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Meter Swap � � � ��`�� l�Cc3C� d�— I �{ Request Number: 8406 Public Works Division �—'" I� Service Request Problem Address: 216 Rice Creek Blvd Requested By: Mark Tobritzhofer Department: WATER Address: No address provided Problem/Issue: INSTALLAMRMETER PhoneNumber: H-763-269-7966 Scheduled Date: 2014-07-22 Scheduled'ISme: 09:00:00 ACTION NEEDED:ANIlt Install Created by: Cheryl Pellegrin Date Created: 2014-07-10 ACTION TAKEN: Oid meter# 15429739 Old reading 138 70 Newmeter#44921259 ERT#35171733 ..........................................................................................................................................................................................................................................................................................................................................................................................._............. ................................................................................................................................................................................................................................................................................................................................................................................................................ ..............................................................................................................................................................................._..............................................................................................._............................_._.....__._........._..._..._...._...................._.._..._....__........ ..........................................................................................................................................................................................................................................................................................................................................................................................._............ ...........................................................................................................................................__................................._..........._._............................................_...................................................................................._...................................._............_....�.._.._... ....................................................................................................................................................................................................................................................................................................................................................................................................... Status: Completed Resident Contacted I""` Date Completed: 2014-07-22 Completed by: Ryan Johnson Hours V � � 4 Req uest N u m ber: 8406 Public Works Division Service Request Problem Address: 216 Rice Creek Blvd Requested By: Nhark Tobritrhofer Department: WATER Address: No address provided Problem/Issue: INSTALLAMR METER Phone Number: 1+763-269-7966 Scheduled Date: 2014-07- 2 � Scheduled Time: 09:00:00 � r ACTION NEEDED: AMR Install Created by: Cheryl Pel�grin Date Created: 2014-07-10 ACTION TAKEN: ........................................................................................................................................................................................................................................................................................................................_...............................___._.........._...._........_....................._... .�.-�.._�.��:.�._�........:........._�.�...�.2..�'..�.....�_�........................................................................................................__.............:....................__......_.._...._�..................:..:.....:..._ �b..�-��..�:.-......................_......3.......�....3_�_�.........................:.........:.............:.........................................:............................_...__:..:............_......___..........:...................._. _. . �. _ � ... ..................... .... _��.....��-_�...........................�...�_a�:i..a...�.......................:..............................................................................._..._........._....__........._........................_._. . _._. _.__.. .............. .... . � �� ................_......................................................_......................................:..:........................................._:..........:...........:.._................__..._...._�._ _.................................................. ............... ................................................................................... .....�...�....�..............................._�._��....._�._�..��................................_......................................................_.....:...................:...................................................._..............__...............__...._..._.............. Status: In Progress Resident Contacted ❑ Date Completed: Completed by: �-?.�' ��E �� 4 ' _ _.._ City of Fridley _ , -�- Water Department . _... _ 6431 University Avenue NE Fridley,MN 55432 (763)S72-3566 1/we bereby authorize the City of Fridley and/or its emptoyees ta do what is necessary to replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and att interior plumbing. (Per C�ty cale 402.06) t atso hold the Gty of Fridiey and/its emptoyees hannless for any damages that may occur while doing this opera�tlon. This to include,but not limited to;valves,piping,walls,floars ar the cu�b stop box and service line. i understand 1 am aiso required tc obtain a permit priar to any work,if necessary, Final meter reading(old meter) � � U v�0 Name: Address• �� ~� �� Phone Number: Date: �� ""�� r Signature• ��/ e _... Witness Signature: �RtDLEY GTY CODE CNAPTER 4 .WATER,STORM WATER,AND SANITARY SEWER ADMINtSTRATtON " (Ref Ord No 113,A�64,565,566,629,638,662,922,988,1144,1156,1191) 40Z.05.PERMIT FEE Prior to constructing or repair of any water vr sewer line connecting the existing municipal system and any houss or building for which the application is made,the owner or contractar shall be required to obtai�a permit for such connectton,and shall pay a permit fee as provided in Chapter 11 of this Code. After sucl�connection has been made,the Water and Sewer Department shali 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 suitabie connection. 402.06.REPAIRS AND MAiNTENANCE TO CONNECTION After the initiat connection has been made ta the water service curb stop bnx or the sewer lead at the p�operty line or a water service or sewer lead has been extended to the property ttne for connection,the applicant,owner, or the occupant or user of such premises shal!be liable for all repairs required to any water line and sewer lines necessary for connection of the premises from the main ta the premises. If the prop�tty 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, induding any necessary st�eet repairs,at a rate set annually by an admin'istrative palicy. It shal!be the responsibility of the applicant,owner,occupant or user to perform standard maintenance of � the sewer service Gne from the premises to the main including debris clearing or root cutting and to maintain the water servlce curb stop box for operability and at such height as wil(ensure that it remains above the f+nished grade of the land or property. (Ref 638,1156,1191)