Meter Swap '� .��� I�;�� �-y c�s��,�
� tJ ` INS�ALLATION
��.�,� AUTOMATIC METER READER
FRIDLEY
Address �, " ��� ���
Name <_��`�i �bt�MA1•`
Date J'�` ��
Old Meter Number ��[ C��J
Old Meter Reading � `� y
Replacement Na ��5� �� �t
Replacement Reading �
Replacement Make f�cO��
ERT# �� ��
Replacement ERT#
Remarks:
�y� Signed: �i��
�
F��qt�t fc�r'� � R+�rf
, �ity►c�f Fndl�:y
f� �ka: �1-�2-4�� �e: �lZQ�2
T�pe� 6�lI;�J4�IEi�±ee �t �jt:
�erat: �� Ctii��me: ��csv�an .
Ad�: r'�R�1 �Tt#lilllE NE � �i12-91a�82
�ae: 3J$i�t172?'.,3Q lMili f i1 l/V� �: •
. �[�a�: Af�
}�m Ta�:
��Id �'I�t�r� `��� Cj�j �j�
�Id r�adir��: ��[A j�� � 6�
A���nr �e�r# +��5°� a�5y
�I��ar �eadin+g: �
E�T# �"�3�1- C� �l ��j
,
�
�
�_._____ _._..�___ ________.._____. .___�________...._�________.__
�
�
` ` �
� � � __�.�1� .
__P_ __�
.
,
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. 1 understand that the property owner
is liable for the water line from the main to the premise and ali interior plumbing. (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 limited to;valves,piping,walis,floors or the curb
� stop box and servica line. 1 understand I am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter} �� �� � �
Name� Address• �1.�— ���HNt
. O
Phone Number: Date:_,3; T(� — ,
`. ` --...
Signature: •
. Witness Signature:
FRIDLEY CtTY CODE -
CHAPTER 402.WATER,STORM WATER,AN�SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988, 1144,1156,1191)
402.05. PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and anq house
or building for which the appiication is made,the owner or contractor shall be required to obtain a permit for sucF� �-
connection,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connectlon has been
made,the Water and Sewer Department shall be noti�ed. 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 initlal 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 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 shall be charged for the costs of the
maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative
policy. it shall be the�esponsibility of the applicant,owne�,occupant or use�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 operability and at such height as will ensure that it remains abave the finished
grade of the land or property. (Ref 638,1156,1191)
. Request Number: 11375
Public Works Division
Service Request
Problem Address: 701 58th Av�e Requested By: Sue-Utility Billing
Department: WATER Address: No address provided
Problem/Issue: FINAL METER READING Phone Number:
Scheduled Date: Schednled 15me:
ACTION NEEDED:Final reading.CI ing 4/28/16 T#33370913
Created by: Wendy Hiatt Date Created: 2016-04-19
ACTTON TAI�N:
_................................................................................................................._...._...................................................._................................................_._.........................................._..........................................__._.........................................._.._.__..:......_____.
�;� ���,- `�'�0�0
............................................................................................................................................................................................................................................................................................_............__............................._._..._.._._......_.......................................
.....................................................................................................................................................................................................................................................................................................:......................................................._............................_..._............_
.....................................................................................................................................................__....._.................................................................................................._................................................................................_.......................___.............___..._
....................................................................................................................................................................................................................................................................................................................................................................._........_..............._.........
Status: InProgress ResidentContacted C"
Date Completed: Completed by:
�. ��:��
� �� �
Hiatt, UVendy
From: Johnson, Susan E.
Sent: Tuesday, April 19, 2016 1:46 PM
To: Hiatt, Wendy
Subject: 701 58 Ave NE Final Meter Reading
Hi Wendy,
Request for final meter reading:
70158 Ave NE
Closing date:4-28-16
Ert#33370913
Thank you!
Sue�aR�noac
City of Fridley
Utility Billing
763-572-3529
My office hours:
Tuesday,Thursday& Friday
8am-4:30pm
1
Request Number: 11960
Public Works Division
Service Request
Problem Address: 701 58th Ave Requested By: Lydia Swift
Depxrtment: WATER Address: No address p�ovided
Problem/Issue: STANDPIPE Phone Number: 1-320-630-5495
Scheduled Date: Sc6eduled'time:
IY1a-�lL b ^T�l.c,rs�{a �t�" G�n `
ACTION NEEDED:Locate and t�k standpipe by Thursday 9/8/16 "- fl N� �1'LfZ,
Created by: Wendy Hiatt Date Created: 2016-09-07
ACTION TAI�N: .
._.___....___..___.__......................................___._..__........__...._......_......._...�.__.. ._._._..__.______.._.............._.____._._..�.__......_.._.......__._..................._______.___ __..___�..
f 1
,
.._..._____...._____....._..................�............_���..._................�.___.....��_i"��..............__. _.___���___�'._�:u��..���'+�....._
Status: In Progress Submitter Has Been r
Contacted
Date Completed: Completed by:
.. � �f,1Y�� .
� 7 1