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Meter Swap �1�� ��i� �.� Re uest Numb�: 6920 q Public Works Division Service Request Problem Address: 710 Over�n Dr Requested By: Pat Knulson . Department: WATER Address: No address provided Problemllssue: INSTALL METER Phone Number: 763-439-7561 , Scheduled Date: 2013-09-10 Scheduled Time: 10:00:00 ACTION NEEDED: 2013 AMR Created by: Wendy Hiatt Date Created: 2013-09-06 ` / ACTION TAKEN: ! ` � Old meter#32771369 Old reading: 391 0 New meter#44922366 ERT#35159780 Status: Completed Residerrt Contacted O Date Completed: 2013-09-10 Completed by: Pete Gunderson Hou�s ��� � , � z �.� � ��'�t � "`-!� r{,�.. � a� a '�j,+�' �'" �"�' >...'��s`?. �� �t . � . . ���������� . c'! �3 City of Fridley t�ater DeDartmeat Address �10 ����� - Name C�o,�c��!�-_� �r'S�t.� � Date �/`-,,�"� '� � Old Meter Number �> 75 / ��� Old Meter Readinq U��2-� �.--�. Rep 1 acement No. �� �Z �L �. � �-� Repiacement Reading � _ Replacement Make Remarks• G'��G� �-�7`� �' �. Signed _. r. . �.f'-� -a.e.�,�.,c,�.�.�n�, _ _ _ 1 s Request Number: 6920 Public Works Division Service Request Problem Address: 71 Q Ou�erton Dr Requested By: Pat Knutson Department: WATER Address: No address provided ProbleMlssue: INSTALL METER(WATER) Phone Number: 763-439-7561 �cheduled Date: 2013-09-10 �C� Scheduled Time: 10:00:00 . � � � � � �' �.� ACTION NEEDED: 2013 AMR � Created by: Wendy Hiatt Date Created: 2013-09-06 ACTION TAKEN: ...............................................................................................................................................................................................................................................................................................................................:................................................-___...�...._.._._._.._. _...._.:....�-..�.�......�..I�z�._�-.-�...._...._..__�J.��....��.....1�.�............._......................._................._....:.................................._.............................. _.....���..:...:��._1�.�..--......_.............................._��..._I........._�1�.............................................................................._.:................__...__............_..........._...._ _.....��...._����....--............`�.._��.�..._a.��........................................................................................................:.................:: . _.. ................. ..................._ ��� - ,......�:��..............................................._�.......................... ..........................................................................................................:....................................._..........................._......_.._.....__..__._......:....._._........._... ...............:....:..���._�-..........................._:��.�...�.�.`�.:�........_...........................................:...................................................:. ..................................................................__......................... Status: In Progress Resident Contacted ❑ Date Completed: Completed b • .� (�� � ; � ;,�` �•,.�`; . � a _ 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 oWner employees to do what is necessary to replace the water meter. 1 understand that the propertY is liabie for the water iine from the main to the pcemise and all interior plumbing. (Per City code a02.06) i also hotd the City of Fridley and/its employees harmless for any damages that may occur while dQing this operetion. This to include,but not limited to;vaives.piping,���S•���or the curb stop box and service line. I understand 1 am also required to obtain�permit prior to any work,if necessary. �� � ��� Final meter reading(old meter) `/� � Address: �'� �\��` � Name• _����� Phone Number: Date: Signature: Witness Signature: FRIDLEY GTY CODE CHAPTER 402.WATER,STORM WATER,AND SANtTARY 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 connnt acto shall be equ redto'b ain a permit for such or bui{ding for which the application is made,the owner or co 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 shall be notified. ft shall be unlarnr�ul to cover any(°�Ved by he City as an inspection has been made and such cannection and the work incident thereto has been app . propec and suitable connection. 402.Q6.REPAIRS AND MAINTENANCE'f0 CONNECTiON After the initial connection has been made to the water service curb stop box or the sewer lead at t i�n��wner, 4ine or a water service or sewer lead has been extended to the property line for connectian,the app' or the occupant or user of such premises shafl be liab4e far all repairs required to any water line and sewer lines necessary for connection of the premises fram the main to the premis O�ne shail be charged for the o ts of the maintenance service or repairs be performed by the City,the property maintenance and/or repairs, including any necess�aWner,o cupant or user to perform standa d maintena'nce of policy. It shall be the responsibility of the appl+can , • the sewer service line from the premises to the main including debris clearing ar root cutting and to maintain the water service curb stop box for operability and at such height as wifi ensure that it remais►s above the f�nished grade of the land or property. (Ref 638,1156,1191}