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Meter Swap � 4 Request Number: 14827 Public Works Division Service Request Problem Address: 149 49th A� Requested By: David Keller Department: WA7ER Address: No a�lress provided Problem/Issue: INSTALL AMR METER Phone Number: 651-387-6952 Scheduled D�te: 2017-04-26 Sc6eduled'ITime: 10:30:00 !� '� ACITON NEEDED: Created by: Beth Kondrick Ihte Crented: 201'I-04-20 ACIION TAI�N: _1�,5�1�..._��__....______._._ Status: 1n Progress Snbmitter Has Been r, Contacted Date Completed: Completed by: 1 � �I- 2�- 1`7 � ✓ � �� `l� �~ ��, _. �� „ (/�3 Gty of Fridley S �D Water Department 6431 University Avenue NE Fridley, MN 55432 763-572-3565 �/We herebY authorize the City of Fridley and/or its empbyees to do what is necessary to replace the water meter. I understand that the properly owner is liable for the water line from the main to the premise and all trrterior plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may ou�r while doing this operation. This to incfude,but not limited to valves,piping,walls,floors or the curb stop box and service line. 1�understand 1 am also required to obtain a permit prior to any work,if necessary. FINAL METER READING(old meter) �� Name:,� ��"�` Address ` � " � Phone Number r� �V' ate '� '� Signature_ \ Witness Signature ��- OLD METER# � �J� �� T� OLD READfNG � / � � ''✓ NEW METER# �� ,U � NEW READING � ERT# � �� V � `1 FRIDLEY CITY CODE CHAPTER 402.WATER,STORM WATER AND SANfTARY SEWER ADMINISTRATION (Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191) 402.5 PERMIT FEE Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or building for which the application 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 shall be not�ed. It shall be unlawful to cover any connecting line until an inspection has been made and such connection and the work incide�t thereto has been appro�red by the Cty as a proper and suitaale wnnection. 402.06 REPAIRS AND MAINTENANCE TO CONNECTION After the initial connection has been made to the water service curb stop box or the sewer lead at the pro�rty line or a water service lead has been extended to the property line for connection,the appliwnt,owner,or occupaM or user of such premises shall be liable for all repairs required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property owner requests maintenance service or repairs be perFormed by the City,the property owne�shall be charged for the costs of the maintenance and/or repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applicaM, 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 mairrtain 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) R��s� f+o►r '�rv�ic�: �� +�iiy af Fridl+� [�a: �1�-5� ��: 52�31l�i�1� TjRpe� 5�6�ac�c-up�� :: � ;5str� � C.+��: ,A�ie Jydds�: t�+�MTH 11V��IE ��a�e: 7�-#3�14 �d�_ �tlhwrrar� [.�e�r��: t�edc c��ar��c� _ lieque��Idais: �io�wner��e�o�ar!'Ere �rat he has a�igged � �Taka�: C�+�r3�ar_ tlYe�r s��an� E�e,�r�s �Spu�fide P�� .... __�.__��_. _�___ ._ .______.__._ �e�an�e: '�2l3�lyCt12 9-�,A�� ........�_�...,.�.��............ ___.�.... � � � � �l—'1� 2J �+i�} � � -�� ______�..___ _�. _..___: �.......-- -...____._...._..__.....� ._._________ .�� . � , �� Q:�.,"',� Q�-�r'�' �'`'' �'�1 � �-� �� ,,,�, �^r'� � �. P��#��P� a��a6�ra�s�� =�i�'' ��+�� i�i ��6?�4d =�[t P�PS tt�-� =�ld� �VI'�1f�il�� -�+PPM' � {�� *`�'9�S :�1� �ia��z� -� �-z�.-� -�� 3 �� Request Number: 6223 Public Works Division Service Request Problem Address: 149 49th Av�e Requested By: Arnie Department: WATER /kldress: No address provided Problem/Issue: O'T}iER(WATER) Phone Number: 763-572-8814 Scheduled Date: Scheduled Time: ACTION NEEDED: Needs new lip on stop box Created by: Wendy Hiatt Date Created: 2013-06-03 ACTION TAKEN: ; A�' l.�s �:_��:............-.�..'..�......1��,...._`��......_.�-��..........._....................._ ��ti'�-" Uvr��a� !� tuoCZt�v�-0�.� ....................................................................................................................................................................................................................................................................................................................................................................................................................... ................................................................................................................................................................................................._.........._._.......................................................................................................................................................................................................... ......................................................................................................:......................................................................................................................................................................:..............._.............................................._.._.............._......._._....__...........__......_....._ ...............................................................................................................................................................................................................................................................................:..............................................................................................__................................�. ........................................................................................................................................................:..........................................................................................:.....:......................................:................................................................................__............._..........._.._..._ Status: In Progress Resident Contacted l� Date Completed: Completed by: �D`J`��' �� ; � � � ` � � � � . � ; i _ t , ` _ � � � � 0 � � _ � � � �� . ' ' � � � << _ � ' Q � � _ ,� _ � � . � � __ C� I : Cr f'`'._ �. • � t�_ c . � _ � + � ; . C �__ � � � ; �_ � _ � _ .�. � t� _ � _ � � , , � � _ _ i Request Number: 6195 Public Works Division Service Request Probkm Address: 149 49th Ave Requested By: Arnie Department: WATER Address: No address provided Problem/Issue: OTHER(WATER) Phone Number: 763-572-8814 Scheduled Date: Scheduled Time: ACTION NEEDED: Put new cover on curbstop Created by: Wendy Hiatt Date Created: 2013-05-24 ACTION TAKEN: �')P�C/' �c� . ...................................................................................................................................................................�_....__._.._......_......................................................................................................................_........................._....................................___. ................................................................................................................................................................................................................................................................................................................................................................................_....._................................ _...............................................................................................................................................................:...............................................................................................................................................:..:............................................:..............................__..................._._ _.........................................................................................................................................................._........................................................................_..................:..........................................................................................._....._...._......._...._._..._............................_ ......................................................................................................................................................................................................................................................................................................................................:........................._..........................._......_....._.___...... ...............................................................................................................::..........:............................................................................................................................................................................................................................................................................................ Status: In Progress Resident Contaeted O Date Completed: Completed by: G%'� ...-, 2 �5' , � 3 