,�, �1� V
Replacement ERT#
Remarks:
��� Signed:
s
.UT300I01 CITY OF FRIDLEY CXLIB 10/31/12
Customer/Location Consumption History Inquiry 10 : 21 : 32
Customer ID: 31085 Name: CARLAND, JOHN
Location ID: 474080 Addr: 6416 DELLWOOD DR NE
Cycle/Route: 02 88 Amount due: $178 . 26
Initiation date : 4/04/84 Pending . $ . 00
Termination date: 0/00/00 Customer status : A Customer/Location status: A
Type options, press Enter.
1=Select 5=View detail 6=Display comment codes
Service Reading Actual Actual Meter Est C�rtnt
Opt Code Type Date Consumption Demand Days Number CD CD
WA REG 9/30/12 72 . 00 . 00 54 86453074X N *
WA SET 8/07/12 . 00 . 00 86453074X
WA OUT 8/07/12 13 . 00 . 00 38 86453074
WA REG 6/30/12 19. 00 . 00 91 86453074
WA REG 3/31/12 5 . 00 . 00 91 86453074
WA REG 22/31/11 15. 00 . 00 92 86453074
WA REG 9/30/11 28 . 00 . 00 92 86453074
_ WA REG 6/30/11 � �.�-����' . 00 91 86453074 +
3 � �; r � ����
F3=Exit I'� �"� ��� �Q� � �����r� ��� ���rentory F7=Mete�r svc info
F8=Pending� + �t�r�'' ;, �'- , . �� :ans F24=More keys
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City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763j 572-3566
I/we hereby authorize the City of Fridley and/or its
employees to do what is necessary ta replace the water meter. I understand that the property owner
is liable for the water line from the main to the premise and all interior plumbing. (Per City code
402.06) i also hoid the City of Fridtey and/its employees harmless for any damages that may occur
while doing this operation. This to inciude,but not limited ta;valves,piping,walls,floors or the curb
� stop box and service line. I understand I am also required to obtain a permit prior to any work,if
necessary.
Pinal meter reading(old meter) �� •J� 1 � ^
Name� Address: ���� `�J��-��
Phone Number: Date: ��� � ��
Signature:
. Witness S' ature:
FRIDLEY CtTY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMlNISTRATION
(Ref Ord Na 113,464,565,566,629,638,662,922,988,1144f 1156, 1141}
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipat system and anjr hause
or building for which the application is made,the owner or contractor shail be required to obtain a permit for such
connectian,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the V+✓ater and Sewer Department shall be notified. It shall be unlawfui to cover any connecting 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
After the initial connection has been made to the water service curb stop box or the sewer lead at the property
line or a water service or sewer lead has been extended to the property line for connection,the applicant,owner,
or the occupant or user of such premises shall be liable for all repairs required to any water line and sewer lines
necessary for connection ofithe prernises from the main to the premises. If the property owner requests
maintenance service or repairs be performed by the City,the property ownershall be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annuaily by an administrative
policy. It shall be the responsibility of the applicant,owner,occupant or user to perform 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 curb stop box for operability and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
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Hiatt, Werldy
To: Hara, Sandra
Subject: RE: Need AMR reread
You bet
From: Hara, Sandra
Sent: Monday, November 05, 2012 9:06 AM
To: Hiatt, Wendy
Subject: Need AMR reread
Hi,
Can you get a workorder for Pep to rescan an AMR that they owner thinks is reading the meter consumption too high?
The address is 6416 Dellwood Dr NE and the ERT#33302916. I know he's coming over to pick up the handheld this
morning. thanks
Sandi Hara
City of Fridley
Utility Billing
763-572-3529
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