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Meter Swap � �85�5 -5�158Q0 01-�`� , Request Number: 8950 Public Works Division Service Request Problem Address: 225 Satellite Lane Requested By: Jeff Kaisershot Department: WATER Address: No address provided Problem/issue: INSTALL AMR METER Phone Number: 952-742-5080 Scheduled Date: 2014-10-01 Scheduled Time: 07:30:00 ACTION NEEDED:2014 AbIIt-Phase 2 Created by: Wendy Hiatt Date Created: 2014-09-23 ' ACTION TAI�N: Old meter#96311751 Old reading 031 20 New meter#44920975 ERT#35171966 Status: Completed Resident Contacted 1"'' DateCompleted: 2Q14-10-01 Completedby: RyanJohnson Hours ��v ��tl�� f�f� f� - �tiy t�f �fN[�l� �: �t-�2-�� : �t�oy2 �Tj�e: T�a�a�E.►nn ��i E#y. _ t�/at� f�z�n � T�rrlBen AYddre�� "g�TTEl1RE!.N NE � �2-�-�519 Sr�e�d 0�ite= 1717�12'��'il �� _ #�2Q�2-01�D Fieque�t i�: T��+of��oreepar_ ""E�1.".. �� 5�'�.'"� �'��= fJ�1 l�-��`�Z. ��► ��}� e ��c�� 1r��c �� 5 t �`��s��-� �-��z��-�- �t,J �� `�� p,� �� __�_ -��W� _._�_ . ..�__.. _ ; �.___.._ . ___.._�..__ _�___ ��._. . �= � �^ �~I� W_� � , Request Number: 8950 Public Works Division Service Request ' Problem Address: 225 Satellite Lane Requested By: Jeff Kaisershot Department: WATER Address: No address provided Problem/Issue: INSTALL AMR METER Phone Number: 952-742-5080 ScheduledDate: 2014-10-01 S� Scheduled'Ilme: 07:30:00 I ( 1. ACTION NEEDED:2014 AMR-Phase 2 Created by: Wendy Hiatt Date Created: 2014-09-23 AC'TION TAI�N: ...................................................................................................................................................................................�........_._...__.......�..........................................................._._..._........._..................._........._........................._..............._......................... .......:......�..._��................�..�.3._1.......r.._�1..�_�.......................................................................:........................._........................._. _. ._. _. ___.__-.. ..... ............ ... ........ ..._o�.........��:�..�...�.-................:._d..�.._1..._�..�_2.-_0................................................................._.........................................._...........:........._.._.......__._...._.................. ...�.�_�,�,....._l�.,t-�r-��-�..............�....�....�q..Z._��'...�..�.......................................................................__....................._.._..........................____..........._......................._ �� .�� G� � ...............................................................................................................................................................................................................................................................................................................:..........._............................._...................___.........._._..___.__ .........�.��:...�............��.j�.....��1��....................................................................................................................................__._...._....................................................._.........................................._ Status: In Progress Resident Contacted � Date Completed: Completed l�-1'�� i ° . City of Fridley _._ _ . _ Water Department _ 6431 University Avenue NE Y Fridley,MN 55432 (763)572-3566 ��We hereby authorize the tity of Fridley and/or its ��er employees to do what is necessary ta replace the water rneter. l w�derstand that the propertll ��ti�o�+r+�e water line from the main to the premise and al)i�erior plum6ing. (Per Cit11 code 402.Q6� I also hold the�ity of Fridley and/its employees harmless or any amaBes a may o�rr`` while doing this operation. This to include,but nat limited to;val��,piping,wails,floors or the curb stop box and service line. I understand I am aiso required to obtain a permit Priar to any work��f necessary. �� n ,� ��J Finat meter reading(old meter) �� `� /� Name: Address• �2� � � Phone Number: �te: ��< �j7 i Signatpre: Witness Signature: ; FRIDLEY CI"fY CQDE �}{ 'Cf,tt qp2,WATER,STORM WATER,AND SANITARY SEWER ADMINISI'RATION . (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 connecti�o shall be requiredto obWin a permit for such os building for which the application is made,the owner or eontr connection,and shall pay a permit fee as provided in Chapter 11 of this CAde. After such connection fias been made,the Water and Sewer Departrnent shall be notified. It shall be uniawful 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 -�-�-��*�r service cu+rh stoa bux ur the sewer lead at the propert� ��+,,��r tp�;��.couAectinnhas Ime for connection,the appl�cant,owner, line or a water servite or sewer lead has been extended to the property' or the occupant or user of such premises shail be liable for all repairs required ta any watowner requests r lines necessary for connection of the premises from the main to the premises. If the prop�[ty maintenance service or repairs be performed by the City�the properly owner sha11 be charged fa'the cnsts 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 clearing or raot cutting and to maintain the . ._ .. . .._.. _. ._. . water 5ervice cur6 stop box for operability and at such height as will ensure that it remains above the finis e . - � .. . . _ - Re€63'8,-1�.;5,-11��:j ._.. _._. __.. __. "grade of tfi�land or�rnper�y.� _ .:_ ....__ ._.. _ ..... _ ... .