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Meter Swap � r Request Number: 14837 Public Works Division Service Request Problem Address: 4964 3rd St Requested By: Sedir Department: WATER Address: No addtess p�ovi�d Problem/Issue: INSTALL AMR METER Phone Number: 612-410-7854 Scheduled Date: 2017-04-25 � Schednled'Rme: 08:30:00 �_ '""(� ACTION NEEDED: Created by: We�y Hiatt Date Created: 2017-04-20 ACIION TAI�N: �� ..._..._ Status: In Progress Sabmitter Hna Been r Contacted Date Completed: Compteted by: `�� u � � '� CbY 7 w � a1 � t�� ao� �a � s� -�- � t�`� I City of Fridley Water Department 6431 University Avenue NE Fridley,MN 55432 763-572-3566 VWe hereby authorize the Gty of Fridley and/or its employees to do what is necessary to replace the water meter. i understand that the propeny owner is liable for the water line from the main to the premise and all iMerior plumbing. (Per City code 402.06� I also hold the City of Fridley and/its employees harmless for any damages that may ouur while doing this operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand 1 am also required to obtain a permit prior to any work,if necessary. FINAL METER READING(old meter) l�/ � l � � � � Name• �C.�'v r Address_ � t V- 4 �'�� Phone Number,� U�'�" � I�l l'�� Date � `�� Y� Signature � Wttness Signature OLD METER# �� OLD READING� t L� J � � NEW METER# �I"1 /�U .(�� I NEW READING O ERT# 4 �� (� �� 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) 402.5 PERMIT FEE Prior to tonstructing or repair of arry water of sewer line connecting the existing municipal system and any house or building for whkh the application is made,the owner or contrador 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 not�ed. It shall be unlawful to cover any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the Clty as a proper and suitable connection. 402.06 REPAIRS AND MAINTENANCE TO CONNECTION After the initiai connection has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has been extended to the property line for connedion,the applicant,owner,or occuparrt or user of such premises shall be liable for aN repairs required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the property owner requests maintenance service or repairs be performed by the City,the properly owner shall be charged for the costs of the mair�tenance and/or repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the appliqM, owner,occupant or user to perform standard mairitenance of the sewer service line from the premises to the main including de6r(s c.�earing or root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remai�s above the�nished grade of the land or property. (Ref 638,1156,1191) x � � �� 7� .��- e .� � ° '�an �� .��•�.w+w. ws-y'�� F `�� 1�, �.a ,��e��£�.�,. �� t ��3",�. �. a . -.. . . � �� p: . . �� { . . . . �F� �� w Old Meter Number �� t tCJ�1� Old Meter Reading �b Replacement No. � �� U�d� � Replacement Reading Replacement Make � � � ERT# , Replacement ERT# � Remarks: � ��P�� , _ Signed ��:�i(.�' !e��--'. � � � Request Number: 10258 Public Works Division Service Request Problem Address: 4964 3rd St Requested By: Jeannie Johnson Department: WATER Address: No address provided Problem/Issue: LEAKINGMETER PhoneNumber: 612-991-1562 SchedWedD 2015-07-06 SchedWed'ITime: 09:00:00 �l � � a ACTION NEEDED:Check lealcy meter Created by: Wendy Hiatt Date Created: 2015-07-02 ACTION TAI�N: _....................................................:................................_�,�:�`1�_��........_....��.....�.�....�.�(�..._J�.��.i......_a�..._....�P�L�I.�.....s...................__....................................:..___:- � .....................�.�. ...... .....�......................................_-s..-....�I.C��t�'�........��............_�.�.......,.........._4.....�...........__.__.......---....................u� _............:.......... . ..................._VI�.L..L.�...........�...�C�.....l�..........��........_�.�........1'�......._t....4..._..._1..-�`.�'�_�_...._ ............................ ...:... .:.... . ...... .....::.......:.................:Ac_G�:4�...........�_�'�4..........��.:�.2........��._+....................................._. ..................._....................................._... �� Status: In Progress Resident Contacted ❑ Date Completed: Completed by: . `'l�--(�- c 5