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Meter Swap r • '`� Request Number: 14679 Public Works Division Service Request Probiem Address: 5408 Altura Road Requested By: Brian Wimberly Department: WATER Address: No address provided ProblemlLcsue: INSTALL AMR METER Phone Number: 763-528-3941 Scheduled Date: 2017-04-22 Scheduled'Iime: 11:00:00 �� . ACTION NEEDED:Install AMR Meter Created by: Jeazmie Benson Date Created: 2017-04-13 ACTION TAKEN: OLD METER NO. OLD METER READING: NEW METER NO. ERT # .�" Status: In Progress Subrtutter Has Been C Contacted Date Completed: Completed by: . � b� �� kqt� f 0- D �- r ' " ,City of Fridley �� ,_i. ;�: � ' Water Department ��` � �a""� 8�1 University Avenue NE Fridtey,MN 55432 763-572-3566 �lWe hereby authorfze the City of Fridley and/or its empioyees to do what is necessary ta replace the water meter. i understand that the property owner is liable for the water line from the main to the premise a�d all irrterior piumbing. (Per C'rty code 402.06) 1 aiso hold the City of Fridley and/'�ts emptoyees harmless for arry damages that may ocau whi4e doing this operation. This to include,but not limited to valves,piping,walls,flaors or the curb stop box and service line. In understand t am alsp required to obtatn a permit prior to any work,if necessary. FIN ETER READIN�(old meterJ,_y��Vl�� Name. Q'0.ri V V��nTaU/ Address��`�11�a �'C Phone Number` � 5� �� Date ��',''� . Signature Witness Signature OLD METER# �N�� t � � OLD READING��oSD �-. ---- � � ��1�� ' ��I� �II� �fly� N{I�� NEW MEl'ER# I 4920SQ96 � _ ' NEW READING � _ , E�# ' 1111111111Niiliill� E .�:: : . ----�'I 1 72223297 ;. -- - ''r,�;, �, -:��:: as, ;a } FRIDLEY CITY CODE ,•,.. CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER �-x."==.-.,,r'�' ADMINISTRATION �^ >,._�. (Ref Ord No 113,464,565,566,529,538,662,922,988,1144,1156,1191) 402.5 PERMIT FEE Prior to constructing or repair of arry water ofi sewer line connecting the existing municipai system and any house or bui{ding for wfiich the appiication is made,the owner or corttractar shall be required to obtain a permit fior such wnnection,and sha{i pay a permit fee as provided in Chapter 11 of this Code. After such tonnection has been made,the Water and Sewer Department sha{i be not'sfied. it shail be uniawfvl to cover any connecting line until an inspection has been made and such connection a�d the work incident thereto has been approved by the City as a proper and suitable rnnnection. A02.06 REPAIRS A1ND MAINTEPIANCE TO CONNECTION After the tnitial cvn�ection fias been made to the water servicQ curb stop box or the sewer lead at the property line or a water service lead has been extended to the property ilne for connectioa,the applicarrt,owner,ar occupant or user of such premises shall be IiaWe for aii repairs required to any water line and sewer lines necessary for connection of the premises from the main to the premises. tf the property owner requests maintenance service or repairs be performed by the City,the property owner shall be charged for the tos�of the malrrtenance and/or repairs,including necessary street repairs at a rate set annuaily by an administrative policy. It shail be the responsibiiity of the applicaM, owner,occupant or user to perform standard mair►tenance of the sewer service line from the premises to the main including debris ctearing or root cutting and to maintain the water service curb stop box for operability and at such height as wili ensure that it remains above the finished �rade of the land or property. (Ref 638,1156,1191j ... �` Request Number: 14833 Public works Division Service Request Problem Address: 5480 Altura Rd Requested By: Randy Petersen Department: WA1ER Address: No a�ress provi�d Problem/Issue: INSTALL AMR ME1ER Phone Number: 651-451-9431 5ch�duled at : 2017-04-26 � Schednled Tlme: 11:00:00 ✓�. �.L �t �-� AGTION NEEDED: � Created by: Beth Kondrick Date Created: 2017-04-20 ACTION TAI�N: ______._._M. ._�--�-5�- le�..d.____. ��.�� ; _._ __._.....__._._......_ _____.__......___...._....__ _____ .______ � :,; .�:; Status: In Progress Submitter HAs Been r, ' Cont�ted .z: ��,.::,. Date Completed: �,.� 1 �_,�� Completed by: � �� d�,�.e a. � � �� . � o� - N�� 03 = sa � 38� City of Fridley Water Department 6431 University Avenue NE Fridley,MN 55432 763-572-3566 I/we hereby authorize the City of Fridley and/or its employees to do what is necessary to replace the water meter. I understand that the property owner is Itable for the water line from the main to the premise and all interior plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may ocwr while doing this operation. This to indude,but not limited to valves,piping,walls,floors or the curb stop box and service line. Ia understand I am also required to obtain a permit prior to any work,if necessary. FINAL METER READING(old meter) ��.� �� ` D Name:��1 �['�'e,��. Address ��v �• Phone Number lYlO�` �C�1 `��,3� Date �� O`� J � � J Signature Witness Signature OLD METER#_ W�'C� �S -1 I OLD READING �� NEW METER# � 1��v �� NEW READING d ERT# ��V" 1 ` `� �D 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 constructing or repair of any water of sewer line connecting the existing municipal system and any house or building for which tf� appliwtion is made,the owner or corrtractor shatl be required to obtain a permit for such wnnection,and shall pay a permit fee as provided in Chapter ii of this Code. After such connedion has been made,the Water and Sewer Department shall be notified. 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 City as a proper and suitable connection. 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 property line or a water service lead has been extended to the property line for connection,the applicant,owner,or occupaM or user of such premises shali be IiaWe 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 maiMenance service or repairs be perFormed by the City,the property owner shail be charged for the costs of the mai�enance and/or repairs,inctuding necessary street repairs at a rate set annuaily by an administrative policy. It shall be the responsibitity of the applicarrt, owner,occupant or user to perForm standard maintenance of the sewer service line from the premises to the main includPng debris dearing or root cutting and to maintain the water service wrb stop box for operability and at such height as wili ensure that it remains above the finished grade of the land or property. (Ref 638,1156,1191) r � � 1 ,� '� . --�N,• `�r� .�_. __ _.,__.,�p.ir _ .� .�..�,_ _. -, � . ✓1�� j??S-'��l gl�lc� City of Fridley Water Department Address � i°`c�� ,�I�t�,r�c,,, ��`j Name f�/`�htr�t-� � ..�`, rr�t �j r�.�^/ � Date_ ��,�� t� Old Meter Number � "'""`� � Old Meter Reading �� ca--: Replacement No. �7� � Replacement Reading (� Replacement Make_G��r""" Rema rks: /'��"�, r� 1;;�j a�'`�'`,..�,,--- � S igned��„�..- � �-� ��