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Meter Swap . � Request Number: 16371 rut�n�wo�n;��on Service Request Problem Address: 1315 52nd A�e Requested By: John Department: WA1ER Addresa: No address provided Problem/Issue: INSTAI.L AMR METER Phone Number: 612-986-4004 Scheduled a : 2017 7-1 � 5chednled 1lme: 01:00:00 � ACITON NEEDED: Created by: Wendy Hiatt Date Created: 2017-07-18 ACTION TAI�N: � __.._._.�.��,....�.............�.-t�....__....._.........__......_..._._.....___.__......_.......................______......... ._._..__._ Status: In Progress Submitter Has Been r, Contacted Date Completed: Completed by: �' l� --17 `� loY� . � � � �� 5�6 -�o� ci��f�rieltey ` Water�e�sartevaent S� �. � 6431 lJnaversity e4erenaae NE �� Frisdley,MPl 55432 763-572-3566 i/we hereb�authorize the City of Fcidley and/or its employees to do what is neaessary to replace the wat2r meter. t understand that the property owner is{iable for the water line from the main to the premise and all iM:erior plumbing. (per City code 402.t16J I also hold the�ty of Fridley and/its empioyees harmiess for any dama�es that rnay occur white cfoing this operation. This to include,but not limited to valves,pipin�walis,floors or the curb stop box and service line. In undecstand l am also require to abtain a permit prior to any wark,if necessary. FINAL METER READBYG{otd m�terj t� ✓ ��O Name• ��' Address � � �> �L�h� 1'6�'� �� -1G,- Phone lYumber � p� �Signature Witness Signature .�-----.� Ol.Q METER# 6�� c`7 ��J �!D READlNG �� YO NEW METER# �—`�� NEW READING� ��T� _�12� 3�b�O3 FRlD4EY CITY CODE CHAPTER 402.WATER,STORM WATER APID SANITARY SEWER ADMIRIISTRAT{ON (Itef Ord No f13,4Cr4,565,566,629.638,662,922,988,1144,1156,1191) 402.5 PERMiT FEE � Prior to constructing ar repair of any water of sewer iine connecting the existing municipal system and arry house or bui(ding for which�e application is made,the owner oe coritractor shaii be required to ohtain a permit for such connection,and shall pay a permtt fee as provided i� Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shail be notified. It shal!be unlawfui to cover any connecting(ine until an inspection has been made and such connection assd the wor(c incident thereto has been approved by ihe City as a proper and suitable connection. 4U2.05 REPAIRS AND MAINTENANCE Tp COMNECTION After the initiat cennection has tseen made to the water service curb sCop hox or the sewer tead at the property line or a water serv�ce dead has been extended to the property line for connecCion,the applicarrt,owner,or occupartt or user of such premises shall be i'�able for all repairs required to any water line and sewer tines necessary for connection of the premises from the main tc the premises. tf the�property owner requesfis mairrtenance service or repairs be performed by the C'rty,the properCy owner shall be charged for the c�#s of the mai�narsce and/or repairs,inciuding necessary sCreet repairs at a rate set annually!�y an administrative policy. It shall be the responsibility af the applicant, owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main induding debris dearing or root cutting and+to maintain the wates�service curb stop box for operability and at such height as will e�sure that it remains above the finished grade of the land or property. (Ref 638,1156,1191J � � .�'' C►h's�, Ftit�B� Request Number. 17471 P�hic works Dtvis�n Servtce Requ�est Problem Addreas: 131 S S2nd A�e Requested By: John Departmcnt: WA1ER Address: No�cidtess pravidad Problemltssue: GENERAL P6o�Nnmber: 612-486-4004 Scheduled Date: 2017-12-21 Sc6edoled 1lme: 09:00:00 . S� ACIION NEEDED:Check noisy metcr. Created by: Wendy Hiatt Date Created: 2017-12-20 1 ACTION TAI�N: __._. _C�A,�c�"�.._�� _�_� _�� `� Q�. ��- �-- Status: 1n Progress Submitter Haa�Been r Contacted Date Com�eted: Completed by: � -a�- �� a � , � ` , So v City of Fridley ,��_y6�v-� c Water Department 6431 University Avenue NE I 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 liable 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 and/its employees harmless for any damages that may occur while doing this operation. This to incfude,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand I am also required to obtain a permit prior to any work,if necessary. �� !r�'t�-- C�� .S�U� C51�1.�/ FINAL METER READING(old mete�) Name: Address 1�� L Phone Number Date `�` `� � ` Signature Witness Signature OLD METER# ��< �� SIZE & STYLE ICircle) OLD READING �� 5 HEX ��5 � � a �� NEW METER# 1" HEX NEW READING �c�I �5 /!� 1�4" ELIPTICAL or HEX ��- � O�� 3 2" ELIPTICAL or HEX ��L� ��Jt 1�4Z7'� ERT# L;��%u,y�t 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 buildieg 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 notified. It shall be unlawful to wver any wnnecting line until an inspection has been made and wch connection and the work incident thereto has been approved by the C'�ty 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 fine or a water service�ad has been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable for all repaia 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 rhaintenance service or repairs be performed by the City,the property owner shall be charged for the wsts of the mai�ttenance and/or repairs,including necessary street repairs at a rate set annually by an administrative policy. ft 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 i�cluding 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) . ✓