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Meter Swap � l Request Number: 13352 Public works Division Service Request Problem Address: 1181 Hathaway Ln Requested By: Deborah Om� Departmevt: WATER Address: 1181 H�haway I,� Fridley,MN 55432 Problem/hsue: INSTAL.L AMR METER P6one Number: 651-210-065� �f, ScHeduled Dxte: 20 - -17 Schednled 11me: 10:00:Q0 _ ` � � �;�` ACIIUN NEEDED: Cre�ed Iry: Beth Kondrick Date Crerted: 2017-02-05 ACTION TAi�N: �-�.f-�,��P% 2._.__ Status: In Progress ��er Has Been �, Coat�ted Date Completed: �� t� Completed by: � ��. �f. •�a:rwc.� �y��p6�LYBB'CIILL !, 5431 i0aaiv�rsitv�/1�lrrea��e NE C � � 1 �� Fr�clley,M!N 55432 `� � ' 763-572-3565 � �� y I'� � ,'�{� - � j j/'"�� her�bq autharize the Cii.y o#lFt�dley and/or its employees#o sio what is necessary to rep4ece the water meter. !understand that the propee�ty owner 4s liable for the water line frc�m the main to the premise and all irnerior plurrebing. {Per City code 402.06 j i also hold tt�e City�af�ridtey andj'rts empioyees harmless for any damages tFsat rnay occur while doing this operation. This to�nclude,birt noS limited to valves,piRing,wa14s,#taors or che curla stop iaux�nd senrice line. In understand 1 am aiso requir to obtaira a permit pr�o�r to any war4c,�f necessary. FIAIAL Mt?ER READiNG�otd meter) �� `� �� Name:��G�-`'L. V�d�.v�, Address _. � ` �' �,G. 6.1�.�/ �i . /'� � / Phone A(umber SY.7�` � � � V�� Date �� ~ �� Signature Witness Signature � OLD METER#_Cv"��V �(�-- OLD RfADtHiG'_i�� j i J a NEWMETER# �V-4V � U �� l�IEW REA,Di11iG � � ERT#_ � � � � �� FRIDL.EIF CI'!"�(Ct�DE CHfA�'�'ER 402.WATER,STORM WATER AND SANITARY SEWER ADMtNISTRATiON {�ief Os-d No 113,464,565,566,5�9,635,662,922,988,I144,i156,i191j �02.5 AERritltT FEE Prior to constructing or sepair o�E any�vvater vf sewer tine co�necting the extsting rnunicipai system and arry house or�buildit�g far which#he appiicat➢on is made,the owner or corrtsactor shai(be required to obtain a permit for such connection,and shaq pay a permit fee as provided irt Chapter 11 of this Code. After such connectian has i�een rnade,fihe Water and Sewer Departmerrt�al!Fx natified. It shali be unlawful to cove any conneceing Gne urm'1 an inspection has been made and such connectian and the wo+�9c inciderst thereto has been approved by the Uty as a proper and su'rCabte connection. 402.06 REPAIRS AAtD MAfNTEAiANCE TQ CONMECTION After the initia!connectio�has been made ta tfie water senrice curb stop box or the sewer lead at the property line or a water senn�e lead has been exfiended to the property line for connection,the applicarrt,awner,or accuparrt or user of such premises shat!be tiabie for alf repairs required to any water line and sewer iines netessary for conrtecfion of the premises from the main to the premises. If the property a�ner requests maintenance service or repairs be perFormed by the Gty,the proper#y owner sNali be charged for the costs of Che mairrtenar�ce andJor repairs,including necessary s�treet repairs at a rate set annuaily by an administrakive poliry. tt sfiail be the responsibility of the appltcant, owner,occuparrt or user to perform standard mairrtenance of the sewer senrice tine from the premises to the main including debris dearing or root cutting and to maintain#he water service curb stop box for operability and at such fieigfit as wiil ensure that tt rernains aTiove the ftnished grade of#fie land or property. (Ref 638,1156,1191) � � ` Request Number: 13315 Public Works Division Service Request Problem Address: 1081 Hathaway Ln Requested By: Val Johnsgard Department: WATER Address: 1081 Hathav�ay Lri Fridley,MN SS432 Problem/lsane: INSTALL AMR METER Phone Nnmber: 651-283-3324 Schedaled I1xte: 2017-02-14 Schedaled 11me: 10:�:00 �--- � /� A /J �/\. fa h AC'IION NEEDED: • Created by: Beth Kon�ick Dxte Cre�ed: 2017-02-07 r ACTI TAI�N: , � ��- � � .�-�-._ Status: In Progess �bmitter HAs Been �., Contncted Unte Completed: Compieted by: Z— � `'- {� ` � � --___. �..�,..,..�..o..,.� �431 l9�tFvQrsitvf a4venue N� ��, �� j � ,, ��cl6eya MN 55432 �� 3-s�z-3�� _�� , r� .�� y � �,�°� hereby authorize#he Ciiy a�f Fri+dley andror ifs employees to slo w is necessary ' replece the mrater sneter. �understand that the property owner is liable for the svater line�rom ehe maia to�e premise and a1i irrterior plurrabing. (Per Crty�ode 402.06� i aiso hold the�Cifij af F�idley and/'rts emptoyees harmless for eny damages tt�at may occur�rhile doing th o`oeration. This�o instude,but r►rnt Bimited to valves,p�ping,waqs,fi�noe�s or the curb sto�box and sesvice line. In a�nderstand 1 am also req to obtain a permit prsor to any avork,�f necessary. ��, ��'�� +F9fbtAL MEt'ER READiNG(old meter) �4 � Name: �� Address � �� Phone Rtumber�� j� ?j '� �" � ! Signature Witness Signature OLD MET�R# � � � � �� OLD READING �.. � � 1 � � ��..