Meter Swap t
Request Number: 15731 ;�
Public Works Division
. Service Request
Problem Address: 440 Ely 5t Requested By: Patty Miskowec
Department: WATER Addreas: No address provided
ProblemJIssue: INSTALL AMR METER Phone Number: 763-784-9767
Scheduled Date: 2017-06-06 5chednled Time: 10:00:00
� '�
ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-06-02
ACTION TAI�N: �� In
�..=�-��:... ......_ _..._..m..................�� ��._.....__. �..__.�_.__..____._.____.. �.
.r��................._...__.........._._._.....__.................__.___...._...............__....__...._....__.__..._.....................................__�____._._._.....�__.........................__._...._..._�_.___._._._._.__.___...__.�_.._�___.___.....Y.._
a�
�:
......_._._..._.............._..__.....................__._____.....__...._.........__._____._.__._._._____..........__...__.........._....____._._._.._.....__...........__...._...._._.___._ __..__..__........._.�.�...��...M._
Status: 1n Progress Submitter Has Been r
Coutacted
"��'`:�
Date Completed: �— � �— �� Completed by: ����
�-
� �r� .
�.
z'�
. �i#y o�f��d1ey G ?�
. Water Departnaent 3���`J� ��V ` � �
6431 l�niversity Averoue NE � � ���
Fridley,MP/ 55432
763-572-3566
��'''�e heret�authorize the Gty of Fridtey and/or its employees to do what is necessary to
replace the water meter. (understand that the property owner is liabte for the water line from the main to the premise and all irtterior
plumbing. {Per City code 402.06) 0 also hold the Crty of Fridiey and�ts employees hanntess fos arry damages that may occur while doing this
operation. This to include,but not limited to va(ves,piging,walis,floors or the curb scop box and senrice line. in understand l am also require
to obtain a permit prio�to arry work,if necessary.
FINAL METER READtNG(oid meterj �� `�� � v �
Plame:��y '?"��S���.1 � C-- Address L" ! v Clry �j [�_ .
Phone�iumber l l(G�� (V� � ��l4�Date � � � " � !
x Signatu Witness5ignature
i�
Ol.D METER# ��_� G�'~
OLD READlMG � u �� �� �
NEW METER# � l �/`�0� `� �� �
NEW READING `�
ERl'# L v"��, t GV ./
FRIDLEI(CITY CODE
CHQPTER 402,WATER,S7'ORM WATER AND SANITARY SEWER
ADMINISTRATION �
(ltef Ord No 113,464,565,566,629,638,fi62,922,988,114�4,1156,1191)
402.5 PERMIT FEE
Prior#o constructing or repair of arry water of sewer line con�ecting the existing municipat system and arry haise or buiiding for which the
application is made,#he owner or contractor shall i�e required to obtain a permit fvr such cannection,and shatl pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shali be notified. tt shalt be unlawful to cover
any connecting line urrtiJ an inspection has been made and such connection and the work incident thereta has been appro�ed 6y the City as a
proper and suitable connection.
402.06 REPAIRS AMD MAIMTEPIANCE TO COPINECT{OW
After the initiat connection�as been made to the water service curb stop box or the sewer lead at the property line or a water service lead has
been extended to the property tine for connection,the applicartt,owner,or occuparrt ar user af such premises shall be liable for all repairs
required to any water line and sewer lines necessary for connection ef the premises from tfie main to the premises. ff the property owrter
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the casts of the mair�tenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative policy. !t shali be the responsibility of the applicarrt,
owner,occupant or user Lo perform s#andard mairrtenance of the sewer senrice line frvm the premises to the main includir�debris deasing or
root cutting and tomaintain the water seroice curb stop box for operability and at such height as will ensure that it remains above the finished
grade af the land or property. (Ref 638,1156,1191)
F�equest f�r Seruice Rep�rt
Ciiy of �ridl�y
#�#�cetda: �-1z-55�2 �e: 1tl�af2t112
R� T�e� Se�e bad��p check C.�nrain fr#��: #i�
��: 5er�er C�iz�n��e: �y Ni�t�rviec
Ad�ess� 4M}F1Y�T NE C�adc�e: 763-7$4-�767
Sc�re�ed El�te: P�ty C3wraer:
Lnca4ian i)e#�s: F�quest [lieta�s= Badat�r_ {�dc C�tY Main
Adi�Tak�n:
���= � �,.� ��„�� ��� �f�(\�� ( ��t e� \�
' r
u1�5,►r�= ,`E�c'�'��_L�' .�...�.t�� �1�,t �� ���',E C""z._. c c...��-�l�.�'Z ��,���f7
� 5 r , ( -
��� � < < � � ��`� �� �Q�' "� �U�
� � 1h
' �;z\I��l �Sl�S�
� `��-�-�l Ll�_ �
I
� .
