Meter Swap ,.y
� Request Number: 15264
Public Works Division
Service Request
Problem Address: 6171 Heather Pl Requeated By: Rich
Departmeat: WAZER Address: No ad�ess provided
Problem/Ias�: INSTAL,L AMR METER Pho�Number: 612-237-2677
Schednled Date: 2017-OS-12 Schedaled Tlme: 10:00:00
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ACTION NEEDED:
CreAted by: We�xiy Hiatt Date Created: 2017-OS-1�
ACTION 1'AKEN:
_.._�. .r'.._�...�..�s�C�'_ ..:��-�-----
Status: �pro�ss Submitter Has Been r,
Contacted
Date Compteted: �_ f�_ �� Completed by: !��
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� City of Fridley �I • ������/ •v v
Water Department �
6431 University Avenue NE �/1'� �+D��
Fridley,MN 55432 ���1 l
763-572-3566
��We hereby authorize the City of Fridley and/or its employees to do what is necessary to
replace the water meter. I understand that the property owner is liabie for the water line from the main to the premtse and all interior
plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permtt prior to any work,if necessary.
FINAL METER READING(old meter) � � ���
Name: �l,\�Y\ Address VL �� I ���� 1\l� f �
Phone Number �`� ^ "'��� ����Date � � ��✓ ��
Signature Witneu Signature _^
r� � � �� ���� � v r l '�L���I�
OLD METER# � v���
C� C�`ZD }
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OLD READING
NEW METER#� ���� 1
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NEW READING
ERT# 1, ' I� � I /�
FRIDLEY CITY CODE
CHAPTER 40Z.WATER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existing municipal system and arry house or bufiding for whkh the
application is made,the owner or contractor shall be required to obtain a permit for such conoection,and shall pay a permtt fee as provided in
Chapter li of this Code. After such connection has been made,the Water and Sewer Department shall be notified. it shall be unlawful to rnver
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 connedion.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service wrb stop box or the sewer lead at the property line or a water serviae lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liabte for all repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the prem(ses. If the property owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicant,
owrter,occapant or user to perform standard maintenance of the sewer service line from the premises to the main induding debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wili ensure that it remains a6ove the finished
grade of the land or property. (Ref 638,1156,1191)
�.�.�
y :- ��`t : _ �
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City of Fridley •
, Water De,partment �
__ ; Address �t l, ��'S'tE.�- �L--• ; —
—_--____ _`
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_-- -- --____________�� _ ._ _
Name �iGI�OA�J V����Ci�
Date "'t..' '(�-(1�,� ..,..r. �_.
c� u�
"�"� ��� � __.
Old Meter �er
- --...,.__ ��� „� � � _
old Meter Readin �
, .-. - �'3��s�� y�`� 4 �_, � —_ —_
Replacement No._ �"��� P+
..._ � _
Replacement R�ading � �� �
... � ������,�,�,p � -
Replacement Make ;��r 'i
I Remarks: ���� r�V✓ �`�` '
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'' Signed ', -
. � ���a� 4�..L,t.� �'ta-c�'Gc���� �'��'c�'�c�'.a�?�..r�
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Page 1 of 1
Hara, Sandra
From: Hiatt, Wendy
Sent: Tuesday, September 26, 2006 8:50 AM
To: Hara, Sandra
Subject: Serial Numbers
Hi Sandi....Have the correct serial numbers for the 2 meters that you asked about.
Katherine Tostenson 704 63�Ave Brass Serial#33430638
Richard Janezich 6171 Heather Place Brass Serial#33588708
Any questions, call me. Thanks, Wendy