Meter Swap .
' Request Number: 13481
Public Works Division
Service Request
Problem Address: 6075 Woody Ln Requested By: Mrs Garcia
Deputment: WATER Addreas: No ad�ess providcd
Problem/Isaue: INSTALL AMR METER Phone Number; 571-5891
Schednled Dxte: 2017-02-13 Schednled Zlme: 01:00:00
��
ACIION NEEDED:
�
Created by: Wendy Hiatt Date Cnated: 2017-02-1 S
ACTION TAI�N• ��
w5�1-�.c�. �
--_--�--_--_. . .
.
___ _ ___..._.____. .
Stnt�• In Progress Subm�ltter Has Beea �
CoMacted
Date Completed: Complated by:
Z . 2 � � � �o�
3
°�
�� �
.�::�.
,��
.�
--�--- --�-_ _.o._....
5431�3niv�rsitqf e�►ver�ue 3YE
�ridley,N34�i 55432
763-572-3566
i
. �f�A°e her'eby authorize Yhe C"rty af 1Fridley and/nr its employees to do what is necessary to
replace the ee�ater meter. !understand that the propea�ty owner ss liable for the wa#er line from the main to the premise and all irrterior
piurr�bing. (Per City code 402.06� 1 also hold the�ty of Fridley and/'its employees har�nless#or any damages that may accur wfiite doing this
operation. This#o include,but not 1imi�ed io valves,piping,walls,flaors or�fie curb stop box and service line. In understand 9 am also requtr
to obtain a peranit pria�r to any�rorlc,�f necessary.
��� � a3 -- � � �� � � - � l
FlNAL ME7ER READtWCa(o1d mefier) � �� ��
Name• ��!• �„"" �_� Address � J �V `�-�` G��
Phone Number � � Dafie ��' //.T �� (�j�
Signature Witness Signature _
OLD METER#� 1 � � J�O 1
OLD READiNG_�������
NEW MECER#�� V v� 15 4O
N�W REA,Dt1VG V
ERT# � � � ���� •
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANlTAEiY SEWER
ADMINISTRAI'lON
tRef Ord No 113,464,565,366,629,638,6fiZ,922,988,11�4,i156,1191j
4025 PERl11117'FEE
Prior to constructing vr repair af any mra�er of sewer line cunnecting the exisCing muniapai system and arry house or bu�ldir�for which the
appfication is made,the owner vr corstractor shali be required#v obtain a permit for such wnnection,and shal)pay a permit fee as provided i�r
Chapter 11 of this Code. After wcFi connection has been made,the Water and Seaver Degartmerrt shall be��ed. tt shall be nniawfui to cove
any connecting tine urrtif an irrspection has been made and such connection and the wor�c inciderrt thereio has been appraved 6y tite C'�ty as a
proper and suitable connection.
�02.06 REP�►iR5 AND AIfAtNTENANCE TO COMlOtECT101H
After the initial cortnection has been made to the water service curb stop box or fihe sewer lead at fihe pmperty t+ne or a water service tead has
been exfiended to the property line for connection,the applicar►t,owner,or accuparrt or user of such premtses sF�ali be 1(able fo�a11 repairs
required to any water line and sewer lines necessary for connection vf the premises frocn the main fio the prem�ses. if the property o+rner
requesis maintenance service or repairs be pesfiormed by the C'rty,the property owner shafi be charged foc the costs af the mairttenanae andJor
repaics,induding necessary street repair,at a rat�±set annually bq an administrative porry. It shail be the responsibility of tlte applicar�t,
owner,occupant ac use�tu perform standard maintenance of the searer service line from the premises to the main including de6�is c�aring or
root cutting and to mairitain the wa#er service curb stop box for operability and at such height as wiil ensure that it remair�a6ove the finished
grade of the land or property. (ReF 638,1156,1191)
R��t for S�er� R�pnrt
Ci�y c�f Fridl�yr
���: sa�-72-�s.? ���: rto.r4rz�a�z
F�eq�,est Tjrpe= sewer bac�c�p che�ck Gqr n�ain Fr3�ed By: wendy�t
Dep�: Se►� C�z�N�ne: Ma Garcia
Adckess� 6075 W�E�Y tM ME ack Pt�c�e: 7fi3-571-��
�ie�d [3�e= Praperty(�r:
Locatir�n C►et�s: � [1�etaita: Ba�ck up_ (�re�dc f�Main
A�#io�T�r:
�1`'`v►c���J '�.� ���„�, — C,� �.�
�
T�� � �,:��. �,,�,,� . �
�;`,�'�' � 5�,.� t � c,�� �i�,,, c(�� �
�
�
I
�
1
�
�
�r�.
�,�y^a ' C I
'„�. ,,.,.,^.!...,.�`!'� 1... ..... ... ....... ...... . ...... ..... ......,... '
'�v�' �
....... . ....... ....... ...... . ..... .. . .._. __... ..... . ..... .-
�B: ��12�Y1�
I� ,�- I�
FFit��# fc�r�r� R
�ity c�f Fr�d�
'� �: �-�2 5�2 [kate: 10J4,�2d)12
TjtR�� Se�6ac�C-up a�ek�Ara� �jr:
f}��: � t��e: ��a�a
rAdd�ss= �F l,�i!� _ 76:3=�7�a�91
��= t�r:
�E�ie�a�: R�u� Elda�s: Badc�_ Cired�t�ty►Mait
���
�+' " .
Taiae�wA�eaw�er.5?�w���dtlxri�e c:ie��.
�
�
� _ �
�
� ..._ _..._ _� __
� ��
� �_._�_..__ _..___._.._ _. _.�_�.._____ .__ �.._ __._....__._. ._..� �__.._.._.
" �te; ,lOf+�J2�]'�210.'�7J4� ��
� � _ ...�m..e e.. � _ _____