�` NE1N MEfER# �� NEW READIfVG� ERT#_� 1�� '��,� � FRIDLEY CiTY CODE CHAP7'ER 402.WATER,STORM WATER AND SANITARY SEWER ADMfNISTRATION (Ref Ord NO 113,464,565,�65,629,63$,662,922,988,1144,1156,1191} 4o2s p�tar FEF Prior to constructing or repair of any water of sewer 8ne connecting the existing munici�aal system and am/house oc l�ldir�for which the appiication is made,the owner or cor�traractor shail be required to o6tain a permit fos such conneetion,and shall pay a permit fee as�xoyided Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmertt shali be notified. it shail be uniawful to co any connecting(ine ur�til an inspection has 6een made and such connection and the work inaderrt thereto has been approv¢d by the iCity as a proper and suitabfe connection. 402.05 REPAIRS AND�iA1S11TEMMf1iCE TO COMNECTIOfY After the initiat connection has been made to the wafier service curb stop box or the sew@r lead at the property IZne or a water serwice lead ha beea extended to fihe property Iine for connection,the applicarrt,owner,or occupartt or user af such premises shati be liabke for a11 repairs required to any water line and sewer lines necessary#or connectian vf the premises from the main to the premises. I�the property orrner requests mairrtenance service or repairs be perFormed by the C'rt}�,the property owner shail be charged for the oosts af the mairtternance and/ repairs,including necessary street repairs at a rate set annuafly by an administra#ive poficy, It shail be the responsbi[ity of the appf3catrt, owner,ocsuparrt ar user to perform standarc!aa�rrrairrtenance of tf�e sewer service line firom the premises to the main�nduding debris dearirrg oi roat cutting and to mairrtain the water service surb stop box for operability and at such height as wiil ensure that it remairis ahove fihe ffnishec grade of the land or property. {Ref 638,1156,1191� � � Request Number: 13386 Public Works Division Service Request Problem Address: 1281 Hathaway Ln Requested By: Hen Hauback Dcpartment; WATER Address: No address providad Problem/Issue: INSTALL AMR METER Phone Number: 763-218-0760 Scheduled Date: 2017-02-13 Schedaled'Ilme: 11:00:00 � ACIION NEEDED: Created by: Beth Kondrick Date Created: 2017-02-09 AC110N TAI�N: � � � ��;`�.�'- � � � Status: In Pro�ress ��rter Haa Beea r Co�uted Date Completed: Completed by: J �— l3 ^ c� �"�„r��-- Water L)eparta�raertt � � � + i � / � 6431 tDniversityr l�vena�e NE �� Fridley, MA! 55432 r � J R 763-57Z-3566 a i � '-- � �� ?�i"�\ `�` ,',''r� hereby authorize the City�f Fridiey and/or its empioyees to do what is necessary to replace+the water meter. )understand that fihe property owner is liable for the water line from the main to the premise and a14 interior plu►r�bing. (Per City sode 4U2.06) i afso hold the C'rty of Fridley and/its employees harmless#or any damages that may occur while doing this operetion. This to�nclude,but not limrted�o valves,piping,waiis,floors or the curb stop box and servise line. fn understand I am afso require� to obtain a permit prior to any�ror�c,if necessary_ FINAL METER READtNG(a!d mefier} �� t 1 �� lVame•��1(�. � Address l (.�-�r �� Phone Number 14(/� 2'��rj� p� 2' �,�' ' 1 Signature w��Q�5�� OLD METER#��S�� OLD READING � l y ` t./ NEW METER# 1 �/ ''� � v�� NEW READ1111G� ERT# _{ I � 4 40 2.�� , FRfDLEY�iTY CODE CHAPTER 402.WATER,STORM WATER ANq SANtTARY SEWER ADMfN15TRATION {R2f Oti d No 113��64�5651566'629�638�662�922�98$�1144�1155�II91) 402.5 PERMIT FEE Prior to sor�structing or repair of any wa#er af sewer Rne connectir�g the existing municipal system and arry house o�buiidi�for wlud�the applic�tion is macle,the owner or corrtractor shall be required to obtais+a permit for such connection,a�d shali pay a permit fee as provided ir� Chapter 11 of ihis Code. After such connection has been made,the Water and Sewer Oepartment shali be natPF"ied. tt shail be unlawFul to cover arry connecting fine until an inspection has been made and such connection and Che wor�c inciderrt thereto has been approved by the City as a proper and suitabte connection. 402.05 REPAlRS AND MAIPtTENANCE TO CONt►fEC170H Aftev the init�af connection h�been made to the water service curb stop 6ox or the sewer lead at the property iine or a water seraice lead has been extended to the property line for connedion,the applicarrt,owner,or occuparn or user af such premises shall be liat�e for atl repairs required to any water line and sewer lines necessary for connection of the premises from the roain ta the premises. ff the property owner requests maintenance service o�repairs be perFormed by the City,the proper+ty owner shall be charged for the costs af the mairrtenarroe aad/or repairs,induding necessary street repairs at a rate set anouaily by an administrative poficy. It shaq be the responsi6i[ity of the applicar�, owner,Qccupan#ar user to perform standard mairrtenance of the sewer service line from the p�emises to the main induding debris dearing or root cutting and to maintain the wa#er service curb stop box for operability and at such height as wi{I ensure fifiat it remair�above the finished grade of the tand o�property. (Ref 638,1156,1191)