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Meter Swap � t Request Number: 14780 Public Works Division Service Request Problem Address: 149 Gibraltar Rd Requested By: Dale Bradke Departme�t: WATER Addresa: No ad�ess�ovic�d Problemltssu�: INSTALL AMR MET'ER �'hose Number: �63-248-6611 Schedqled D#e• 2017-04-26 � Scl�dnled 11me: U7:OU:00 , ' 1,� d. �1 2� � .. AC'tYt)N NEEDED• :;., Created by: W�ndy Hiatt D�tt Created: 2017-04-19 AC'IION T'�N: -�C�-�-�� ^�►-�,� u^ : __ __........._......._..._. ........_....._...__..._........._._ _._.�_.___ _..___...______ �� StAtus: In Progess ��er Has Beea �.., Contacted � DAte Compt eted: ��`-�� Compl eted by: ��1, � tl! �' . ti � � �sa ?�� a � f �� City of Fridley S� � 3�� Water Department 6431 University Avenue NE Fridley,MN 55432 763-572-3566 �1�e hereby authorize the City of Fridley and/or tts employees to do what is necessary to replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all irKerior p{umbing. (Per City code 402.06) I also hold the City of Fridley a�d/its employees harmless for any damages that may occur while dang this operation. This to include,but not limited to vaives,piping,walls,floors or the wrb 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 meterj � " �✓ ``� Name:_ �(A.1� r� lL� �,�� t 1 �-�1 l ��q.�T'-� �� ' PhoneNumber `l��~�p�� Date �� + �� Signature Witness Signature `"'"" OLD METER# �""�� ✓ `� � ("� l� �� • '�� OLD READING `�O��D �`'� � � �'�� NEW METER# � I�� v�� t � ' ' NEW READING � r� ��/�!" �J � � ERT# ��a�3 3� 1 � % � FRIDLEY CITY CODE f�(f l�� 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 connect7ng the existing municipal system and any house or butldiog for which the application is made,the owner or cor�tractor 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�otified. 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 connedion. 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 applicarrt,owner,or occupant or user of such premises shall be liable for all repairs required to any water 4ine and sewer{ines necessary for connection of the premises from the main to the premises. ff the property owner reguests meintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maiMenance 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 mai�i�cluding debris clearing or root cutting and to maintain the water service curb stop box for operability and at such height as wiil e�sure that it remai�s above the finished grade of the land or property. (Ref 638,1156,1191) . � Request Number: 9939 Public Works Division Service Request Problem Address: 149 Gibraltaz Rd Requested By: Dale Department: WATER Address: No address provided Problem/Tssue: TURN WATER ON/OFF Phone Number: 572-3762 or 763-424-0742 Scheduled Date: 2015-04-10 &heduled Time: 08:00:00 � � ACTION 1VEEDED:Turn off water.Has pernut from previous work order.****BILL**** Created by: Wendy Hiatt Date Created: 2015-04-03 ACTION TAI�N: / . f 'f�:..:.�...._._./... .._✓.............._�......:............:...............G�....._�.........................�... ..........___..!�......�...._.................__. .........................................................................�-...... �� r � � � ..................................................................../.1.../...�.G.�.................._v..�.................._CZ�....� `�C•�'✓ � .................................�......... .....�.........�...._.._.........._______....._.._..._............_._.................................._._....__......_ ,:; ............................................................................................................................................................................................................................................................................................................................................................_.__......_._._.............._....._._...__.... ........................................................................................................................................................................................................................................................................................................................................................:.._...._......_.._......................._....._..... ................................................................................................................................................................................................................................................................................................................................................................:.................................._.......__.._ ..............................................................................................................................................................................................................................................................................:....................................................................................................................................... Status: TnProgress Resident Co�acted t� Date Completed: Completed by: C �� S -__ __,� ,.�_' ��--' _. / C r,— G ( , Request Number: 9578 Public Works Division Service Request Problem Address: 149 Gibraltar Rd Requested By: Jim w/Genz Ryan Plumbing Department: WATER Address: No address provided Problem/Lssue: TURN WATER ON/OFF Phone Number: 763-900-0702 Scheduled Da 2014-12-OS Scheduled TSme: 01:30:00 ACTION NEEDED:Turn off water for repair.****BILL*** Created by: Wendy Hiatt Date Created: 2014-12-OS ACTION TAI�N: � ' ..................................:.......... ... . ..... ..�,....�..�............ �..........��!,...,��..............[..d................................................_._............................._...........................__.._....._.__......_..:..._.._..... � ....................................................................:....!�...�...........�:�:.1...............��a-�.....�.%......._{:..�............:....... ..... .. r�-.l....._ .. .......::::::-......................................__..........._...............................................__ � ................................................................................:............................................................................................................................................................._.............._.........................................__........................__.........................__.._....._._...__......_......... .............................................................................................................................................................................................................................................................................................�.................__...................._...._........_............._....................__....._......._.._ .................................:...................................................................................................................................................................................................................:...................................................................................................._..........................:.......__....__._ .............................................................................._..........................................................................:................................................_............................................................................................._...................____.............................__.........__......__......._..... Status: In Progress Resident Contacted � Date Completed: C� � �� Completed by: �� /� n / l0 �-! \