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Meter Swap 1/7/17 s y"` Request Number: 12778 Public Works Division Serntce Request Problem Addreaa: 4533 Main St Rcquested By: Jeremy Cox D�epartmrat: WA'IF.R Address: No address provided Probiem/1ss�u: INSTALL AMR METER Pho�Number: 620-640-Z 1 SO Sc6ednled Date: 2017-01-07 Sched�le�Ttme: ACIION NEEDED:Leaky meter Created by: Wendy Hiett Date Cre�ed: 201'l-Ol-09 ACTION TAI�N: Old meter#6622583?Meter rn�mber is herd to read Old reading:85170 New meter#47118680 IIt'T�68880982 St�na: Completed 5aba�ittsr Has Bes� �. Coet�cted Date Completedc 2017-01-07 Compieted iry: Dick Jones Hoers City of Fridley ��v '���� / Water Department `, `"� J r 6431 University.Avenue NE � �� � � # Fridley,MN 55432 763-572-3566 �(�(�p' �S��-�'/�--� � r � ,� �/We l � �-"' hereby authorize the City of Fridtey and/or its emptoyees to do what is eecessary to replace tf�e water m ter. I understand that the property owner is iiable for the water line from the main to the premise and all irrterior ptumbing. (Per City code 402.06) 1 also hotd the City of Fridtey and/its employees harmless for any damages that may occur while doing this operation. This to include,but not limited to vatves,piping,walls,floors or the curb stop box and service line. In understand 1 am also required to obta+n a permit prior to any work,if necessary. ' FINAL METER READING(old meter� Name. ��t�M �_ Address���� � ' `C�� ..7�� Phone Number � � Oate ( ', � �1� Signature Witness Signatare �• `b 7 ? ��0�-�� � . Zz5� a — -�..--� OLD METER# GQ lP C OLD RF.Io►DINC� �� 1'"'t4 �`�, ��a-�.-'� . NEW MET�R#��� t�V1�O �. NEW READING � ERT#��(�1���� , FRIDLEY CITY CODE CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER ADMIN ISTRATION (Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191) 4Q2.5 PERMIT FEE � Prior to constructing or repair of any water of sewer line connecting the�cisting municipal system and any house or building for which the application is made,the owner or corrtractor shall be required to obtain a permit for such connection,and shalt 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 notified. It shali be unlawful to cover any Connecting line until an inspedion 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 servic�kad h� been extended to the properly line for connedPon,the applicant,owner,or occupant or user of such premises shafl be liabie for a!1 repairs required to any water line and sewer(ines necessary for connection of the premises fmm the maln to the premises. 1f the property owner requests maintenance service or repairs be performed by the City,the property owner 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 shail be the responsibility of the applicarrt, owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main including debris 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 grade of the land or property. (Ref 638,1156,1191) � �� Cily aj Fridley Reqneat Numb�r: 17538 PubYc Worka Dlvhion Servke Request Problem Addreas: 4533 Main St Re.�uested By: Demk Schu�euner Dep�tme�: WA1ER Addr�a: No ad�t�ss pcovidetl Problem/Issae: INSTALL AMR ME1ER Pho�Number: 612-703-6363 Sched�ed D�te: 2018-01-08 3cbed�led 11me: ACIION NEEDED:Cl�ange fro�cn meter.Pete on call. Crexted by: WendyHiatt Date Cre�ed: 2018-01-09 AC'IION TAi�N: Old meter#47118680 Old reading:49355121 Newmeter#49355121 ERT#68880982 Statua: Completed ���er Iias Bee� �, Contacted llnte Completed: 2018-01-08 Completed by: Peter Gua�rson Hours ���a� i City of Fridley WaterDepartment �U�'�►.� 9��y 6431 University Avenue NE �v� Fridley,MN 55432 763-572-3566 I/we hereby authorize the City of Fridley and/or its employees tt�eb whaLb�et�essary to replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise an�erior plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may ouur�WiN!doirig this operation. This to include,but not limited to valves,piping,walls,floors or the wrb stop box and service line. In understand I am also required to obtain a permit prior to any work,if necessary. FINAL METER READING(old meter� �a�ob Name• DQii'�°�"-- JC�a'�h'�'�'� Address 1 �� �Y-�'�� s � Phone wumber 6(7--`7a3'G s�3 �ate `� � Signature � /!/"''►�✓ Witness Signature OLD METER# � d �� v`o�O SIZE & STYLE(Circle► ���� � �, � OLD READING � � � 5/8 HEX �tS'�Z ��C� � 5t a� �� NEW METER# 1" HEX �. NEW READING ���� 1'r4" ELIPTICAt or HEX o�y�� QC� �1 ^ I`��� „ � �" ERT# U�C)v� � oC 2 ELIPTICAL or HEX �� - � ��_. FRIDLEY CITY CODE ,.�r 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 buiWi�for whit�the application is made,the owner or contractor shail be required to obtain a permit for such connectiort,and shall pay a permk fee ss provFded irt Chapter 11 of this Code. After such connection 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 coenection and the work incident thereto has been approved by the City as a proper and suitable conrtection. 402.06 REPAIRS AND MAINTENANCE TO CONNEC7'ION After the initial connection has been made to the water service curb stop box or the sewer lead at the properly line or a water servlce lead has been extended to the property line for connedion,the applicant,owner,or occupant 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. If the property owner requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance and/or repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicant, 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 maintain 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)