Meter Swap paubzg
2...�1N Cl�.�c��� :sx.zeuta�
ax�W �uauta�EZdag
�—buipEag �uau�a��Zdag
� �''�„ •oH �uau�a�eldag
�L�� buzpQag .za�ay� PTO
���,.
OS���✓fj� �a��N .za�ay� PZO
�o -��' _g a�QQ
�1S auzpH
rn ! ssa.zPPX
�17f7
�traat�sB aQ sa���
�etP'F=�I .�0 1C���
�� ,�`:a�� �� , �! x r.s. 5� • r.
� �r��� �: x� '�'' ��� ��" x� t �,� �
�u:
"�aJ����� ' '�I ���>� �4 ��� i°��3�����,�i� �����i i i e,�;����
..�.�
'� ° 1-�a-- j'�L�.�-�����`�✓
�.� INSTALLATION
�n� AUTOMATIC METER READER
FRIDLEY
Address 1�1 d� ��'1�
Name LJ�'R�2r1� �C�`�}�
Date �'�— ��
Old Meter Number � ��� V
Old Meter Reading . � rj
Replacement No. ���
Replacement Reading �
Replacement Make ��
ERT# > `�l
Replacement ERT#
Remarks:
13�,s Signed:
�
,
��qU+�St f�c�i'SefYl€�� F��pc��
. Gi�y c�f Fridl�:y
Ref �_ �t-�2-�114 t��: #'u°�9f2d112
� �T�e: AM�i�+er � €�r:
C3e�r�: Waita� �e�: [�air+F�e
�� 64��!�a111�!� �Cabacic.P�e� ��,�42-�fi49
�
Scl�e�/�d t�+e: G�20/Z�1�2-�A P�1 �E3�a:
�s�ka�s: Heq�Ele�a�= +A[�Fi
�
Ac�Ta�:
+�1+d Me�r # ��'� 67 q�
� U
��Id r�din�:
� � ��� ���
c��� �nn���# ��
;
�r��� �������,.
�F�T# ��� �� �c�,
��= � ,
� �� ����._.� __ _�.�_----...��..__...w___.. _____
� �
�
f
�.,.......�..............__________._........._._....�...__.___.��_...__m.._..w.__'"__.......�...._..._........._........_._.................__.............._...�.._�______..__...__...._........,
� . rq_ _.���r_�� _
� ;-
a„��
♦
' City of Fridley
Water Department
6431 University Avenue NE
Fridley, MN 55432
(763)572-3565
��'We hereby authorize the City of Fridley and/or its
employees to do what is necessary ta replace the water meter. I understand that the property owner
is liable for the water line from the main to the premise and aN interior plumbing. (Per City code
44Z.06) t also ho{d the City of Frid{ey and/its employees harmless fo�any damages that may occur
white doing this operation. 7his to include,but not(imited to;valves,piping,walls,floors or the curb
� stop box and service line. I understand 1 am also required ta obtain a permit prior to any work,if
_necessary.
Final meter reading(o1d meter) ����
Address:_ ��� (�L�'"sr`-"�
Name: .
Phone Nurnber. Date:_ ��~��
,.:
Signature:
Witness Signature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STQRM WATER,AND SANiTARY SEWER
ADMINISTRi47lON
(Ref Ord No 113,464,565,566,6�9,638, 662,922,988,1144, 1156,1191)
40�:OS�PERMIT FEE
Prior to constructing or repair of any water or sewer li�e connecting the existing municipal system and any house
or building for which the application is made,the owner or contractor shall 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 shalf be uniawful to cover any cannecting 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.
4�2.06.REPAIRS AND MAINTENANCE TO 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,owner,
or the occupanC or user of such premises shall be liable fior all repairs required to any water line and sewer lines
necessary for connection af the premises from the main to the premises. If the property owner requests
a
mai�tenance service or repairs be performed by the City,the property owner shall be charged for the costs of the
maintenance and/ar repairs, including any necessary st�eet repairs,at a rate set annually by an administrative
policy. It shall be the responsibility of the applicant,owner,occupant ar user to perform standard maintenance of
the sewer service tine from the premises ta the main inc{uding debris clearing or root cutting and to maintain the
water servite curb stop box for operabiliry and at such height as will ensure that it remains above the finished
grade of the land or property. (Ref 638,1156, 1191)
.:
Request Number: 7401
Public Works D'nrision
Service Request
Problem Address: 6440 Baker Ave Requested By: Sandi H
Department: WATER Address: No address provided
Problemllssue: READ METER(WATER) Phone Number:
Scheduled Date: S u ed i
ACTION NEEDED: Final meter reading. C ing 1/16/14 ERT#33370 02
Created by: Wendy Hiatt Date Created: 201401-15
ACTION TAKEN:
.............................................................................................................................................................:.....................................................................................................................__..................................................._.._..................................___............._._.............._
�, c� - �I,b 5�
...................................................._._......_................_............_............._............._._.._
.........................................................................:..:.::...........:�..........................................................................................................................................................................
_....................................:......................................................................................................................................._..........................................................................................................................._...................._.._._......................:__......_.............._...........__._.._
.................................................................................................................................................................................................................................................................................................................................................._........_._._.__................................___......_
_........................................................................................................_..............................................._..........................................__.............................................................................................................................................._._............................__........__.........._
........................................................................................................................................................................................................................................................................................................................................___.................................._..__....._._..................
Status: In Progress Resident Contacted O
Date Completed: Completed by:
� ��� � �
I