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Meter Swap ��y �-- ��C� ��l C� ._ _ �� �C��-I �-��a� Request Number: 8323 Public Works Division Service Request �.. ............_.�..............._................._...._.............. Probiem Address: 210 67th AVe NE Requested By: John Johnstone Department: WATER Address: No address provided Problemllssue: INSTALLAMR METER Phone Number: 763-571-6810 Scheduled Date: 201407-08 3cheduled Time: 02:00:00 ACTION NEEDED: Install AMR Created by: Julie Horak Date Created: 201407-01 ACTION TAKEN: Old meter#17651198 Old reading: 085 50 New meter#44921912 ERT#35159561 ............................................................................................:............................................................................................................................................................................................._......................._............................................._........._..._..........._._........._ ....................................................................................................................................................................................................................................................................................................................................................................................................... ..............................................................................._....._..._............................................_......._........_................................._.................................................................................:............................_........._................._......................_....._.............,................_. .............................................................................................................................................._........._..........................................................................................................................................................._.............._..._........_............................................_.......... ........................................................................................................................................................................................................................................................................................................_.............................__......................................_.._....................... Status: Completed Resident Contacted ❑ Date Completed: 201407-08 Completed by: Ryan Johnson Hours � ���t fc�rr ',�rvr�t� F��p�rt Git�r c�f Fr�d�y � ta�: r�-t2-�s _ �t2o�2 t�,�,�T�� �r��� �: �� ��: � ��� ��sr Ad�: 5to s�TM Av��E . 7��1�t-o�4t► [l�+c: 2I�'�/Zt�721ittl01�i1 (h�r: ��= Eiequest ileta'�s= lY_�`ie�er Sei�-�Lii2 9t Pkojpd A�n Tal�: T ' " 2+�/'12. 3 �i�e_ , � � � I � � , � � � �____s____.___ �.....__._._��.�.__ . � ��....��� ___... �_�.. ..__.� _�_..__ �_____.�.. _________... �� �� #�r�Pe.ramn: �...� ___._.__..� ..�___ _.._ _�._..._.._...__.___m._.___._ �= ��� [ Eha�: 21�t11c�2.18 ��� l�en u�� , � �_ _..._ __m� � � � Request Number: 8323 Public Works Division Service Request Problem Address: 210 67th AVe NE Requested By: John Johnstone � Department: WATER Address: No address provided Problemllssue: INSTALLAMR METER Phone Number: 763-571-6810 Scheduled Date: 2014-07-08 Scheduled Time: 02:00:00 ACTION NEEDED: Install AMR � �jJ !�� Created by: Julie Horak Date Created: 2014-07-01 ACTION TAKEN: ................................................................................................................................................................................................................................._.�._..........................._..................................................................................._......................_....._..._._......... ._ ...�.��.,�.r....�.�..�:.................._.........I_�.._�._5�....._1..._�...�.._�...............:........................................................_._w.._�...._.............................................................._.................._....._ �......._P����.._._-..............._....:...___._...............................................................:.........................._�.._g.._�.._�..�.�.�.............._.._............................................__ .1��w....._rti��..:.�.��......_���...Z.._C..._�. l .�.............................................................................................._................._..............................._. : . ............................ �� ��tJ� - . �.. . .� . . . . .. .. .. .. .. .. .......................................�..�.........�....�__�_.................j.....�............._.................._.._�___..._.................._.........._......._.._.__......_... ..�=.�........................................... .............................................._.. ............ ...........................................................................�................................�........................................................._:....................................................:.... . Status: in Progress Resident Contacted ❑ Date Completed: Co ted , -�� 1 � ' . _ _ - City�f Fridle�r ,. _ ,.. __. Water Department . _.. . 6431 University Avenue NE Fridley,MN 55432 (763j572-3566 1/we hereby authorize the�ty of Fridfey and/or its employees to do what is necessary to replace the water meter. I understand that the property owner is liabie for the water line from the main to the premise and all interior p{umbing. (Per City code 402.06) !aiso hold the City of Fridley and/its employees harnnless for any damages that may occur white doing this operation. Th1s to include,but not limited to;valves,piping,walts,f{oors or the curb stap bex and service line. I understand f am aiso required to obtain a permit prior ta any work,if necessary. Final meter reading(oid meter)_ � v �� ��� Name• Address• �t v �Y t � L� "' � � Phooe Number: Date: . �_�� � Signature: � Witness Signature: FRIDLEY CITY CODE CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER ADMIN15TiWT10N (Ref Ord No 113,464,565,566,629,638,662,922,988, 1144,1156,1191) 402.05.PERMIT�EE Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house or building for which the appiication 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. Afte�such connection has been made,the Water and Sewer Department shaN be notified. It shaN be untawfui to cover any connecting line until an inspeetion has been made and such connection and the work incident thereto has been approved by the City as a proper and suitable connection. 4U2.06.REPAIRS AND MAIN7ENANCE TO CONNECTIOIV After the initial connection has been made to the water service curb stop box or the sewer lead at the property fine or a water service or sewer lead has been extended to the property line for cQnnectton,the appticant,owner, or the occupant or user of such premises shalf be{iable for aA repairs required to any water line and sewer lines necessary for connection af the premises from the main to the premises. If the prop��ty owner requests maintenance service or repairs be performed by the City,the property awner shall be charged far the costs of the maintenance and/or repatrs, including any necessary street repairs,at a rate set annualfy by an administrative poticy. (t sha{I be tfie 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 clearirig a�root cutting and to maintain the water service cu�b stop box far aperabifity and at such height as will ensure that it remains above the flnished g�ade of the land or properry. (Ref 638,1156, 1191)