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Meter Swap 't ` Request Number: 16287 Public Works Division Service Request Problem Address: 158 63 1/2 Way Requested By: Arly Department: WATER Address: No address provided Problem/Issue: MALF[JNC7IONING MET'ER Phone Number: 5'71-2911 Sched d Date: 2017-07-12 �,� � Schednled 1lme: 01:00:00 � y,.,.,�r. .,•, <: �,� ,,, ,� A� . ����'` Created by: Wendy Hiatt Date Created: 2017-07-11 ACTION TAitEN: Z�.�-�. L1�d �z--- .................................._..__............__._..................._.._..._......... ...__.....____._....................W��_...._..........._..........._....._.�__._..__ .____...__.._ . � v�b r�.'��'�R L.��Cs � '�(�5�-�L.L�I� � I�Gl��tZ-��`S Status: 1n Progress Submitter Has Been �.. Contacted Date Compieted: �` ��_ �� Completed by: (� J � � r ��'r "( ������ �'" 1 � CI�O'�F1"Id�@�/ �� �!i(f/�� � Water Department � �z � 6431 l�niversity Avenue NE Fridley,MN 55432 763-572-3566 ��`"�e hereby authorize the City of Fridley and/or its employees to do what is necessary to repiace the water meter. 1 understand that the property owner is liabte for the water line from the main to the premise and all interior plumbing. (Per City code 402.06) 1 also hold the City of Fridley andrts employees harmless for any damages that may occur while doing this operation. This to include,but not limited to valves,piping,walis,floors or the curb stop boz and service line. in understand i am also requiced to obtain a permit prior to any work,if necessary. FINAL METFR READIMG(o(d meter) v� �`r �"� � Name: �r �� Address { lY �/ �`�•• Phone Number b� � �� t � ` p� �" �p� " �,� ^ ! �Signatur Witness Signature OLD METER# � J� ��V�� %�a�� �'�`��--� 3 3 3 7 n�8 n OLD READING ������'"� NEW METER# b ! �,� ���p"L NEW READING � ERT# ���/ �� � �/ FRtDLEY Cti'Y CODE CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER ADMINISTRATION (Ref Ord No 213,46�,565,566,629,638,662,922,988,1144,1156,1141) 402.5 PERMlT 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 contrador shali be required to obtain a permit for such connection,and shall pay a permit fee at provided in Chapter li of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notif'ied. It shall be unlawFul to cover any connecting line urrtii an inspection has been made and such connection and the work incident thereto has been approaed by the Gty as a proper and suitable connection. 402A6 REPAIRS AND MAINTENAMCE TO CONNECTIOIY After the iaitial connection has been made to the water service curb stup box or the sewer lead at the property iine or a water senri�lead has been extended to fihe property line for connection,the applicant,owner,or occuparrt or user of svch premises shaN be tiable for atf repairs required to any water line and sewer lines necessary for connection of the premises from the main to the premises. if the property oarner requests mairitenance service or repairs be performed by the City,the property owner shali be ct�arged for fi6e costs of the matr�tenance and/or repairs,inciuding necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applipr�t, owner,occupant or user to perform standard mairitenance of the sewer service line from the premises to the main induding de6ris 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 �rade of the land or property. (Ref 638,1156,1191) �� - � >~�t�S—Lt`�n�s'r:::� � � ��`� �INSTALLATION u.noF AUTOMATIC METER READER FRIDLE,Y Address ! �� v 3`(Z- ��`' � Name ��'�� Y_ G- /'�S�( S( Date �� -� �-- Old Meter Number C� �_�—�- Old Meter Reading D �" � ` r� Replacement No. S �� ��.5 • r Replacement Reading � � �� � � Replacement Make ERT# �3 �� 7 �v '/+ Replacement ERT# Remarks: ��I��,./, rt '�-(t0� Signed: �/"—f �� �C�q�� f+�r;�er� Ft+�p� � ��y�wf �rici� � �: ��-�z-�-� ��: �r�;��z �T�= ���� �r: . wa� G��� A�e�y Aidd�= ir��1,�1A1/�Y tiE / . 763-�a71-291� �ate: �19u��2�Q P!1 �flUl� t�: ��_ R�queat�: ��arr�e aoiidlfiand���ra�r= tra�/WR Rc�n 3atr�r�: � e�� t �. � r �' � 9 � �-- �( S ��u� �- G C o � �o 0 `� �ew sP,,� / � �t3 � ��, t 4s� . �� T � � 3 � �� � `�`' � , _ { � _ ; �e--_��� �.___.w______ .__�__._________.�_____.______ ___�_---_.___ � � �_ _ �._._.__.. _________._ ��_ i �� � .�_�-�� ��:�_._�._� Hiatt,•Wendy From: Hara, Sandra Sent: Friday, April 13, 2012 11:01 AM To: Hiatt, Wendy Subject: AMR appt Hi, I scheduled an AMR install to replace a very old, hard to read, possibly stopped meter at 158 63 '/2 Way NE on Thursday 4/19/12 at 2:OOpm. Arlie Epsky is the resident and her phone # is 763-571-2911. it's on the calendar. Sandi Hara 1