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Meter Swap ����-���"�� ��i� Request Number: 6745 Public Works Division Senrice Request Problem A�ddress: 999 CT�e�ton Dr Requested By: Donna Tomczak Department: WATER Address: No address provided Problemllssue: INSTALL METER Phone Number: 571-2802 Scheduled Date: 2013-0&20 Scheduled Time: 01:00:00 ACTION NEEDED: 2013 AMR Created by: Wendy Hiatt Date Created: 2013-08-16 ACTION TAKEN: J / � Old me�r#17261047 Old reading: 943990 New meter#44921375 ERT#35191812 f �� Status: Completed Resident Contacted O Date Completed: 2013-08-20 Cort�leted by: Pete Gunderson Hours ��� � Request Number: 6745 Public Works Division Service Request Problem Address: 999 O�rton Dr Requested By: Donna Tomczak Department: WATER Address: No address provided Problem/Issue: INSTALL METER(WATER) Phone Number: 571-2802 Scheduled Date: 2013-08-20 � Scheduled Time: 01:00:00 � � ACTION NEEDED: 2013 AMR Created by: Wendy Hiatt Date Created: 2013-08-16 ACTION TAKEN: _......w....................................................................:............................................................................................................_..........................................................................................._..........................................................................................................._.........__.. ................C���...._cr'�.-���........�...................................�...��.�.........�...._�._�.�...�....................................................................................................:................_..._.:...........�........_ ............:......���....._.....`�...�..':....�..........�.................��.......:.........:..._................_�._�.....�..-�....:�..`.�....U..............................................................._...................._...._.._..............._._._..........................__._. _ L _....................._���.........._m::�.-z�.._�..........:..............:....:_r_��a....._�._��.._5...:...:...........................__....................:.......__................................:...................._. _.. . .............. ...... .........................�:.�.........._��_���:.......................... . . ......................................................................................................................................................................................................_..._._..............._...._........... � ...............................................�Z.+�......_�-..............................._�._S_�......����:................._........_.:._...._.................................................._.......................................................... .............................. Status: In Progress Resident Contacted O Date Completed: Completed by: .r — � � 3 �� � . u��i �'fii� .. �,, e '� , r �ds . . . . ..1,c. Hiatt, Wendy Subject: Donna Tomczak, 763-571-2802, ARM @ 1:00 PM Location: 999 Overton Dr Start: Tue 8/20/2013 1:00 PM End: Tue 8/20/2013 1:30 PM Show Time As: Tentative Recurrence: (none) Meeting Status: Not yet responded Organizer: White, Karen Required Attendees: Hiatt, Wendy � �. 1 City of Fridiey Water Department 6431 University Avenue NE Fridley,MN 55432 (763)572-3566 ��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 liable for the water line from the main to the premise and all interior plumbing. (Per City code 402.06) 1 also hold the City 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,walis,floors or the curb stop box and service line. I understand I am also required to obtain a permit prior to any work,if necessary. �� Final meter reading(old meter) ��� � Name• Address• �� ����� - Phone Number: Date• ����`� � /- 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 hous.e or building for which the appfication 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 shall be notified. It shail 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 service curb stop box or the sewer lead at the property line or a water service or sewer lead has been extended tothe property line for 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 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 ciearin�or root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished grade of the land or property. (Ref 638,1156,1191)