Meter Swap , City of Fridley �����'�"���
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
UWe 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 all iriterior
plumbing. (Per C'�ty code 402.06) i also hoid the�ty af Fridley and/its employees harmless for any damages that may ouur while doir�g this
operation. This to include,but not limited to valves,piping,walls,floors or the 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(old meter) lJl J�J� I ���
Name: Address Y�W �—i��G 1���� l.�1�
Phone Number p�e '� ��
Signature Witness Signature
i •
OLO METER# � � SIZE & STYLE(Circle)
OLD READING t,�JL) '`t ��e� 5/8 HEX
NEW METER# `�JAn�.t ��� 1" HEX
NEW READING � 1�" ELiPTiCAI or HEX
tKi # F��� t�����cs, 2" ELIPTICAL or HEX
U'N� ��' ���� ��� �'� LEY CI'6�Y CODE
. ATER,STORM WATER AND SANITARY SEWER
� ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of arry�w.at�r af sewer line connecting the existing municipa!system and any house or buikling for which the
application is made,�the owner or contractor shall be required to obtain a permit for such connection,and shali pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notffied. It shall be untawfu!to cover
any connecting line until an inspedion has been made and such connection and the work incident thereto has been approved by the C'rty as a
proper and suitabie connection.
402.06 REPAIRS AND MAINTEMAPICE 70 CONNECTION
After the initial co�nection has been made to the water service curb stop box or the sewer lead at the property line or a water senrice lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shaU be tiabie fior all repairs
required to any water line and sewer tines necessary for connectio�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 shali be charged for the costs of the mair�tenance andJor
repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris ciearing o�
root cutting and to maintain the water senrice curb stop box for operability and at such height as will ensure that it remains above the�nished
grade of the land or property. (Ref 638,1156,1191)
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Fridiey
Request Number: 17987
P�bHic Works I�vision
Service Recryest
Problem Address: 1360 Crcek Park Ln Requested By: Mike Sidell
Departmeat: WAZF,R Addres�: No address provided
Problem/Isaue: INSTALL AMR METER Plrone Nnmber: 651-468-5301
Scheduled Date: 2018-03-27 Sc�eduled 1lme: O�:OO:Oi3
/� ---t
✓cil/� � i �.1 Y� �
ACTION NEEDED:AMR
Created by: Wemiy Hiatt Date Created: 2018-03-26
ACTION TAI�N:
Status: In Progress Sabmitter Has Been �.,
Contacted
Date Completed: Com eted by:
3-a7- ��
/
. s� � �r
' City of Fridley
Water Department �9��7�'Yv�U�
6431 University Avenue NE
Fridley,MN 55432
763-572-3566 A/��G / s'k0�.
/"" -
I/we hereby authorize the City of Fridiey 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 all inte�ior
plumbing. (Per City code 402.06) 1 also hold the Crty af Fridley and/its employees harmless for any damages that may occur while doing this
operation. This to inciude,but not limited to valves,piping,walis,floors or the wrb stop box and service line. In understand 1 am also required
to obtain a permit prior to any work,if necessary.
FINAL METER READING(old meter)
Name: Address �3�0� C�«�L- Pa—� ��
Phone Number Date 3"a Z-�
Signature Witness Signature
OLD METER# �S�g�� 3 SIZE & STYLE(Circiel
OLD READING o��(CQ S(o�{p c��� _ _ _ H�
NEW METER# 1 3SS��� ��`��
�..�`�C '� �'', � �C�_
n J
NEW READING �J
ERT# 7o237S S� 7 � �� �
F� � � � ��
CHAPTER 402.WATEP � „Q�,, _ � � ���
v�
(Ref Ord No 113,464,565, �, � _
402.5 PERMIT FEE
prior to constructing or repair of any water of sewer line co� � ���`")� ►uilding for which the
application is made,the owner or contractor shali be requii S��W�,�„�` as provided in
Chapter 11 of this Code. After such connection has been made,m ..�--_�__ � � dawful to cover
_
any connecting line untii an inspection has been made and such connec - - - - __ the City as a
proper and suitable connection. ^
I1 G�!.�1� (� ���;e?��CC.c�
402.06 REPAIRS AND MAINTENANCE TO CONNECTIOIY ��
After the initial connection has been made to the water service curb st< � � enrice lead has
been e�ctended to the property line for connectiort,the applicant,owne (,U'f/� ' a0 repairs
required to any water line and sewer lines necessary for connection of !rty owner
requests maintenance service or repairs be performed bythe City,the� ����Cd►�C�����` itenance and/or
repairs,including necessary street repairs at a rate set annualty by an a �pplicant,
owner,occupant or user to perform standard maintenance of the sewE C�'�`��'�- G��� �-�j4 bris clearing or
root cutting and to maintain the water service curb stop box for operal �ve the finished
grade of the land or property. (Ref 638,1156,1191j `���.
-
� � �M:'�
Ciry oj
Fridley
Requ�st Number: �a�3�
Public Works Dtvision
Service Requ�st
Problem Address: 1360 Creek Park Ln Requested By: Dave Iazenberry
Deps�rtment: WAT'ER Address:
Problem/Issue: MALFCTNCTTONIl�iG METER Phone Number: 651-216-7389
Schedaled DAte: „� Sch�uled Time: ,,,�,
� _
ACTION NEEDED:New AMIi not scanning. Installed backwards,blocked or meter head issue?
� `1���1��,�
Crasted By: Wendy Hiatt
Date Created: 2018-04-25
ACT'ION TAKEN:
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Status: - Submitter Contacted: false
Date Completed: Completed By:
Hours:
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o� .
Hiatt, Wendy
Subject: renter Dave Lazenberry 651-216-7389 new AMR not scanning.Instal{ed Backwards?
Blocked or meter head issue?
Location: 1360 Creek Park Ln NE
Start: Thu 4/26/2018 1:30 PM
End: Thu 4/26/2018 2:00 PM
Show Time As: Tentative
Rewrrence: (none)
Meeting Status: Not yet responded
Organizer: Hara, Sandra
Required Attendees: Hiatt,Wendy
1