e P' . . �
. `��C � '
�
��� ��� �-------� ��� -• E ���__.._._
_ _ ... �....�_. _ _ _...
��,..
C.�r�tiara[}at+e: -�'C�ti�1+loffied
�\ �� � \"Z_.__ ;,
— � -- _� -
R�q�uest f+�r �er� R�p�rt
City af Fndley
F�eF�er�ce Nca: �-12-4�5� Dake: 5�3UiJ�012
Request T�rp�e: Sewer t►ack-�cl�eck GtY rsain Erter�d�: W�dy Ni�i
[�+ep�: Seaaer C�z�err h1�e: L�y�Pa�ica h+le�ow�tz
Ad�� 44Q ELY�T f�1E ack P#xme: 763-7849767
�d�dut�d[�te= Prop�rty C3wner:
Loca�ican Det��; � E�etails: �#E�a�e o�arr�rr�ng ewax�ine
Qv�erni�t tE�at his�e i�plugc�e+d_
a�Ction T�c+en:
E------��LQ,�� a,,,,.� ��� ���'z.a� ��j
1 �
�
� /'��� C�Jt� ��
.���� � ��- ��--�.-. .� �� �-��- � � ���� ;
� ;�e ��-� ���� ` � �.� � ,�� � � ��
��
� / , �
; GC�� � �p:� ��QQ,,��� �u�.� �
i �
�
€
�
i
I
� �
� �
� __ __ _ __ - _......._. --_._ _..--.�
�,s�P�x,: �������'� o �FJ�.�— __ '
_..___. _ � _
,�prov�:
_ ... .. ._,_ ..__ _ . _ �
�ican Date: � t3ixen Na�faet�
�-3c�� >a '
Ft�q�s# f+�r�er�ic:� R
��y e�f Frid�
�� �; �-�2-� n��: ��.�zo���
T�� Trr� �. +�►�
�: � ��� ��
�: ���r�r e� ��� �-�sa-s�r
[l�e: 11,E1�f�A7�t�li�l t�er:.
�[k#a�s� ��et�s: 7b sew�r a�erraae
1�ar�7a�=
�_
��
��=
� ���
G�r�d�an�e: �1l�GtZ�i12 643A�ui ���
� �____�--Y.�
� � � �
� , � � ? „ ,
� � - � ' � � �
� � � � e�
� �
_ � �
� � � � � � � � � �
� � � �
� � � � � �
N � �� � � �
� � � � �
w� 9
3 � �
� � �
� � �
� I � � ; , �
� � � �� � -�
� � � � � �
� � � �, 3 .�
� � �'
� � �
i � � �� � -.. . ...
� � �
� � � � �
. � � � � � � _ �
� �
� i � � ,.
� �
� � � � :
� , � �
� � �
�
. �
�
� �
��� fc�r��ervic� R
�iiy akf Fnd�
� t�: e�-�z-� �: ���2
�T,�� s�����,►� eh�: �
�: � ��: �����
�: �a e�Y�r� � �-a�a-��
�: �
��= ��= ��«��9�
����;��a_
���:
t►�_
�� _ ���► _s����sa �� _ �►� � �d��� ��►��
�
�
�
� � � �
�� �
_ �
�______._�_______----_ __..__� ..__---_.._.___�- ------
_ ��'"
� .. ..__..__.___..__ _..____ �_ _ _ -.__-__
�: ��r2o���:��� c�r�a