Meter Swap >. �
�::s
�
' �'" ,,x ���.;
� �. ����� 4�$="��i r�.���
city o� Friaiey
Water Department
Address `�`�'�� �'� �
� � � � Gtl,�'
Name
1�1�,.f�� _____._---
Date �
o1d Meter Number
Old Meter Reading
� ��
M �� _
Replacement No.
Replacement Reading
Replacement Make ���
Remarks: '`�'�� m"Q�
S igned —�"`--
't t;J.�--�'` �` { ?;�-�-(S'-`t(���'(�cJ
� INSTALLATION
u.�� AUTOMATIC METER READER
FRIDLEY
Address ���� � ��� �7
Name �, rj� �'R�G�l�i.s
Date ��- � r,�
Old Meter Number � �
Old Meter Readin '"cJ � ��
Replacement No. SA�t����,/
Replacement Reading (�7�
Replacement Make �4���.
�
ERT# ������ ����
ReplacementERT#
Remarks:
�S'� Signed: ���'`"�_
R�q�� f�r "�:r�ic�: R
, ' +�i#y€�f FrHd�
� #�x. s�1-�2-+�5 �: �.,►�D12
�Tj'pMe� i�a�14MF�n�et�er �at�'�jr:
. 1�F,�er � . Ja�res�
1�: G171 �TH ST!� . 7��-1�3
i��� 3A�'1�121�l�it' ( 1� C3�r
1/lJ -�
. �t : �.
�T�h
+�id l�e�f#� �`�j�� � ��(�'�
+C�1�1 re�+din9= C� �J�����
N+�v �'fe�r# �j�,�
i��w► R+�,atiinc�: �
E��� 3���1.O��`�
�
� _ �
� � �
�� _��_ ���___ _._ ��____ ___._____�__ �
��: :� ��
��� ��,
� _ .�� e_ _ .�
City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
(763)572-3566
I/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 liable for the water line from the main to the premise and all interior piumbing. (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(imited to;valves,piping,waNs,floars or the curb
' stop box and service line. I understand 1 am aiso required to obtain a permit prio�to any work,if
necessary.
Final meter reading(old meter) � ��� � v�
Name: Address: Y�1 ���," ����5�
Phone Number: Date: �—�`(�
Signature:
.
Witness Signature: ��
FRI EY CITY CODE
CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER
ADMtNfSTRATION
(Ref Ord No 113,464,565,566,629,638,662,422,988,1144,1156,1191)
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house
or building fo�which the application is made,the owner or contractor shall be required to obtain a permit for s�ch
connection,and shali pay a permit fee as provided in Chapter 11 of this Code. After such connection has been
made,the Water and Sewer Department shall be notified. It shall be unlawful 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. REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service carb stop box or the sewer lead at the property
line or a water service or sewer lead has been extended tothe properry Ilne 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 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 shal!be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a�ate set annually I�y 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 operabifity and at such height as will ensure that it rertzains above the finished
grade of the land or property. (Ref 638,1156,1191j
Request Number: 10004
Public Works Division
Service Request
Problem Address: 6171 Sth St Requested By: James Erickson
Department: WATER Address: No address provided
Problemilssue: DISCOLOR�D WATER Phone Number: 571-1753
Scheduled Date: 2015-04-22 Schednled Time: 02:00:00
ACTION NEEDED:Oily water.Grey residue in sink.
Created by: Wendy Hiatt Date Created: 2015-04-22
ACTION TAI�N:
f n .
.............................................................................�....�..�...�.-.:..�.1�'�......_ "c.�aCJ.............�.. ........_......_.._�_5..�..�_�..�_�..y..............__...._.._.___...._......____.__--
T
............�...��z�-�.:.r�:���L�........�.�5��_,.......................................................................__..............................___. _. _. ___. _.
........ ....... ..... ...... ...................--
..................................................................................................................................:..........................................................................................................................................................................._....._____..__...__................�.._._....._....._.._..._._
............................................................................................................__..._.._................................................................................................................................................._.........._._................._.....:.....___..........._........_......_____._...._....__......_.__..__
......................................................................................:......................................................................................................__..............................................................................................._..................._............____..........._....................._._._...._._._.............._
Status: 1nProgress ResidentContacted �
Date Completed: Completed by:
����� �
,
. '
Hiatt, Wendy
From: Kosluchar, Jim
Sent: Tuesday, April 21, 2015 5:27 PM
To: Hiatt, Wendy
Subject: Appointment Request
Wendy:
Can you set up an appointment with James Erickson of 6171 5th Street NE for the Water Division? James
noticed that the water was a little oily and he is getting a grayish residue in his sink. He does not have a filter,
but does have a softener. His number is 763-571-1753, he asked if you could cafi him after 9:00 AM
Wednesday.
Thanks.
James Kosluchar
Director of ublic Works/City Engineer
City of Fri ley �
6431 Univ sity Ave. NE
Fridley, M 55432
(763) 572- 50 direct
(763) 572-3566 department
iim.koslucharCa�fridleymn.Qov
i