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Meter Swap �OR /!� �7�//D ��_�j�.,� � Request Number: 9117 Public Works Division Service Request _........ __ _.... Problem Address: 6191 Starlite Blvd Requested By: Doris Nelson Department: WA'TER Address: No address provided Problem/Issue: INSTALL AMR METER Phone Number: 763-571-5201 H Scheduled Date: 2014-10-17 Scheduled Time: 08:00:00 ACTTON NEEDED:AMR install Created by: Cheryl Pellegrin Date Created: 2014-10-09 ACTION TAI�N: Old meter# 19320060 Old readin 2497 10 New meter#44921155 ERT#35171661 .................................................................................................................................................................................................................................................................................................................................................................................................................... .................................................................................................................................................................................................................................................................................................................................................................................................................... .................................................................................................................................................................................................................................................................................................................................................................................................................... .................................................................................................................................................................................................................................................................................................................................................................................................................... .................................................................................................................................................................................................................................................................................................................................................................................................................... .................................................................................................................................................................................................................................................................................................................................................................................................................... Status: Completed Resident Contacted �` Date Completed: 2014-10-17 Completed by: Ryan Johnson Hours �� C. Request Number: 9117 Public Works Division Service Request Problem Address: 6191 Stazlite Bl Requested By: Doris Nelson Department: WATER Address: No address provided Problem/Issue: INSTALL AMR METER Phone Number: 763-571-5201 H Sched ed Date: 2014-10-17 Scheduled T�me: 08:00:00 , � � % ACTION NEEDED:AMR install - ; Created by: Cheryl Pellegrin Date Created: 2014-10-09 ACTION TAI�N: _.................................................................................................................................................................................................................................................................................................................:..................._.........................................._..........................._....�... ...._4_�..._.�.����:................:.... .....�...�2��c��..a............................................................................................................_. .......................__.._......................................._.. ..._�z_a...........����...-.-......................�.-�.......�....�1.......�C..�.�...._............................................................._...:.............:............_................_....:......____......_................................. .....��......_�r�.�:..�......._�`�12-.f1_5.".5�..........................................:....................................................._ ......................._.__..........__...................................... �� �-�_�- � ................................................................................................................... ......................................................................:.............................................................................................................................................._.._._..............._.._..._..................................._ � ���?�G�� � ........�..�..'..........�............................................................................__........_........_..........................................................._.........................................................................................................................._...............__. ..................._........................................_ Status: In Progress Resident Contacted ❑ Date Completed: Completed by /�-17�l� � - City of Fridiey r_, IM�ter�epartment �..�__ ....:.,;_�..-__ 6431 University Avenue NE Fridtey,MN 55432 (763j 572-3566 ��We hereby authorize the�tY of Fridiey and/or its employees to do what is necessary to repiace the water meter. I under�tand that the property owner �s 1ia61e for the water(ine from the main to the premise and all interior plumbing. (Per City code 402.Q6) i also hald the City of Fridley and/its emplayees harnnless or any amages fhat may�o u�t- while doing this operation. This to inciude,but not limited to;va(ves►p�p��g►wa��s►�°°rs or the curb stop box and service line. !understand i arn also required to obtain a permit prior to any work,if nece5sary. � ��� � O Final meter reading(old meter) Name: Address: � � ��( "'� �� ��� Phone Number: Date: `�-1���� Signature: Witness Signature: FRIDLEY CItY CO�E 4U2.WATER,STORM WATER,AND SANITARY SEWER �RDMINiSTItATiON (Ref Ord Na 113,464,565,566,629,638,662,922,988,1144,1156,1191) 4t)2.05.PERMIT FEE Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any house or building for which the applicatian 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 cannection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover any cannecting 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 connectian. +402.06.REPAIRS AND MAINTENANCE TO CONNECTtON ������o��ti �ao r�rhp u��+Pr service curh sto�box or the sewer lead at the propert� line or a water service or sewer lead has been extended to the prnpertyline for co�nection,the applicantr owner, or the octupant or user af such premises shall be liable for all repairs required to any water line and sewe�lines necessary for connection of the premises from the main to the p�emises. If the propetty owner requests maintenance service or repairs be performed by the City,the property awner shall be�arged for the costs of the . maintenance and/or repairs, including any necessary street repairs,at a rate set annuaNy by an adminfstrative poticy. It sha!!be the responsibil'�ty of the applicant,awner,occupant or user to perform standard maintenance of • the sewer service line from the premises to the main including debris ciearing or root cutting and to maintain the water service cur6 stop box for aperability and at such height as will ensure that it remains above the finished .. . ....--- .. ._ ..grade of tft�land orpro�eriy.�{Ret 63$,],�55,.t�93:j _. .. . . . � -