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Meter Swap 13�� -�.`��3� C� (� .. � I' �� ._, Request Number: 9202 Public Works Division Service Request Problem Address: 211 Sylvan Ln Requested By: David Wold Zalmer Department: WATER Address: No address provided Problem/Issue: INSTALL�METER Phone Number: 572-3972 Scheduled Date: 2014-10-28 Scheduled'ITme: 02:00:00 ACTION NEEDED:2014 AMR Created by: Wendy Hiatt Date Created: 2014-10-17 ACTION TAKEN: C ` ✓ Old meter#33836228 01d reading: 36 l O New meter#�Jsed aidbr�s ERT#35172600 Status: Completed Resident Contacted I! Date Completed: 2014-14-28 Completed by: RyanJohnson Hours /�� ""� ` � � � �- � ..t I ,�.� �'� , ,�, � � ' �`� - ��''� x �5� �� City of Fridley �ater Departmeat Address /�� . Name L.oGti vC- �.rJdl�" � Date ( s '�-`� "`�� — Old Meter Number � G � � � Old Meter Reading L�� Replacement No.��" '�� Replacement Reading � Replacement Make �7t�' �"� Remarks: !t'�� '1"'� �'� r��`�-�,' � Signed � ,� Request Number: 727� Public Works Division � Service Request Problem Address: 211 SyMan Lane Requested By: Dav�e Wood-Zahner Department: WATER �kldress: No address provided Problemllssue: TURN WATER OWOFF (WATER) Phone Number: 572-3972 Scheduled Date: - 2013-12-06 Scheduled Time: 09:00:00 i �h t ACTION NEEDED: Turn off water for repair and leav�e key. Permit#""`"'"BILL"*** Created b� Wendy Hiatt Date Createdr 2013-12-03 ACTION TAKEN: � ..............�..................:..........................................................................................................................................................................................................................._..................................................................._.......................:.......:......................................................_ ��.' ......:............................:....................._�...�..�`....t-i-....�........_o.........�'......r.....�..........._��`�'2.:.........�-_r�...�........._L�-��......:..K�:.�`�......................................_......_....................... _........................:..............................:..........�._�..�.�......�......�...........:�... .Q.........._...��... __....��...�,..�..:.l.o,�......................__................................................................:........:.....................:_ � ............................................................................................................................................................................................................................................................................................................................................................................._................._........:........ .......................:.........................................:........................................................................................................:...............................................................................................................................:..................................................................._............_._........................ _............................................................................................................................................:...................................._..__.._..._..___......................______.......__._._._.............._.............._....................:.........._.._.._._._.......................................... Status: In Progress Resident Contacted ❑ Date Completed: Completed by: � �-�� a Request Number: 9202 Public Works Division Service Request Problem Address: 211 Sylvan Ln Requested By: David Wold-Zahner .__ Department: WA'IER Address: No address provided Problem/Issue: INSTALL AMR METER Phone Number: 572-3972 Scheduled Dat�_ 2014-10-28 �� SchedWed Time: 02:00:00 l�S �' � � ACTION NEEDED:2014 AMR Created by: Wendy Aiatt Date Created: 2014-10-17 ACTION TAI�N: ....................................................................................................................................................................................................................................................................................................................................................:..............._.__.............................................._ �� .. �3 8 �_�.:.2..�g..............:............................................._.................................._.................................: . . ..................................................................................................................... ............ ............. ......... ......... ......... ....... ... ...................... ...........�........_ .��:��......-:...............f.3.�....�'.....�...�._�.............................................................: .......................................................... .. .. . ... . .. . ......._...... ........ .... ,�.�.......,��.��................... .........�:.....................................:..::......:........:..:......................................._v.�-.�............._�...._�c�........._......::::...._�::ss _._�:� � . ..... ... -��. :....�...-............................................._��........ ........................................................................................................................................................................................................................................:............._. _......��.�..............��..�...._2_�t�_d..............................................................................................................................................:................................_. _. �.._.__. _:_ ........... ..... . ........ .. Status: In Progress Resident Contacted ❑ Date Completed: Com et b : ��-Zg�I� , - City of Fridley : . _.».- < W�ter D�pa�tment . -,� ._. . . ...-- 6431 University Avenue NE �'��' Fridley,MN 55432 (763)572-3566 i/we hereby authorize the tity of Fridiey and/or its employees to do what is necessary to replace the water meter, I understand that the property owner �liable for the water line from the main to the premise and all interior plumbing. (Per Gfiy code 401.06) i also hoid the City of Fridley and/i�employees harmless or any amages�i ta ma�- while doing this operation. This ta include,but na►t timited to;valves,pip�ng,walls,floors or the curb stop box and service line. I understand i am also required to obtain a permit pHor to any work,if necessary. final meter reading(o!d meter) 4 v �� Name• Address•��'�- '�� Phone Number. Date: �d��l� .-. � 5lgnature• Witness Signature: FRIDLEY CffY CaDE APTER�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 existing municipal system and any hause or building for which the apptication is made,the owner ar contractor shail be required to obtain a permit for such connection,and shali pay a permit fee as pruvided in Chapter il of this Code. After such connectian has been made,the Water and Sewer Department shall be notified. It shall be untawful to cover any connecting tine until an inspection has been made and such tonnection and the work incident thereta has been approved by the City as a proper and suitable connection. 402.06.REPAIRS AND MAINTENANCE TO CONNECTION -A#�-��e-iai#ia��Ane�ind�h�iSJ,ppr,rnade to the water service wr6 stap box or the sewer(ead at the propert� line or a water servi�e or sewer iead has been extended to the property line for connect9an,the app{tcant,owner, ar the occupant or user of such premises shall be liable for all�epairs required to any water line and sewer lines necessary for connection of the premises from the main ta the premises. if the prapetty 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 repairs, including any necessary street repairs,at a rate set annually by an administrative policy. !t shail be the responsi6ility 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 senrice curb stop box for operability and at such height as wiil ensure that it rema9ns above the finished . . . . ._ .. . ..._ ... "'grad'e of ti��land nr�rdperiy.�(Ret 638,_1W6,-t��:j _� _ . .. . � _