Meter Swap '� u' ,�- °'.`�-_ r Lt�_-cJ :f�—���5..�..��t-°'
� �� INSTALLATION
G.�� AUTOMATIC METER READER
���
�
Address �� ��cc����� 4�i� � � �
Name ���4F3 ��--�i�J �,nr1l=�
Date '���
Oid Meter Number �� `�f(,�
�
Oid Meter Reading � �
Replacement No. �[�i��i�
Replacement Reading �
Replacement Make ������+C�
ERT# ��� I ��"��� ✓
Replacement ERT#
Remarks: �'�� ��
�
Signed:
���
Hara, Sandra
From: Hiatt, Wendy
Sent: Wednesday, December 26, 2012 8:28 AM
To: Hara, Sandra
Subject; 900 W Moore Lake Dr
John Biasingame @ 900 W Moore Lake Dr called for an AMR appointment! I wili take him off of the non-responders list.
He has an appointment at 11:OOam today.
Wendy Hiatt
Administrative Assistant
City of Fridley
Public Works Dept.
hiattw@ci.fridlev.mn.us
v�---�--a-
� ���_�g�-�v
. 1 � .
���I�#,''5�ft�T�I'N�li� �
�i�y c�# Frici�:y
� �s ��-�2-�0� ��: ��z�a��
T�re� �� 8�r_
��e�: '�liat�ea ��� ,�in�i�e
= 9�0 UI�E DR YM . �►3-�-9�i42 �
Sc#�i'ed il�e= 1�%Zfi/Z�1�l l:tla ll�i P�jr t�w�wec_
�saea�rr�: �lletai�s= �-ZD72!�i F9mg�a�
�Ta��
�Id �9et�r �# � �C�, -��,�;�(�
c��� �����: �1��Zb
r���► ���:�# y���`��I�
��� ������� � .
���� `�`-�I�� �7�-1 ��
�����
�
�_ �--- � �
���C-��_r�-..�_____� .
� 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
empioyees to do what is necessary to repface the water meter. {understand that the property owner
is liable for the water line from the main ta the premise and all interior piumbing. (Per C'ity code
402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may accur
while doing this operation. This to include,but not limited to;valves,piping,waNs,floors or the curb
stop box and service line. 1 understand.i am also required to obtain a permit prior to any work,if
necessary.
Final meter reading(old meter) ���� '-'�
Name: Address: ��� � r �'����
Phone Number. Date• I�J v`e7—��
Signature: ,
Witn�ss Signatur .
�RIDLEY C{TY C�DE
CHAPTER 402.WATER,STORM WATER,AND SANfTARY SEWER
ADMINISTRA710N
(Ref Ord No 113,464,555,566,629,638,662,922,988,1144,1156,1191j
402A5. PERMIT FEE
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house
or buiiding 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 1Nater and Sewer Department shall be not+fied. !t shall be unlawfu!to covec 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 initial connection has been rnade to the water service curb stop box or the sewer fead 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 occupant or user of such premises sha{I be Nable for atl 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�ecessary street repairs,at a rate set annually byan administrative
policy. It shall be the�esponsibitity of the applicant,owner,occupant or user to perform standa�d 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 wili ensure that it remains above the finished
grade of the land or property. (Ref 638,1156,1191� '
� �. ��. �_. -�
�_ _ � � �� _
_. ._....._ _._� _ _____... ...._.��.._._��_ __..._.. __.. _._._.� __.___�.�
�
� € -
i
_.______...........___........ _......_.�_.�___...__ ._.._�_ .._�____.�.___�___.__...__�_�_..._..
� -�� � ������ =���
��_______._____._�_
__.� ��__ � �_ �_____ __�__�__�_� m _e_ .� �_ ���_�__-�___�
� �
�
i
E
�
� �� �
� � `
��Os�� �� ��° „ � �
��� �
� �� �� � ���� �� �� �
. � �l
�-v�, -v�d,�, � �„ � a„�-� ��� �
�
� � a� �- ���
,
� �,� ��,,J� s� a� � -,,, , .�-
� � �
:���
-���
��� -�w��r =�� ���
�a� =��
z�s-�st-�c =�� ,�►�a�n��+t ao� ��v
_ � :���a � ���
:� t������ � r�l
Zt�ZI� ��'� £9�Y-Zk-4�5r ��h#��I
��� �����
� _ a� ��� �s�rt��