The URL can be used to link to this page

Meter Swap �. �--_ -_ --__ __ . -:_ -�-�� _ 0 ., �';, -y�g�J ; City of F=idley . Water Denartment ,, . Address !�� V�� u�� .. , Name � of�y1 5� �''� , _._ ' • � , ; Date // �� , i Old Meter Number �/� 3 ,,� 7��o�.r � � Old Meter Readin ' �- -- - , Replacement No. � - � - Replacement Reading � � I Replacement Make �a��-� .., Remarks: �+��S P � ��'� _ Signed ( '"r�).�.�y -��--f��.'�� i-�%�-� INSTALLATION �,�. AUTOMATIC METER READER �� Address ILJ�� t��v12�'� Name �� 7t��N`� Date IU^'��-�� Old Meter Number �� Old Meter Reading � � Z l�� Replacement No. ��'��'��1 Replacement Reading (� Replacement Make � ERT# �� a�� 1� Replacement ERT# Remarks: ,��✓ Signed: 9 . �e��# f+�(�rv►�e Ft�pOff C[�y c�f �ridley t�_ �t-�2 ��: ��.r�a�2 �� r��z� �: �� o�2a-`►�scnf � Vlfat� t��s � i�r Aiddness� 1/l�l BURE�1 ST!� _ 76:3-�i2�aQfM4 t)atae: +6fl 1,+�t1�!2'-�Q!�i [3�s�: . :�ec� E1eta�s: AI�t �r'��-" Ta�: ��Id �'I�t�f#' � � l V �J �j , �C31d r�a�lir��: ��j('�o`� �� Je�v �A��r#� ��n,� �N�svrr Fteadir�g: �'j � � � � ��-r�# ��p�`l �`� � � � � � � � ; � � �� G �._____�__ : �.. _�..�_._�._�____ �_��._��..._�.��_____� � � � �_e___ � __�_� __.. ____ _ __ � ___ ._ __�____� � ��: _ � ; �� I � �__ _ _ __�____��, � � - City of Fridley Water Department 6431 University Avenue NE Fridley,MN 55432 (763)572-3566 1/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 ta the premise and atl interior plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its empioyees harmless for any damages that may occur while doing this operation. This to include,but not limited to;valves,piping,walls,fioors or the curb � stop box and service line. I understand i am also required to obtain a permit prior to any work,if necessary. � �� Final meter readin old meter) � �� g1 Name• Address: �� "��+Z�� PhoneNumber: Date: ��1 ' �� , Signature: . Witness Signature: . FRIDLEY C1TY CODE CHAPTER 402.WATER,S70RM WATER,AND SANITARY SEWER . ADII�!!NlSTRATION (Ref Ord No 113,464,565,566,629,638,662,922,988,1144,5156,1191) 402.05.PERMlT FEE Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house or buildi�g for which the apptication is made,the owner or contractor shafl be required to obtain a permit for such connection,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shaU 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. 4Q2.06. REPAIRS AND MAINTENANCETO CONNECTION After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a water service or sewer lead has been extended to the property line for connection,the applicant,nwner, or the occupant or user of such premises shall ae liable for all�epairs required ta any water line and sewer lines necessary fur connection of the premises from the main to the premises. If the property owner requests maintenan�e service orrepairs be performed by the City,the property awner shall be charged for the costs of the maintenance and/or repairs, in�luding any necessary street repairs,at a rate set annually by 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 inc(uding debris clearing or root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished grade of the land or property. (Ref 638,i156,1191j Request Number: 9892 Public Works Division Service Request Problem Address: 6350 Van Buren St N'E Requested By: Sue Johnson-City Ha11 Utiliries Department: WATER Address: No address provided Problem/Issue: FINAL METER.REAI��ING Phone Number: Scheduled Date: 2015-03-30 Scheduled Tf ine: - 1 ti�, :��'��. �,r ACTTON NEEDED:Please do a final meter reading-Closing date is 3/30115.ERT#33302719 Created by: Cheryl Pellegrin Date Created: 2015-03-24 ACTION TAI�N: ...:............�:�.�........-...................._�a�a�............................................................:....................................................: .................................................._...._..__......_..............................................................___.......... ..................................................................................................................._...................................................................................................................................................................................................._......................_.........................._..___..................._..___ ......................................................................................................................................................................................................................................................................................._....._.._................._._..._._........................._.........._.___.._.._...............____ _..._.�..........................................................................................................................................................................................................................._........................................................_.._........._........._........_................_..........___.___................_..._.. ......................................................................................................................................................................................................._.._______......__............................................_......_..............._...._......___......_.............................._..___.............................. ........................................................................................................................................................................................................................................................................................................................._........_........_..............._................._..._._............_........ Status: In Progress Resident Contacted ❑ Date Completed: Completed by: . ,,�� f- �5 ----�. ��-c'�'�� 3 � �--