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Meter Swap � �,�'b���5c���o . 6���� Request Number: 9205 Public Works Division Service Request Problem Address: 6300 Stazlite Blvd Requested By: Norris Knutsen Department: WATER Address: No address provided Problem/Lcsue: INSTALL�METER Phone Number: Scheduled Date: 2014-10-17 Scheduled Time: 02:30:00 ACTION NEEDED:2014 AMR Created by: Wendy Hiatt Date Created: 2014-10-1'7 ACTION TAI�N: Old meter# 19320062 Old readin 380 00 Newmeter#44921174 BRT#35172552 Status: Completed Resident Contacted [� Date Completed: 2014-10-17 Completed by: Ryan Johnson Hours �� , ,�. Request Number: 9123 Public Works Division Service Request Problem Address: 6300 Starlite Blvd Requested By: Norris Knutsen Department: WATER Address: No address provided ProbiemlLssue: TURN WATER ONJOFF Phone Number: 571-2932 Scheduled Date: 2014-10-13 Scheduled TTime: 10:00:00 � � ACTION NEEDED:Shut off water and leave key.****BILL**** Created by: Wendy Hiatt Date Created: 2014-10-10 ACTION TAI�N: _....._........................................................_......_ ......:......._�............-�....�.....��....�..:..._�....�1...�:..:....�.-......_�........._�..���.'T......._�.............:.... ..............................................._. �,�� ...................................... .......................:.......:.........................................�....�....._�...��..._U:...�.........11.-e:�........._�._�........:........�.�......Q�...................:.:............................................................................................_..............__....................___ ..................................................:.................................................................................................................................................................................................................................................................................................................................................................. ...................................................................................................................................................................................................................................................................................................:....................._...__..._._____..........._..........._.._......._..........�......__.._ .....................__................................................................................................................................................................_............................................................................:....................................................................................._.................................._.................._ ................................................................................................................................................___......_._....................................................:............................................................................................_............................................................................................_ Status: In Progress Resident CoIItacted p Date Completed: Completed by: (�`� _"� 1V +� Y � Request Number: 9205 Pubfic Works Division Service Request Problem Address: 6300 Stazlite Blvd Requested By: Norris Knutsen �. Department: WATER Address: No address provided Problem/Issue: INSTALL AMR METER Phone Number: SchedWed Date: 2014-10-17 � Scheduled Time: 02:30:00 � 1 ACTION NEEDED:2014 AMR Created by: Wendy Hiatt Date Created: 2014-10-17 ACTION TAI�N: _..............�'....��.�....:..-�...—:.......�� ... . .................�......................................................................................................................._..................._........_.........._................................._..._..._.._....._ ........................................................................................................................................................................................................................................................................................................................................................_...................................._._................._ ..........................................................................................................................:................................................................................................................................................................................................................_._....................._..._......_......_.......................... ......................................................................................................................................................................................................................................................................................................................................................................................_.....___.._............�__. .................................................................................................................................................................................................................:..............................................................................................._.........._.................._......._................................._..__.__...... _......................................................................................................................................................................................................................................................._........................................................................................................................................_..........__......... Status: in Progress Resident Contacted [� Date Completed: Completed by: � � � - City of Fridley � Wat�r Repartment _ _. .. ._;.... 6431 University Avenue NE Fridley,MN 55432 (763)572-�566 I/we hereby authorixe the C�hi of Fridtey and/or its , employees to do what is necessary to replace the water meter. I understand that the property owner �s..11able for the water line from the main to the premise and all interior plumbing. (Per Gty code 402.06) i alsa hald the City of Fridley and/its employees barmless or any amages a may o�P- while doing tfiis operatian. This to ir�c{ude,bat not liinited ta;valves►p�Pi�gF���,fl��or the curb stop box and service line. I understand I am also required to 4btain a permit prior to any work,if necessary. Finai meter reading(old meter) Name• Address• Phone Number: Date: Signature: Witness Signature: FRIDLEY CITY CODE CHAPTER 4Q2.WA7'ER,STORM WATER,AND SANITARY SEWER ADMINISTRATIUN (Ref Ord Ido 113,4G4,565,5b5,629,538,662,922,988,1144,1156,1191) ' 402.05.PERMIT FEE Prior to constructing or repair of any water or sewer line connecting the euisting municipal system and any house or building for which the applicatian is made,the owner or contractor shail be required to obtain a permit for such connedion,and shall pay a permit fee as pravided in Chapter 11 of this Code. After such connection 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 connection. 402.06.REPAIRS AND MAINTENANCE TO CONNECTION ,Afte�tk�-iai#1a1..coanectinrLha��p�rnad tr,the water service curb stao box or the sewer lead at the propert� line or a water service or sewer lead has been extended to the property line for cnnnectian,the applicant,owner, or the occupant or user of such premises shall be liable for all�epairs required ta any water line and sewer lines necessary for connection of the premises from the main to the premises. If the propetty owner requests mai�tenance service or repairs be performed by the City,the property ovuner shall be charged foc the costs 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 af • the sewer service line from the premises to the main inc{uding debcis clearing oc raat cutting and to maintain the water service cur6 stap box for operability and at such height as will ensure that it remains abave the finished . . . ._ . .__. ... .,gracte of�tfie land orproper�y.-(RsF 63�,_1�5,.1.��3:) ... � ��� �-���- � � �`�- �a���-- � ��-�,� — 3��� c� /� � ,. � �����'� -�`!��(l �� City of Fridley - / "�'w -- Water Department -- . ��� ����� 6431 University Avenue NE � � � Ffldiey,MN 55432 ��„yr �S�`� Z���- (763)572-3566 � ra' I/we hereby author�ze the City of Fridley and/or its employees to do what is necessary to replace the water meter. I understand�hat the property owner is liable for the water line from the main to the premise and ali interior plumbing. (Per�ty code 40Z.06) I also hold the City of�ridley and/its employees harmless for any damages that may occur while doing this operation. This to include,but not limited to;valves,piping,walls,floors or the curb stop box and service line. I understand i am also required to obtain a permit prior to any work,if necessary. ��� p � 3 ��J Final meter reading(old meter) � }v� j�� � Name• Address: , Phone Number: Date• ( d�� ��� — / Signatu : Witness Signature: FRIDLEY CITY CODE CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER ADMINISTRAtION (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 connecting the existin�municipal system and any hous.e or building for which the apptication 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 connection has been made,the Water and Sewer Department shali be notified. It shail be unlawful to cover any connecting line until an inspection has been made and such connection and the work incident thereta has been approved by the City as a proper and suitable connection. 402.06.REPAIRS AND MAINTENANCE TO CONNECTION After the initiat connection has been made to the water service curb stop box or the sewer lead at the property line or a water service or sewer lead has been extended to the property line for connection,the applicant,owner, or the occupant or user of such premises shali be liable for ali repairs required to any water(ine and sewer iines necessary for connection of the premises from the main to the premises. If the prope[ty 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�epairs, including any necessary street repairs,at a rate set annually by an administrative policy. tt shaH 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 root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished grade of the land or property. (Ref 638,1156,1191)