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Meter Swap ` Request Number: 16401 Public works Division Service Request Problem Address: 6601 Central Ave Requested By: Slurley Department: WATER Address: No address pcovided Problem/Iasue: INSTALL AMR ME'IER Phone Number: '763-574-1105 Scheduled Date: 2017- 7-25 ---� 5chednled 13me: 02:00:00 �� Q�r� ACITON NEEDED: Created by: Wendy Hiatt Date Created: 2017-07-19 ACTION T � v�Ac� ��l \ �� Status: In Progress Snbmitter Has Been r, Contacted '�',:: - Date Completed: Completed by: / tdr _��..� - �-� � . ��,�� -- ��i q�� o � �e��€��,ey t wate��e�a��,�� jJ 643�l�niversity Avenaae NE � � � �� ! � Fttisll�y,MN 55432 7�3-572-3565 9/we hereby authorize the Gty of�idtey andjor its empfoyees ta do what is necessary to replace the water meter. t vnderstand that the property owner is liable for the water line from the main to the premise and att irrte�ior plurnbing. (Per�ity code 802A6) 1 also hold the City of Fridley andPts employees harmless for arry damages that may�ur while doing this operation. This to include,but not limited ta vafves,piping,walls,floors or the curb stap baz and service line. In understand t am also requisE to abtain a permit prior to any wortc,if necessary. FINAL METER READIWG(aId meter) �� Name:� i /kldress v ` Phone 9Yumber �� `�,��J pa�� L� '" �� Si nature Witness Signature OLD METER# '" r �� 4�� OtD READING ��V��V NEW MEfER# ��O� NE111i READlNG� �� RT# �l 2�-�, � �-1 �01 FRIDLEY CITY CODE CHAPTER 402.WATER,STORM WA7ER AND SANITl0.RY SEWER a►onnin�esrRanaw (Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j 402.5 PERMiT FEE � Priar to constructing ar repair of any water of sewer line cooneding Che existing municipal system and any house or�ifding for which�e 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 Chaptec 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shal(be notified. R shali be uatawfui to cover any connecting{ine urrtif an inspection has been made and such connection and the work incident thereto has been approved by the City as a proper and suiqble wnnedion. 402.06 REPAIRS Ai�1D MA14{TENAAfCE TO CONAiECTiON After the initial connection has been made to the water service curb sCop 6ox or tF�e sewer tead at the property line or a arater senrice(ead has been extended to the property line for connection,the applicant,owner,or occuparit or user of such premises shall 6e liable for all repairs required Co any uvater tiae and sewer{ines necessary for connection of the premises from the main to the premises. If the property owner requests mairrtenance service or repairs be performed i�y the Crty,the property owner shall be charged for fihe costs of the maiatenance and/or repairs,including necessary street repairs at a rate set annuafly by an administrative policy. It shali be the responsibility af the appltcarrt, owner,occupant or user to perform standard mairrtenance of tf�e sewer service line from ihe premises to the main includtng debris dearirtg or root cutting and to mairttain the rarater service curb stop hox for operabii'rty and at such height as will ensure that it remains above the�nished grade af the(and ar property. (Ref 638,1156,1191) r . Request Number: 13403 Public Works Division Service Request Problem Address: 6001 Central AvE Requested By: Melissa Dep�rtmeut: WA'IER Addrea:: No a�d�ess pcovided Problemllssee: INSTALL AMR ME'IER Phone Number: 612-730-6732 Sc�dul Dnt • 2017-02-17 � 5chedalcdllme: 08:00:00 � l " a. . Q�F AC"IiON NEIDED: �'°*� Created by: Wandy Hiatt Date Created: 2017-02-10 ACITON TAI�N: � _. �L�� .�.._.�� ,�. .__..__._ ..._ , . ;,✓ �atus: Tn Progress Sabmitter Has Beea r Contacted = Date Completed: ,�, — �`( — (� Compteted lfy.''- ��,�-�e ------- --rv....o.....� 6431 i9niv�rsit�a�ve�,ue 3V� � � � � ��J � Fridleya MN 55432 ) � ` � 753-572-3566 ,� (,1 �'.-�� , `��"� _C�� ' 9��°� hereby authorize tfie�'rty a�f Frid{ey and/or its empioyees to do what ds necessary 40 replace#he water rneter. I understand that the properky owner'ss#iable for the water line from the main to the premise and all irrcerior plurrtbing. (P�r City code�02.06� i also hold the City of Fridfey and/'rts empioyees harmless#or any damages that may otcur while doing tl�is operation. This to include,but not 19m7#ed to valves,p�ping,waiis,floors or the curh stop box and service line. On understand!am a(so requir to o6tain a perm'rt prioa fio any�rorlc,if necessary. FIA(AL MEi'ER READIWG(ald meter) �� /8�� Name: ��/� �5��- Address_l,f�v Q ! � �'L- Phone Number `'GSZ ��✓G`� 1 � p� � —" �� Signature Nfitness Signature OLD METER#_��(rJ�/�� OLD READtf1�G-_ � / CJ� �� NEW METER# 1 � (�� 7C� � NEW READtIVG � ERT# � I � i � 11� �3 FRIDLEY CIT�I CODE CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER ADMINISTRA'1Tt7lIf`:- , (Ref Ord No 113,464,565,566,629,538,562,9�t,988,i144,II56,1191) 402:5 PERAAil'FEE Prior to constructing or repair of any water of sewer Rne connect9ng the e�cisting rr�uniapal system and arry house or buildtr�for w6ich'the appiication is made,the owner or contracto�shatl be required to obtain a permit for such connection,and shall pay a permit fee as pr�ovided irr Chapter 11 of ihis Code. After such connecCion has been made,ihe Water and Sewer Departmerrt shall be notified. it sha0 be untawfui to cave any connecting tine urrtil an inspection has been made and such connection and the woric inciderrt thereto has l�en approved Iry the City as a ps�oper and suita6le connection. �02.06 REPAIRS AND MAIfVTENANCE TO CONNECf10N After the inifiial connectiort has been made to the water serv�ce curb stop box or the sewer lead at the property line or a water service lead has been extended to�the propesty{ine for connection,the appiicartt,owner,or accupant or user of such premises sball be Ifable for afl sepairs required to ar�y water line and sewer tines necessary for connection of the premises from the main to the premises. if the pcoperty awner requests mairrtenance service or repairs be performed by the City,the property owne+r shail be charged for tfie costs af ihe maintenance and/or repairs,including necessary street repairs at a rate set annuaily by an administrative poiicy, tt shall be the responsibii'rty of the applicarrt, owner,occupant or user to perform sCandarcl mairrtenance of the sewer service line from the premises to the main indudi�debris dearing or root cutting and to maintain the water service curb stop box for operabii'rty and at such height as wili ensure that it remains above the finished grade aF xhe land or propecty. {Ref 638,1156,1191)