Meter Swap �
�
,� I � �� �
�a�� ��
� City of Fridley
Water Department
Address C)`1�� C�(L�S��]S��
Name m�;L.1SSA ��`��
Date ����(�b
Old Meter Number_9�p�aaa�
Old Meter Reading �
Replacement No. a7�6�1 a�
Replacement Reading
Replacement Make ��( ,�.
ERT#_ ���'��'(l
-�--
Replacement ERT#
Remarks: �X �-�S�
(,�� Signed
, Request for Service Report
�ity of Fridley
R eference N o: 601-11-3050 D ate: 05I16I11
Request Type: Turn water oFFlon Entered By: Wendy Hiatt
Department: Water - �'� Citizen Name: Trish-Aspen Fiidge
����
Address= 6445 CHRISTENSON LN NE Caliback Phone: 651-322-6$77
Scheduled Date: 05J20111 7:30 AM ��l�c�y Property Owner:
Location Details: x"xBILL"'" / Requext Details= Turn water on For irngation
Action Taken:
`�" v�r r�e�. �,,��;-� o � a. � G�: r b S�ja �
; �-
Responsible Person: ���
�_._
Approver: (
Completion Date: �Litizen Notified
,� "�v _ (� � _
5� ���
�p �-5-�i����v�
� �Cit�y of Frtdiey
Water Departmen�
6431 University Avenae NE
Fridiey;MN 55�132
763-572-3566
1/we hereby author3ze the City of Fridiey and/o�its empio�rees to da wfiat h necessary ta
repiace the watermeier. 1 understar►d that the prapern/uwner is Itabie for the wvater line from the main ta the premise and aN interior
} ptumbing. (Per city code�02.06) t atso h41d the G'rty of f�idiey and/its emplayees harmfess fo�arry damages that may oca�r�rhile doing this
operation. This#o include,but not limited to valves,pipfng,wails,floocs orthe curb stop box and service line. !n understand 1 am also requtred
� to ohtaln a permit prior ta any work,if necessary.
6 �5�..�W"'�'`�,/ 1�17/��.�t —— "�
�/
F a
# flP1Al METEl2 R�ADIN�S'(otd meEer)
,
;
� Namea Address --�c�� � ;�-^"'`'`!����,.�����/✓�'��.Z,��
, p�
Phose umbec ,,,,,,, Date ���o-� a
5ignature Wttness Signature
OLD METER# �l��D13 �� SIZE $ii S�'Y��(Cirdel
OLp READIt�lG �� 1�D�-I �� 5j8" HEK
NEW METER# � �,�9 �,0�-1� 1,. HEX
;
NEW READING � 1�" ELIPTICAL or HEX �� �L�,,-
a a�.iw��P
' Er�r# ���`� �Q 9 rj €�.r�rica�. o� H�x
;
i ,��L �YY CODE
' vATER AND SANITARY 5EWER
� ���� �� � � �TIQN
{Re� �,� �2,9Z2,488,1144,1156,1191j
t � i
' A02.5 PERMIT FEE ' "
' Prlar to co�structirtg or repair of any� ��� .�cting#he existing munictpal system and arry house or buitdtng for which the
appiicatton 1s n�ade,the owner or caMt l,� ,,nred to obtain a permit for such con�ection,and shali pay a permit fee as pravtded in
Chapter!1 of this Code. After'suth conn� .cen made,the Wat¢r and Sewer Oepartment shall be notFFted. It shalt be unl8wful to cover
any connecting line until an inspection t�as, ,.made and such cnnnection and the work incident theteto has been apprvved by the City ss a
proper and sutta6ie r�nnettion.
402.06 REPAIRS AND MAfNTENANCE T0 CONNECTIqN
After the initiat tonnectFon has been made to tf�e water service curb stop hox or the sewer tead at the pr^operty line or a wa�der senrlce lead has
� bee�extended to the property line fa�cannedion,the applicar►t,owner,or occupant or user of wch premises shai!be itable for aH repait,
j requtred to any water line a�d sewer lines necessary fa�connection of tfie premfses from the main to the premises. if the pwpsrty owner
requests maintenance service or repairs be performed bythe C)ty,the property owner shall be charged for the costs of the mairrtenanceand/or
repairs,lnctudtng necessary sireet repairs at a rate set annual{y by an aciministrative poliry. k sfiaif be the responsibility ofi the applicant,
awner,occupant or user to perform standard maiMenance of the sewer serotce line frort�the premises to the main induding debris tteadng or
root cutting and to maintain the water service curb stop box for operability and at such height as wili ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191)
!: ��
a
�
%