Meter Swap II -- �; - I �
����� _.._ ������a
:���
__ _..
� __ __ _ � -- ����a
I
_ _ _ __
. ��
A� ���
, �
�1" d � r�
� .� ' • 1►
i �
� � �_� �� -� �
� .� ��.
7 � �.
a. �� �
� ..� _ �� �
� " � �
� � � �
E � � ��'�� P � �� �v �
� � � �
� .
�� �
� � � �n � a � 1 " J '•, '� ww� �'�
� ��� �' � � d �1 � c� �fw �
�
-{ � a� �(f�f S c� ,n � J f � ��i��''^'1 -� f � t n��
� _ :►��1�a��
.....���....
��'�•�l -=N��a � #��d ��'#��l uc+wyeaa�
B'�5Z-LZZ-Z19�-a�M�{7 ���""0�'�d MV 00�& L tO�ZJ£!l l =a�tl P�'I��P�S
£9L£-LO�-Zl9 ��4d��e"J l�! 11N(�3N 3AV NOlaQN 1r8Z1. =�4PV
6 . ep�sl-sine�l :�e�uazr� �a�� :}uau.r�e��
#�'-!tf�M :�P�� �'/!#����1 =�1 �
t LOZJ£ll l ���0 £ZL£-1 L-ltY9 =Qt�!���
�IP�� �4�!�
�c,�daa a�►w� �c�� �sa�baa
,'�
'.` �.��,of
Fridley
Request Number: �sz5�
Public Works Division
gervice Request
Problem Address: 1284 Norton Ave Requested By: Pamela
Department: WATER Address:
,-
Problem/Issae: INSTALL AMR METER Phone Number: 612-716-3036
Scheduled e: 2018-OS-17 Scheduled Tlme: L0:00
---1'lr�
ACTION NEEDED: 1 112"AMR
Created By: Wendy Hiatt
Date Created: 2018-05-17
AGT10N TAKEN: f �J
�
1 �Z
�,�:
Status: - Submitter Contacted: false
Date Completed: Completed By:
Hours:
�
� � ��- ��
� � 5�����
' � City of Fridley
� Water Department
6431 University Avenue NE � 1�j-����U -�3
Fridley,MN 55432
763-572-3566
i/we hereby authorize the City of Fridiey and/or its employees to do what is necessary to
repiace the water meter. I understand that the property owner is liable for the water line from the main to the premise and aii ir�terior
plumbing. (Per City code 402.a6) !also hoid 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,walls,floors or ihe curb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING oid meter ��� �/
t 1 ��,�
Name: Address TE�I��,� JV��7�
Phone Number Date ��` `�
Signature W�tness Signature
OlD METER# �J� i ���{C� SIZE & STYLE(Cirde�
OLD READING i t�� lt� � �°C� 5j8" HEX
NEW METER# ! {/� �� �`1 1" HEX
NEW READING � i'r4" fL1PTICAI r HEX
�� ���
ERT# �� �� p���X.1 t" ELIPTICAL or HEX �+ _
��.
, s ,
FRIDLEY CI'TY CODE
CHAPTER 402.WATER,STORM WATER AND SAAi1TARY SEWER
ADMINISTRATION -
{Ref Ord No 113,464,565,Sb6,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing vr repair of arry water ot sewer line connecting the existing municipal system and au�►house or building for which the
application is made,the ow�er or contractor shali be required to obtain a permit for such connection,and slt�H p�y a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be natlMd. lt shall be unlawful to cover
any tonnetting line until an inspecCion has been made a�d suth connection and the wr he City as a
proper and suitabie connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTfOPI
After the initial connection has been made to the water service curb stop box or the se { � 9 L.5�N '���� ° �'�{'� � ice lead has
been extended to the property I�ne for connection,the appficant,owner,or occupar�t� , � � , �, �,;� i��'�� N �-'�-� � repairs
required to any water line and sewer lines necessary for connection of the premises fron ���� �, r���� � k 3(��-�� owner
requests maintenance service or repairs be performed by the City,the property vwner sl ance a�dJor
repairs,including necessary street repairs at a rate set annually by an administrative poli� cant,
owner,occupant or user to perForm standard maintenance of the sewer service line from , ,.� ._,,.,..,w�.:.���n rnduding debris clearing or
root cutting and to maintain the water service curb stop box for operability and at such height as will emsure tfiat iC nrnaM��above the�nished
grade of the land or property. {Ref 635,1156,1191)