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Meter Swap I 33�'�— ���$t� U t —�ld��' Request Number: 9138 Public Works Division Service Request Problem Address: 4544 2nd St Requested By: Darcie Ayers Department: WATER Addresa: No address provided Problem/Issue: INSTALL AMR METER Phone Number: 612-237-0848 Scheduled Date: 2014-10-21 Scheduled Ttme: 09:00:00 ACTION NEEDED:AMR-Stopped meter Created by: Wendy Hiatt Date Created: 2014-10-13 ACTION TAKEN: Old meter#14228877 Old reading 754 00 New meter#44921171 ERT#35172608 Status: Completed Resident Contacted C'` Date Completed: 2014-10-21 Completed by: Ryan Johnson Hours � (��- Request Number: 11595 Public Works Division Service Request Problem Address: 4544 2nd 5t Requested By: Department: WATER Address: No address provided Problem/Issue: INSTALL t�MR METER Phone Number: Scheduled Date: 2016-06-24 Scheduled'1Tme: ACTION NEEDED:AMR Created by: Wendy Hiatt Date Created: 2016-06-23 ACTION TAI�N: .................................................................................................1...-........���.... ...._.......��.......,�_�.........P....�CZ..................................__..._._._.__.._.._....:......................................__... � m [� � r ....................... ............... °......._�.. ..�G...._�. ......._.............................................................................._..,.._...................._....__..................................._...._...........................................____..........._.._.._..............._...._.._...._..._._....... � , \ ......................................... ........................................................... ....... ....................................................................................................................................................._..__...._._....._......................._..............__._..__................................... sV � ,� l i� �� #�. � ...................................................................................................................................................................................................................................................................................................................................____..._....__......._.........._.._..______... Status: In Progress Submitter Has Been � Contacted Date Completed: Completed by: �,_a��� �.�� � ' - co��f Fraaiey - . _ . in�at�r I3epa�timent . . - -- �..- 64�1 Unirrersi#y Avenue N� Fridtey,MN 55432 (763�572-�56b 1/we hereby authoriie d►e GitY 4f�ridtey and/+��rts employees to do uvhat is r�ecessary to�place the water meter.t un�terstand that the propertY owner ie 1ia61e fnr the�rater tine#ram the maie�to the peemi�e and a�i��rinr pi�umhing. (Rer Giy code 402,06) i.als�hold the C�tjt of Fridleyandjits emplay�es harmiesss +�r a�y amag+es a a�a � a�6ite doing this aperatiun. This to include,but nmt timited to;ualuesr piping,�,floars or the curb stop bmr and service line. 1 understac►d{am alsu requ9�ed to ahtair+a Perrnit priar ta any warlc,if necessary. �inat m�ter reading(oid meter} . Name• Address: �S�� ��'� S� R6one Numbec� �a#e: Sigrsa#ure: Ui�tn�ss 5ignattare: �RDDLEY CITY��DE CEi�4P�ER 4�Z.1N�tTE�t,STDRM WA3ER,AWD SANCt'Ai�Y S�WER �nndn��sr�a�o�u �Ref Ord�Io 113,464,565;566,6�.9,638,562r 922,988,1144,1155,1191) 4t�2.05.P'fRM6'6'FEE � Priar to canstructing or repair of any water or sewer finE cc�nnecting the existing tnunicipat system and any hnuse ar buitding Por which�f►e apptication is made,the owner 4�'corztractar shaN be cequ+�ed to obtain a perrnif for such CQ17tY2Ctl4fl,and shall pay a permit fiee as P�o'�ded fn Chapter 11 of this C4de. After such conneetion 6as been made,the Vltater and Sewer Department shall be notified. It shall�e untawful te caver eny connecting�ne untif an inspection has been made and such cannec�ion and the work incide�t thereta has heen approved by the Crty a�a properartd s�'rtable connection. 4ti�.Ofs.REPAfRS A4��+MAINTENA�CE T��EIN�tECY1Q{V -A�a'�t(a�iRi#ial�con '--'---�__.,�,..aa+n#he water service curhst�o bax nrthe sewer lead at the prapert� line ar a water service or sewer lead has been extended ta the PK4pectY 4sne far cannection,the appt«a�rt,nwner, ar the occupant or user of such premises shall be liabie for a!i repa�s required in arry waker iine and sewer lines ne�essary for cannectian of the prernises from the main ta the premises. If the prapetty aurner tequests rnainfienance seruice�r repait�6�performed by the Ctyx the pr�perty owner shail be�harged far the co�ts of the . maintenance and(or reQairs, inc(uding anY necessary street repairs,at a rate set annually by.an administrative policy, it shall be the responsihility ofthe apPlicant,owner,occupantor user ta perfflrm�tandard maintenance of - the sewer 5ervice line from the premises ta the main inc�ud'+ng dehns clearing or raat cut�ing and to tneintaid�e uuater�ervic�curh�tap 6Qx fior aperability and at 5uch height as u�1i ensure that it remains abave the finished . -- � - - . ._. <„g�a�5e of t�F��fa�td v��T�t�et�.y.-(R�s"�S,;.