Meter Swap �z's. � 3 ��, �.., ��. � 1 y . ,y1,�
,'y %G §N (,,�� sq ��� < �
.�� �`d�� �� 3tW;y'y k� � F1';P���,��4 ..
p r LL r.,�h
xf r
Old M�ter Number �"� � �_
T ��
Old Meter Reading �� �V
Replacement No. � �� � �'� ��
Replacement Reading
Replacement Make �'a-d-�P.Ir`
.Re a
1
Remarks; ���h �Y
. • �
_ Signed � e_�.��.��'G"""""..�
, . .:..:�,�,,_ �ts`�i i�
� �i��;-� INSTALLATI4N
�
�.n� AUTOMATIC METER READER
Address t�;�..�t� ��`� `�(
Name L�C�t-1l;Ps y���(�"�5��
Date ��'"���"{ 1
Oid Meter Number �(l�����
Old Meter Reading
Repfacement No. 5�r�..� ��'A� �
Repiacement Reading �
Replacement Make ��
ERT# � �
Replacement ERT#
Remarks:
}�� Siqned:
I
. ' �t��� f+or -c:� i��p�rt
+Gi#y°a�f FrNd�
F� t�r; 6�1-�2-4�4"9 c: �4 12
T�pe� T��atermfFl� �:.
. Wa� ��e: ,k�Pa�sari
J�: �15 IiiN�#ST I� . �1�-�-�414
�—
[7ete= �afllZO12 9�JAiI ( �eS' ' Qwner:
�[A�a�a: "'� �iequef[�: Tt�weler��oe-�ar_ L��r
T .
�.v�' 1,vc�-�--e/' � -�� c.t--� C `' � b S�° `
� P
Q a h. �. !_ �� !!�� ��o
L. ��- w � . ,� � b-� 1�
�
K� �
� I
�.e fo �a.� ' '�' �'h.-�- f�a�� ,
.'�
, .
� � � �� �
��
� ;
�
�= ;. ;
,,;
��� � � _ � � � � ��
� 5 �
� ...� _�_� ______�_�_ ____.._� �
, �
�
„ I���:s# fic�r�n�ic� R+e�rt
� �i�y af Fritil�y
t� t�� ��-��-��� �: ��,a��o��
�T�� T�,���s� ��
�: w� ..
�_ �151�tN�!5T t� . �►12-2�l2-�i414
[7�t+�: 1'lIi51"�"IT 1��lf�l � _
�FJeta�a: ""'BR.E"”" � t�ta�s: T�w�t�er an_ Re��nec3�
kda■I�1MR
�Ta�:
.�CZ,�J 01� � �'C�� r''�-�- �'�J��"` (��
� A�N� ti NS�.-�-�� ,�2 �����,
; �o� s�l� �N�`( �"� wd2��c�C� �u i�'.
��� � t NS
,� ��C-{Z W P� u�"O Ji f.3C.(:: Llt'`o7 /YZ��w� �'� �
, c�r.D���-'2�#-..� '�SS�d S
���. 35
O� �t�tDt�1b -- �
�� M�7��� ��-�
��� �'-���'-" �
� t
� �� �- 33��I �(�� I
� � _ _ ��__��__ ___ __� ___�____ .________� _ ��_�_�_�______�._ � ___.�._.
����� ;
��___....�. ..........._.. __ _..� .__--___� ._
��
� � � � ________. ___._____ __.� ___�_�
_ �: __� ._.� a��
l l— ► �—�1
�_ �n �_ �� .. �__ ��.� ���
Hiatt, Wendy _ _
From: Hara, Sandra
Sent: Monday, November 14, 2011 3:59 PM
To: Hiatt, Wendy
Subject: Water turn on at street
I scheduled an appointment for Tuesday 11/15/11 at 10:30am. They need the water
turned on at the street and the meter reinstalled. They can put in an AMR then also.
6015 Main St NE, the new owner is Joshua Patterson and his phone # is 612-282-
9414.
Sandi Hara
1
City of Fridley
Water Department
6431 University Avenue NE
Fridley MN 55432
(763) 572-3561
Uwe hereby authorize the City of Fridley and/or its
employees to do what is necessary to shut off the water at the curb stop box. I understand
that the property owner is liable for the water li.ne from the main to the premise. (Per
City code 402.06) I also hold the City of Fridley andJor its employees harmless for any
datnages that may occur while doing this operation. This to include, but not limited to,
sod, yard,landscaping,trees, shrubs, driveways, sidewalks or the curb stop box and
service line. I understand I am also requixed to obtain a permit prior to any work.
Name• Address: ��� S (�1 S,T,
Phone Number: Date: —,�J--�
Signature: 1,,.-''�" �,:
�
Witness 5ignature:
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SAIVITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988, 114.4, 1156,1191)
402.05. PEItMIT FEE '
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any
house or building for which the application is made,the owner or contractor shall be required to obtam a
permit for such connection,and sha11 pay a permit fee as provided'nn Chapter I 1 of this Code. After such
connection has been made,the Water and Sewer Department shall be notified. It shall be unlawfiil 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 MAIlVTENANCE TO CONNECTIUN
After the initial connection has been made to the water service curb stop box ar the sewer lead at the
property line or a water service or sewer lead has been e�rtended to the property line for connection,the
applicant,owner,or the occupant or user of such premises shall be liable for a11 repairs required to any
water line and any sewer lines necessaty for c�nnection of the premzses from the main to the premises. If
the properly owner requests ma.intenance services or repairs be performed by the City,the properiy owner
shall be chazged for the costs of the maintenance and/or repairs,includi.ng any necessary street repa,irs,at a
rate set annually by an administrarive policy. It shall be the responsibility of the applicant,owner,occupant �
or user to'perform standazd maintenance of the sewer service line fram the premises to the main including
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 638,1156, 1191j