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Meter Swap , :: r Request Number: 9872 Public Works Division Service Request � ;. ',�`: _ . �.�,;,��.' ..,, ,�,-1- Problem Address: 7351 Memory Lane NE Requested By: Jeannie @Northern Plumbing Department: WATER Address: No address provided Problem/Issue: T'[.1RN WAT'ER ON/OFF Phone Number: 763-502-8228 SchedWed Date: 2015-03-24 Scheduled Time: 08:00:00 ACT'ION NEEDED:Needs water shut off,the meter is really old,wants to lmow if they can ha�e a new AMR installed. Will want the water turned back on approx 4 hours.Talk to plumber to set up time or get phone number.�f'� ` I'� �4�> b/ Created by: Jeannie Benson Date Created: 2015-03-18 ACTION TAKEN: ( .1-�. �u�,� �--,�� :^ ��t�'c. ;'�-�.>�7 Lk�i 1�Ey � ��il-�'� �:� �'( ��t� �9 m�� !~�:��' °3��C �� _�-�►��- �-�L�`�'� � �C . �� ,nti��-z��2 -�- `-1��a� '��.� �'�"�� 3�12 l��`�7�rt��.C� � !��., �.-,��-- � ��z � - <3�� -�3S Status: In Progress Resident Contacted r Date Completed: Completed by: �j �� - `'' ��. l � Permit No. : CITYOFFRIDLEY * 2815 - 00422 * DATE ISSUED: 03/18/Z015 6431 LTNIVERSITY AVENUE NE FRIDLEY,MN 55432 763 572-3604 FAX: 763 502-4977 ADDRESS : 7351 MEMORY LN NE pIl�i : 113024130002 LEGAL DESC : MELODY MANOR 2ND ADD : LOT 2 BLOCK 1 PERMIT TYPE : PLUMBING-FIXTURE BASED PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WATER PIPING NO'TE: REPLACING WATER LINE FROM COPPER TO PEK APPLICANT PLUMBING FIXTURE FEES 35.00 STATE SURCHARGE,PLBG FLAT 5.00 NORTHERN PLUMBING& SOFTENING TOTAL 40.00 7401 CENTRAL AVE N Payment(s) FRIDLEY,MN 55432- CHECK 5906 00422 40.00 (763)502-8228 Minnesota State License#:PLBG-PC64404,GAS-MB005481 OWNER GONDORICH, GENE&LINDA 7351 MEMORY LN NE FRIDLEY,MN 55432- AGREEMENT AND SWORN STATEMENT T'his permit becomes null and void if work ar construction authorized is not commenced witin 180 days or if construction or work is suspended or abandoned for a period of 180 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correc� All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. Thc granting af a permit does not presume to give authority to violate or cancel the provisions of any other state ar local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date � ✓� �C Building PLUN�ING Permit No.: �.O/S'D�`� �' Inspections RESIDENTIAL APPLICATION Received By: d� 763-572-3604 CITY OF FRIDLEY Date xec'd: � � � 763-502-4977 FAX EFFECI7VE 1-I-2014 DATE_��.,� YOUR&MAIL ADDRESS � !Y11��,..t, ct � � • G DlY� srrE nnD�ss 3 THIS APPLICANT IS: 0 OWNER ONTRACTOR PROPERTY r x,�: 1. G OWIVER/ ADDRESS:��SI IV�2�M�`C� -GL.Y1,�P��CITY STATE��ZIPJ� � TENANT pHONE:� ��-,3 a a- �o a 9 CONTRACTOR NpME; ' £ S a SUBMIT A COPY OF STATE UCENSE#PM (5(P LI tI 3� EXP DATE YOUR STATE )�� EXP DATE LICENSB,BOND AND CONTRAC'1'OR#(PC OR PB u W o XP CERTIFICATE OF ADDRGSS:�I�I D� ef-�11�/'O�-( � �1'2- C1T1'�r� STATE Ml.� ZIP��" nvsUx�vc� rxorr��r��oa�So�� Fn�c ''7l��- '7 B'Lo- Q��/ PERMIT TYPE y�S�GLE FAMILY ❑TWO FAMILY ❑TOWNHOUSE /' TYPE OF WORK: ��W �PLACEMEN'f DETAILBD DESCRIPTTON OF WORK C�. e D FEES ARE BASED ON$]0.00 PER Fl?CILJRE,EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). BATH SINK/LAV �FLOOR DRAINS _SHOWER �WATEIt PIPING —gq��g GAS PIPING(NEED CTI'Y LIC) _SWIMMING POOL _WATER SOFINER($35) +CLOTHES WASIiER KITC[�N SINK WATER CLOSEC BACKFLOW PREV.