�55,t���:� _. ._ . . . . . . _.. y Request Number: 9138 Public Works Division Service Request Problem Address: 4544 2nd St- Requested By: Dazcie Ayers _ Department: WATER Address: No address provided Problem/Issue: INSTALL AMR METER Phone Number: 612-237-0848 5cheduled Date: 2014-10-21 SchedWed 1�me: 0 :OO:bO �---- �f.- S 1 t ACTION NEEDED:AMR Stopped meter Created by: Wendy Hiatt Date Created: 2014-10-13 ACTION TAI�N: ..................................................................................................................................................................................................................................................................................................................................................................:.........................__........._.......... oLb 1���Z��� .................................��T�:.�:..�:.........................................................................................................................�.............................................._................................................._.......................�_..__._.........._._._..__ � ..�L�...............��%�-��'��....�...~........................._�..S.L......�..��..........:..................................................................................................:..................__._._.___.____. _. _ .. .. ........... ...... .._��....._��..._�:�.-:�.........���_2��.7..�.........................................................................._.._.:................................................_...................__.__.................._..:. �,� ��-��.�_�....--::......�................................................_. __..:..........................._....................................... ......................................................................................................................................._._.........__._..._......__............._........ .........._,���....-�............_..��:1..�......��n...�........._.............................................................:.....................: ..........................................................._......_........_..........._...............___....... Status: In Progress Resident Contacted C1 � Date Completed: Comp ed b �Z���C , � � I • � � City of�ridley . � t. �1l�t�r Depa[tr�ent :� .__ .__._ .. � .. _ _._. �: .F,..-._.._. 6431 Uni�ersity Avenue NE Fridiey,MN 55A32 (763)572356G I/we hereby authorize the C�ty of Fridiey and/ar its employees to do what is necessary to replace the watar meter. I understand that the property owner is liable for the water line from the main to the premise and all interior piumbing. (Per Cky code 402.06) i alsa hold the City of Frldley and/its emptoyees harmless or any amages fha�may�UT- while doing this operation. This tu include,but not limited ta;valves.piping,walls,ftoocs or the curb stop bax and service line. f understand 1 am also required to obtain a permit priar ta any work,if necessary. Final meter reading(old meter) ��� ` � Name• Address: _I��1 �� �� Phone Number: Date: ��i� Signature: Witness Signature• � V FRIDLEY CITY CODE CH �R 402.WATER,STORM WATER,AND SANITARY SEWER ADMINISTRATIQN (Ref Ord Na 113,464,565,566,629,638,662,922,988,1144,1156,1191) 402.fl5.PERMIT fEE Prior to constructing ar repair ofi any water or sewer iine connecting the existing municipal system and any house or building for which the appfication is made,the owner or cantractor shall be required to obtain a permft 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 shaU be notified. It shall be untawfiul to cover any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the C'tty as a proper and suitabie connection. 402.06.REPAIRS AND MAINTENANCE TO CONNECi'ION �q��p�p��pp�c�ypon mad to th water service curb stoa box nr the sewer lead at the propert� line or a water service or sewer lead has been extended to the propertyline for connection,the applicant,awner, or the occupant or user of such premises shall be liable for ali�epairs required to any water line and sewer lines necessary for connectian of the premises from the main to the prernises. If the prop�tty owner requpsts maintenance service or repairs be performed by the City,the property nwner shall be charged for the costs of the . maintenance and(or repairs, including any necessary street repairs,at a rate set annually by an administraUve policy. It shail be the responsi6ility of the appllcant,awner,occupant or user to perForm standard maintenance af � the sewer service line from the premises to the main including debris clearing or root cutting and to maintain the � water senrice cuc6�top box for operability and at such height as will ensure that it remains abave the finished . . . - -- . ...__ ... . "'grade of tfie iand or�ropr�rty.�(Re�6�8,-3��5,-t��l� _. Hiatt, Wendy Subject: • 4 AMR Installation it�catiion: , 4�d4 2 �i. i+iE-Uare�i�.�y�rs 612-isi-�E��+t`s Start: Tue 10/21/2014 9:00 AM End: Tue 10/21/2014 9:30 AM Show Time As: Tentative Recurrence: (none} _ Meeting Sfatus: Not yet responded Organizer: Pederson, Jessica Required Attendees: Hiatt, Wendy 1