Meter Swap v
' Request Number: 15786
Public works Division
Service Request
Problem Address: 229 Liberty St Requested By: Corey
Department: WA1ER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-251-1594
Scheduled Da e: 2017-06-07 Scheduled Time: 11:30:00
'1� � �` 3
, v
ACTION NEEDED:
Created by: Beth Kondrick Date Created: 2017-06-OS
ACT[ON TAI�N:
..................I..._�._s.._:�.-�.�._I..................��,..._�.._6�......................................................................................................................................................................................................................................
................................................................................................................................................................................................................................................................................................................................................................................................................
............. .......................................................................................................................................................................................................................................................................................................................................................................................
............................. ......................................................................................... .....................................................................................................__..__...._.......................................................................................................................................
........... .......... ................................................................. ................... ....................................................... ............... . .... ......... ..............................................................................................................................................
.................. ...............................................................................................................................................................................................................................................................................................................................................................................
Status• In Progress Submitter Has Been r
' Contacted
Date Completed: Completed by:
�-�- l`� ��t��
�City of�r6dley � �O '/� I��D�'O�
Water�epartevaen� J
' 6431 l�niversity Avenue NE
' Fridleyo MPI 55432 �� �' � (�� �
763-572-3566
1/we hereby authorize the�ty of Fridley and/or its emptoyees to do what is necessary to
replace the water meter. (a�nderstand that the property owner is 9iable for the�nrater 9ine from the main to the premise and all irrterior
�lumbing. (Per Lity code 402.06) I also hold the Cit+f of Fridley and/its employees harmBess 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 l am also require
to obtain a permit prio�to any worh,if necessary.
F9NAL METER READIAIG(oid meter) ����� I�v
Name• �` "[� Address � `�� �� �
Phone�vumber����i� `� ��- b� Date �_� ~��
�Signaiure C% Witness Signature
/�
OLDME�'ER#_ � �� 1-� �� � J
OLD READ6NG �������
6V Ell1/ M ETEd�# _`'{� ���J � 3�—
I�IE�READIN�; �
E�-�# �1�t,22��3��
FRtDLEY CITY CODE
CHAPTER 4�2oWA�E[t,Sl'�RN!WATER AND SANITA1tY SEWER
ADMINfS�ItA7'901�!
(Ref Ord No 113,464,565➢566,629,538, 662,922,988, 1144, 1156,i191)
402.5 PERMIT FEE
Prior to constructing�r repair of any avater of sewer line connecting the existing municipaf system and any house ar buiiding for which the
application is made,the owner or contractor shall be required to abtain a germit for such connection,and shall pay a permit fee as provided in
�hapter 11 of this�ode. Afiter such connection has been made,the Water and Sewer Department shall be notified. It shalt be untawful to cover
any connecting line until an inspection has been made and such connection and the work 9ncident thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initia(connection has been made to the water service curb stop boK or the sewer iead at the property line or a water service lead has
been extended to the prvperty line for sonnection,the applicant,owner,or occupant or user of such premises shall be liable for all repairs
required to any water line and sewer lines necessary for connection of the premises frvm the main to the premises. If the Qroperty owner
requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenartce and/or
repairs,inciuding necessary street repairs at a rate set annually by an administrative policy. !t shall be the responsibility of the applicant,
owner,occupant or user to�erform standard maintenance of the sewer service line from the premises to the main i�cluding�lebris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as wi(I ensure that it remains above the finished
grade af the land or property, (Ref 638,1156,1191)
� ��''�� �5�1�-�►3��
'� INSTALLATION
� F�n�� �
ATER METER
Address �O(-1 ����-� j
Name f�i2`� ��Iv1SlC\ " �'���C,�►+t'�
Date 3"—"��`` �
Old Meter Number � `��3 tf�
Old Meter Reading � a a 6d
Replacement Na d"l ���
Replacement Reading �
Replacement Make ���.
Remarks: ��2� M��'�Tt'�
Signed: l������
Request for Service Report
Ci#y of Fridley
Reference No: 601-11-2898 Date: 03/10/11
Requesk Type= Turn water oFFlon Enkered By: Wendy Hiatk
Department: Water Citizen Name: KORY RUDNISKI
Address: 229 LIBERTY ST NE Callback Phone: 763-443-2333
Scheduled Date= ��,� Property Owner:
Location Details: Lockbox: 2609 6�door Request Details_ Turn waker onlCall Kory R when
xx"xBILL""' done
Action Taken:
� 1�S��'O /��--�v N�.�-T�`� -' C�L� /►���r�'�Z w�
��U2�� �-r-'� `BRb�� r �U��`t"Z lS O1� �D �U 5� 6
-� �--L--, ���� v�4�.V�`� O`,�= ��v��= Cc�'�P�-►2
�� �� w�'� /-�-Lso '�20���..> I�� S"�Z��-r-a L�F i .�
�v�� o� -�� nn��� v��J�� C�u.��o 1L�2y ���� �s�L�
�
� 1� .
��fl ,��-��� � — aa7 �6 ���
`� �� ���NC�-- ��
�v�--w n��. �. `����O
`�z � ��y �� � (�S
�V�-�v 2�-y�,���G-
Fiesponsible Person: �
Approver:
Completion Date: ��Citizen Notified
3 -- f�_il ���