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Meter Swap � r � Request Number: 14156 Public Works Division Service Request Probiem A,ddress: 6181 Kerry Ln Requested By: Li�a Wirm Department: WA1ER Address: No address provided Problem/Issue: INSTALL AMR METER Phone Number: 574-2588 Scheduted Date: 2017-04-i l Schednled'IIme: IO:OO:OU � � � t� ��,� �� ACITON NEEDED: ��;;. A� `by: Wendy Hiatt Date Created: 2017-03-16 ACTION TAI�N: �S-� l�d 5txtus: In Progress Sabmitter Hae Been r Co�acted D�te Compieted: � , J I r �� Completed by: � ��� Hoars � a ao..a—,ra s—.a.rss� 9,��vr� 1aer�(oy auti�o�iz�ttae�' �#FrFd! re�e�ace�e mrater�yae�er_ 1 azerc�erstand td�sa��fae rm e � eil and��Its empdogees ta ai��nv�at ss nece � P a'�y'onvnes�s dia�sle foa�1ae�rater liv���rom the�nais�to�ee premise and all bx+ter �K �Staarrabieeg. �8�er�C'ity code�2.06� 3 adso Ra�id the�'rt�t+f��edle,,�and,/'rts ers7�l�e�s�Sas�re�less for arry�lamages tEtat a>aa��ccus�+vhiie�tc � n�sesa2ion_ �'i�ais�o�n�liade,§a�€e�3asa9�ed to valves,p9ping watis,�F9+nors�r s�e�asrT�sto�b�ox and seavece lie�e. Ira�rscl�rstar�d�am a1: tsa o8s$aiea a�aee~rnrt�rsa�r�o�eay�rnr&,if�ecessar�e f �1 �'� ���"l� _�(�� Fg9ti.�lUiiEi'�R�A�tNC-a�o(tt mefierj_ ��(/R�[ "' �� �-1 �� �a�,�- _�.,1 nc��,, �,�,+ '�t� V� �� � � L--� l�[� ��o��u�,�� 5�L1 - �5 ��-�_ ''t-- l Z -- �� ���� - - o������ g�o5� �LD��t�� 3��s� o ���M��� �° ��.o�SSo - ,� � o ���-�__ ��) �I�� . �������D� �����.�A��,�����������R��� �p ������ �����A'l��13p�iy���y��y VG7 y�J�y'fJV��9G+Gr 7OQy�.L�4°fy • s-.V�Ai71� 4QZ.S PERikii�'FE� �rior to constructing or�epair af any water aF sewer fiaae conned�ng the acist3ng�nia�eat system arsd any iwuse os(��IdFrig fvr ufiich tF epp�cafiior�is aarade,�ae ownes oc corrtractor shall�e required to obtair�a perm�t f�-such cannecciva,arid sE�alt AaY a Pe'rn'+�fee as pravi Cha�rCer 3.�of ihis Code_ Ai�er sucii connectio��as�een rnade,the�Itater and Seover De�oartment stw!!�e no#i�ied. tt�atl be un(aarfui# aray cona�ec#ang Sine unial an irrspection has been znade and such connectian and the vrortc inciderrt therc�o has�en appraved by i�re Cifiy pro�aer and su�tabte r.annectiora. �02.06 �EPAIRs�41Y��+if\l�ITEMA►'�CE TD C01YfAtEC1'iaRJ After the iniCial connecdan fias been made to the water service curb sto�box ar the sewer teact at t(te proP�rul��ne ar a mater seraice�ea� faeer�exfiended to fifre property iine foc connectian,the ap�►iicant,oumer,oc occz��arrt ar user of such premises sha(i be liable fvr atl repair require:�to arry water l�ne and sewer lines necessary for connaction of fihre premises fmrn the main to fihe premises..!f i�e property or�nei �equests r�airr�enance servite or regairs be perFormed 6y the C'i#y,the propea�fiy owner shall be d�arged for the�s af�he ma�irttenance a repaia�s,inc�udirag necessary street repairs at a rate set annuai(y�an admin3s�ra�kive paS�cy. tt sha�be i�e respons�il'rtyr Qf the appiicarrt, c�e,vner,accugarrt+�usec to perform standard mairrteriance of the sewer seraece line from ifte premises Co the�nain�rrduding deb�is deari� rcrot czafiting arad to mairrtain the water service curb sCnp hox for Qperabiiity and at sush�ieigfrt as wili ensure that it remair+s a6ove the finc grade af khe�and orproperty_ �Fief 538,115�6,1191� � . �equest for service �eport �ity af Fridle� Reference No: 601-11-3153 Date: 06124I11 Requesk Type: Turn waker afFlon Enkered By: Wendy Hiatt Department: Water Citizen Name: Linda Winn Addresx= 6181 KE RRY LN N E Callback Phone: 763-574-2588 Scheduled Date= 06I27111 8:00 AM m Property Owner: Location Details: Permit# Request Dekails= Turn water oFFlleave key ""'B I LLx'x' Action Taken: ---- �_......._._ _......_....................._.._...._._..____... ___. _-_.___ .... -- ________ _.._.__...--- _..._ i �.��i��"� 5 1�'� 1��4c �i`�� S�v i a� ��?7c�. r--i �.� t--�CZ �Lu�,�,(-�� �, ���� �'� f�l � 1 t�1S• 1� � Y � � E _____ _ �--- Responsible Person: � , +�RRro�er: Completion Date: j , ��_ �t � Citizen Notified CJ . City of Frialey Water Department 6431 University Avenue NE Fridley MN 55432 (763) 572-3561 Uwe hereby authorize the City of Fridley and/or its employees to do what is necessary to shut off the water at the curb stop box. I understaxid that the property owner is liable for the water line from the mai_n to the premise. (Per City code 402.06) I also hold the City of Fridley and/or its employees harmless for any damages that may occur while doing this operation. This to include, but not li_mited to, sod, yard, landscaping, trees, shrubs, driveways, sidewalks or the curb stop box and service line. I understand I am also required to obtain a permit prior to any work. Name: Address: Phone Number: c Date: ��,� - ► ( , , -�-��� Signatti'r�:,, �j < Witness Signature: �����" FRIDL�Y CITY CODE CHAPTER 402.WATER,STORM WATER AND SANITARY SER'ER ADIVIII�TISTRATION (Ref OrdNo 113,464,565,566,629,638,662,922,988, 1144, 1156, ll91) 402.05. PERNIIT F'EE Prior to consh-ucting or repair of any water or sewer line connecting the existing municipal system and any house or building for which the application is made,the owner or contractor shall be required to obtavm 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 Deparkment shall be notified. 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 agproved by the City as a proper and suitable connection. 402.06. R.EPAIRS AND MAINTENANCE T�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 or sewer lead has been extended to the property line for connection,the applicant, owner, or the occupant or user of such premises shall be liable for all repairs required to any water line and any sewer lines necessary for connection of the premises from the main to the premises. If the property owner requests maintenance services or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance and/or repairs,including any necessary street repairs,at a rate set annually by an administrarive policy. 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 b38, 1156, 1191)