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Meter Swap Request Number: 15998 Public Works Division Service Request Problem Address: 6017 3rd St Requested By: Kirsten Dep�rtment: WATER Address: No address provided Problem/Issue: INSTAI,L AMR METER Phone Number: 763-208-5280 Scheduled Date: 2017-46-20 Scheduled TSme: 07:30:00 b�` �. ACTiON NEEDED: Created by: Wendy Hiatt Date Created: 2017-06-15 AC'IION TAKEN: � ___-_��......��..�:.�...�._.._._....._�_.�`�_ ...........�....................�...�._..._.._._.._..__...__._..._- _____.._.__.....___..._ ._.. 8tatus: In Progress Submitter Has Been r Contacted Date Completed: Completed by: � �� or � . � � ��y��raai�y �� 7 �d� � � � ' uvater Departen�n� A �431 lJniversity Avenue NE ,,Sv � 4��0 Fr�ddey,MN 55432 763-572-3566 f/'Ne hereby aarthorize the City of Fridley artd/or its emp(oyees to s!o what is rtecessarq to replace the water meter. t understand that the�roperty owner is liable for the water line from the maire to the premise and all irrterior ptumbing. (Per City code 402A6} t elsa hold the City of Fridtey and/'rts emptoyees harmPess for any damages thaL may ocwr whiie doing this operation. This to indude,but not limited to valves,piping,walis,floors or the curb stop box and senrice line. In understand 1 am also requirE to abtain a permifi prior to any wortc,if necessary, FINA!METER READtAtG(old meter) O �� — `-� � �(�.G� _' Name: �1 �l Address�_l,� v�� Phone�iumber W ��' LlJ�) p� �""' �^�' �� Signat e � • Witness Signature OLD METER# ,�� W t 2.� '-'"? ��'U�?2"� O!D READINii � �� Z V 1 b ��,M�E�# �ta2�-��O � NEW READINC,i� E�# � �� t�°�2 FRtDLEY CITY CODE CHAPTER 402.WATER,STORNt WATER APID SANiTARY SEWER ADMINISTRATION (Ref Orsi No 113,454,565,565,629,638,662,922,988,1144,1156,1191j 402.5 PERMIT FEE Prior to constructing or repair of any water of sewer line cannecting the existing municipai system and arry house or building for which the application is made,the ow�er or contractor shall be required to obtain a permit for such connection,and shaii pay a permit fee as provided in Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shaU be nattfied, it shall be unlarvful to cover any connecting line until an inspection has been made and such connection and the work incident#�ereto has been approved by the C"ity as a proper and witable connection. 4Q2.06 REPAiRS AiYO MAtNTENANCE TO COfYNECTiOfY After the initiai connection has been made to the water service curb stap box or the sewer lead at the property line or a water service lead has been extended to the property line for connection,the appiicar�t,owner,4r orxupar�t ar user of such premises shail be IiaWe for all repairs required to any water line and sewer lines necessary for connection of the premises from the main to tf�e premises. tf the property�rner requests mairrtenance service or repairs be perFormed by the City,the property owner shall be charged for the costs of the mairrtenance and/o� repairs,including necessary street r�pairs at a rate set annually bg an admirtistrative policy. !t shalt be the resporrsibiltty of the applicant, owner,occupant or user to perform standard mair�tenance of the sewer service line from the premises to the main inclucfing debris deari�or roo#cutting and#o maintain the water service curb stop box for operability and at such height as will ensure that it remains above t6e finished grade af the land or property. (Ref 638,1155,1191J � � � � # � � � t/' � � � � � � � � � � -�- � �. � � � � � � ; � � � � � � � � � � � � � � r � � � � { � �, � � : , �y � � ' � � � � �,, � � � � � � �- � � � �� . � � � � � � � � � � � ; � ; � . � . � � � �� -- E �� O � , -i ; � � � . � rs� �' � � � �+ � ' �i' � � � � ..._' � � � � � � � �, � � ; � � � � � � � � ; __ � I ' i a, ; � � � � � � � � � � � � � � � � � � a � .. � � � � � � � . � � 1 ' .., � w Request Number: 6Q21 Public Works Division Service Request Problem Address: 6017 3rd St Requested By: Ty Reed Department: WATER �ldress: No address provided Problemlissue: TURN WATER OIWOFF Phone Number: 507-990-2065 Scheduled Date: 2013-05-02 Scheduled Time: 10:00:00 `�lX�� no� Q� ACTION NEEDED: Turn on water"""`BILL"""" Created by: Wendy Hiatt Date Created: 2013-0417 ACTiON TAKEN: (�/��r` o� _................................_........................,................................................................................................................................................_....._.._____........_..........................................._..............................................._.........._.................____._........................_..:...._.. _...................................................................................................................._...:................................................................................................................................................................................................._....................._.............................................._.._......____.. .............................____......._..._........................................................:.............................................................................................................._......................:...................................................................................................._....._..........................._......................._ ..........................................................................................................................................:..............................................................................____..._.........................._........................,........................................................_....................................._...................._ ..............................................................................................................................................................................................................................................................................................................................................._....:_......................._.._.._..._._...�..__�....__ .........................................._.____....._...............................................,.................................................................................................................................................:............................................................._............_..........._.............._...._..........................._.........._ Status: In Progress Resident Contacted ❑ Date Completed: Compieted by: Hours —� .� � �' �3