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Meter Swap - F�eque.�t for�rvfc� R�epc�r# ` City af Frid{ey t���: s�-�z-� ���: a�arz��z � r�� �v���w� ��d�: w��ct c��: s� c��,�: ���n Acic�ess� 50"16�7H AVE NE C�rack Phc�ne: 763-�71-T182 ScFr� [l�ate: 4�'5�t�12 1fl�/W��V�S�L P'�pe�tYthvner: l.�ca�it�t��s: �ec��n�is nad having�ns�t�us � Request Deta�: TV Serrer� �e b�#has had�v�era�pro�s over th+� Ye�s. A€#ic�T�ten: �rtlrZ`.(�S►�� �i�(I (9�. Q��� �.a (2 �T� �c.J.�" ` � � ��iC `, �O IZ Sl, �� , �Y, f��tz.T' �Z��€'� ��A��' o►� f � i , � � � � I i � � _ _ _ _. __ __.� �ns"�Pe�: ` ; C�A��_� -c�_ ��c.� � . ' _ _. __ � � ���: � ; _� ��� � ��r�d � � � Z � i � t ' � � � � 'i � i � � � � � � � � � � � ; � � i � � � � � � � �yA � j� : � W � j f E i � � � � � � � � � , � �� 'G E � ; � � � � `� � � � � � . � ° �� ` � � � � c� '� � � � � � ' � � j � � � �, : E � �' ' ` I : j � E � � � � � � � � � � � �� � j } � � � � � i � � .� � ��� � � (( 3 { � � i � � F ^ � ; � : � � � ; � � � � ; � � � � � � � � � � � �.� �` _�` � E � , � ; � � � � � � � � � ' � � � � � �� € � � t �. � � _ _� Request Number: 8339 Public Works Division Service Request Problem Address: 502 66th av�e Requested By: Jackie Frough Department: WATER A�ddress: I�b address provided Problemllssue: INSTALLAMR METER Phone Number: 571-7782 Scheduled Date: 2014-07-09 Scheduled Time: 08:30:00 ACTION NEEDED: Install AMR . 1 'V CJIJ � � �� Created by: Julie Horak Date Created: 201407-03 ACTION TAKEN: ........................................................................................................................................................................................................................................................................._._............................__................._.._..._._._.................................................................. _......................................................................._�....�................_��...:3.�._�._�.....�.2-....................................:................................................................................_..._.........:........................................._.. ca�o �-t� .. .............�%b....._.��:��:c�.._�.-...........�.2_��.............._�.�..........................................................:.........................._....___. ......................._............_................................................:.....__. .........���_._�,�..�..�.._�.-.......���z..1....�..l.l........................................................................................................:....................:..............._........._........................................._....__ .........._1�.�:�,�s...._��.:�::�_�..-:...... ..............................................................................................................................................................................................................: .... .._............_....._.._.___.. r _ . .......................:�:............................................:.....:.........3._5_l_S_�_5...�_�:......__...........................................................................................:...................................................................._. _. _. ...... ... ....................... Statusc In Progress Resident Contacted � Y Date Completed: Completed by: . / ��� ; ' � �� � , I j � � f ' ' _ . - �i#y of Fridley � --- Water Department -- --- - 6431 University Avenue NE Fridley,MN 55432 (763�572-3566 ��We hereby authorize the Cih/of Fridley and/or its employees to do what is necessary to replace the wat+er meter. I understand that the property owner is liable for the water line from the main to the premise and all inte�ior plumbing. (Per Gty code 40Z.06� I also hold the Gty of frid{ey andiits employees fiarmless for any dam�es tk►at maY oaur while doing this operation. This to include,but not limited to;valves,piping,walls.floors or the curb stap box and service line. 1 understand 1 am also required to obtain a permit prior to any work,if necessary. Flnal meter reading(old meter) ���� � � O Name: Address: �vZ' `�' f� , ` V� - Phone um Date• (� ` �` � . Signature Wttness Signature: FRIDLEY qTY CODE CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER ADMINISTRATION (Ref Ord No 113,464,565,566,524,538,662,422,988,1144,1156,1141) 402.05. PERMIT FEE Prior to constructing or repair of any water or sewer line connectin�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. Afte�such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover any cunnecting line until an inspection has been made and such connection and the work lncident thereto has been approved by the City as a proper and suitable cor►nection. . 402.06.REPAIRS AND MAINTENANCE TO CONNECTION After the initiaf connection has been made to the water service cu�b stop box or the sewe�lead at the praperty line or a water service or sewer lead has been extended to the propertyUne for connection,the applicant,owner, or the occupant or user of such premises shall be liable for all�epairs required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the prop�cty 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, inc�udi�g any necessan/street repairs,at a rate set annually by an administrative policy. It shall be the responsibility of the applicant,owner,occupant or user to pe�form 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 cu�b stop box for aperability and at such height as will ensure that it remains above the finished grade of the land or property. (Ref 638,1156,1191)