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Meter Swap ������ � , I � �� ��� ,� o� Request Number: 6955 Public Works Division Service Request Problem A�ddress: 739 Mississippi St Requested By: Avis Soderstrom Department: WATER Address: No address provided Problemlissue: INSTALL METER Phone Number: 612-41&0594 Scheduled DBte: 2013-09-13 Scheduled Time: 07:30:00 ACTION NEEDED: 2013 AMR Created by: Wendy Hiatt ' Date Created: 2013-09-11 ACTION TAKEN: � Old meter#15616866 Old reading: 60 70 New meter#44922382 ERT#35159806 ' J / Status: Completed Resident Contacted ❑ Date Completed: 2013-09-13 Completed by: Pete Gunderson Hours ��� Request Number: 6955 Public Works Division Service Request Problem Address: 739 Mississippi St Requested By: Avis Soderstrom Department: WATER Address: No address provided Problemllssue: INSTALL METER(WATER) Phone Number: 612-41&0594 Scheduled Date: 2013-09-13 Scheduled Time: 07:30:00 � � �� � �,�U ACTION NEEDED: 2013 AMR Created by: Wendy Hiatt Date Created: 2013-09-11 ACTION TAKEN: ..........:.........................................................................................................................................................._.................................................:........................_.............................._.........._........._.............................._..........................................................................._... ��1 �- �— � � ......................................................�...........................................................................:�.....�..�........._.......��................�.................................................._.........................................................__..._..........__... iN�� .............c.....�...��.................................................:....:.....................�..�.�...._��.................................................:...................._..........................._......_._........__.........._._._._.._:...._ _.........:��-�...........:............:................................_�.-.............._�._�.._�.�.._..��_�...............................................................................___......................:: . ._.__. _. _ .............����+a��►�................:..�.....:........................................................................................................................................................................_............................: ....................._.............................. �.—c� � ��c �q.`�� ........................................................................................................................................................................................................................................................................................................................................................................................._.._................._.._ Status: In Progress Resident Contacted ❑ Date Completed: Completed by: .�t ". \ � `� 1 � City of Frid�ey , Water Department 6431 University Avenue NE Fridley,MN 55432 (763)572-35b6 ��We 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 ftom the main to the premise and all interior piumbing. (Per City code 402.06) I also hoid the Gty 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,wails,floors or the curb stop box and service line. I understand 1 am also required to obtain a permit prior to any work,if necessary. �� r readin oid meter � Finat mete g( ) Name• Address• � � ` - ,�SS� Phone Number• Date• ` —�� I� p�� � -_ 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 app�ication 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 unlawful 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 After the initial connection has been made to the water senrice curb stop box or the sewer lead at the properry line or a water service or sewer lead has been extended to the propertyline tor connection,the applicant,owner, or the occupant or user of such premises shall be liable for all repairs required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the prope�ty 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 necessary street repairs,at a rate set annually by an administrative po(icy. It shall be the responsibility of the applicant,owner,otcupant 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 operability and at such height as wiil ensure that it remains above the finished grade of the land or property. (Ref 638,1156,1191) Request Number: 10274 Public Works Division Service Request Problem Address: 739 mississippi St Requested By: Sandi Hara Department: WATER Address: No address provided Problem/Issue: FINAL METER READII3G Phone Number: Scheduled Date: 2015-07-15 Scheduled Time: ACTION NEEDED:Please scan the AMR for final meter reading on July 15,2015 for closing at 739 Mississippi St. ERT#35159806 Created by: Cheryl Pellegrin Date Created: 2015-07-07 ACTION TAI�N: ........................................................�I..�...a?�........................................_..................................................................................._..........._. ............:..................:..................................................................................................................................................................................................................................................................................................................................................................................... ..............................................................................................................................................................................................................................................................................................................................._._...........__..._..............__.._...._.....__..._.. ......................................................................_.................................................................................................._............................_................................................._.........._........................................._.__........._.__...................._....._......._......._............._....._ .................................................................................................................................................................................................................................................................................................................................::.....................__........................._.__...._...._.._._.._. ...............................................................................:..................................................................................................................................................................................................................................._._..._.........._......._......................__..............................._.. Status: In Progress Resident Contacted ❑ Date Completed: Completed by: >