($15) ER _ � FOR IRRIGATION DISHWASHER _.LAUNDRY TRAY ,_WATER I�ATER($35) OTHER — WATER METER � * k�� ;,; s; � , C�'� .;'' s �� :. ¢ Y � ,:ll ��J�'�»�� . . v�� •-� ,:.. .. -N /��M , �� ^ �`��'��4.VV�'C� � � � sc � r� ,K 3 �'� �<�� 4.{; �. T � � { � ��YA��VIJj�'+��..f+�'��t�J! ��.n�i"�'`�' S✓ i� �S� � \v� � "� �1'� 4X;� ��`�z�ay�^ ��. �., . k , . � L � ' ., 'X. 5 3 , �'�'o� � ,'�? - z y'� 4 ^� �4�- �S 9 l; � �fY -�`' ��fyt1�.^�. /� . Q /�(�� 3 ��!, � - � ,. A`,��a4 N��1��I'�;iW W�n�l/� .'X Wk��VV � .t��' ��. ) S1'� �SY:�. ,.�� ,�v� 'S.t' � �`,� Y2 �.: A� � � \ � �+ � 4. � � � 2 � ; x „ < �, . �;� { � � � 17L(LSV l7NrY�0Y ` ��' YA t � y�� T�� . � t Z'. C . � W , v . �- " � .� �U�'�'�� 1�'5p1'��tBP �! ��,.` ��., yrs�'�2�1�`� �t1 �' .� z �,, 1''' ,s THiS IS AN APPLICATION FOR A PERMIT-NOT VALID UN11L PROCESSED I hereby apply for a plumbing permit and I acknowledge that the information above is complete and accwate;that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes;that I understand this is . not a permit but only an application for a permit and work is t to without a permit on site;that the work will be in accordance with the approved plan in th ase of all wor ic req ' Pew a�i�p�p��n np�I PS �eS nn7'e � - SIGNA'1'URE OF APPLICAAI7' DATE APPROVAL RYSPECI'ORS SICNATURE � ,,� �� ; ,. . ;: �:, �.F4) B. `�TG �' ANT�x . ,�,:. .�, L�L. �. City of Fridley Building Inspections Department 6431 University Avenue NE,Fridley,MN 55432 763-572-3604 FAX: 763-502-4977 - 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. I understand that the property owner is liahle for the water line from the main to the premise and all interior plumbing. (Per City code _ 402.06) I also hold the City of Fridley and/its employees harmless fo�a—nyaamages ffiat may occur while doing this operation. This to include,but not limited to;valves,piping,walis,floors or the curb stop box and service line. I understand I am aiso required to obtain a permit prior to any work,if necessary. Final meter reading(old meter) � '-� ��°�� Name: Address: P�7�� ` ��'�M�� ate: � �� Phone Number: Signature: : ��' . ` Witness Signature: ` � `'� " "�' FRIDLEY CITY CODE CHAPTER 402.WATER,STORM WATER,AND 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 any house or building 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 Water and Sewer Department shail be notified. It shall be uniawful 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 �f��p�#,��_�nartinn has h�n rnad��o.�h_e water service cur6 stop box or the sewer I tn a t 1 cant owner, l i n e o r a w a t e r s e rv i ce or sewer lead has been extended to the property line for connection, pp � or the occupant or user of such premises shall be liable for all repairs require d t o a n y w a towner requests r l i n e s necessary for connection of the premises ftom the main to the premises. If the prope[ty 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 responsibility of the applicant,awner,occupant or user 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 operabiliry and at such height as will ensure that it remains above the finished - - _ _ __ : ._. ,�_ � . . -- _ .__ _ . _._ _ _ _ ,"grade of tiie land or proN��iy. jRe�633,i1�S, 1_1: _