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Meter Swap � � c Request Number: 16516 Public Works Division Service Request Problem Address: 6540 Lucia Ln Requested By: Brad Kirlanan Department: WATER Addresa: No address provickd Problem/Issue: INSTALL AMR METER Phone Number: 651-724-8692 SchedWe 2017 8-08 SchedNedTime: 09:00:00 _^�f r� � W� , ACTION NEEDED: Crested by: Wendy Hiatt Dnte Created: 2017-07-31 ACTTON TAI�N: ' �.�►.� �--�. 1 �� ,� � St�tua: In Progress Submitter Has Been � Cont�cted Date Completed: Completed by: � � _ �� Z,� ti ' �6�ty��Frac9ley Wa#er�2epaa^�men# �l �-�d�`1��l�a— �431 t�r�iversity A�rencae NE Fridley,MfV 55432 S��-3 7fi3-572-3566 p�4t�e hereby authorize the City of Fridley and/or its employees to do what is necessary to repiacs the water meter. t understand that the�roperty awner is iiabte far the water line from tfie main to tf�e premise and alt interior pFumbing. (Per�Lity code 402.06j !also hold the City aF Fridley and/its employees harmPess for arry damages that may occur while doing this o�aeration. This to inc(ude,but not limited to valves,piping,wa8s,ffoors or the curb stop box and service line. drt understand 1 am also require t�abtain a�aermit prior tn any r�rork,if necessary. FlPIAL METER READIPIG(old meter)_ "� �� `� Name: !.J 1 V`� �L'�� IY1 Gn Address �� `� 1�-V,V�'Gt �"'I, • � - 9a�� 4�— �� `7 Phone Number�5 — �7��l �Co [ , - �Signature Witness Signature �— �7- � S � 5 '� l �{ ,✓ Ol.D METER# � OLD READ�PIG "� �� 1'"��/ �� NEW METER# � y � � �� ✓ q NEW READING � ��-# �a� �� c� � FRlDLEY ClTY CODE CHA�'tER 402.WATER,STORM WATER AND SANRARY SEWER ADMIMlSTRATION (Ref Ord No 113,464,565,566,629,638,662,9Z2,98$,1144,1156,1191j 402.5 PERMtT FEE Prior to constructing or repair of arry water of sewer line connectin�the existing municipai system and arry ha�se or buitding for whici�the application is made,the owner or contractor shall be required to abtain a percnit for such cartrtectivn.and shal!pay a permit fee�provided in Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shal!be notified. It shall be unlaarfut to cove� any connecting tine until an inspec�aon has been made and such connection and the wor�c inciderrt thereto has beert approved by#he C'rty as a proper and suitabfe connection. 402.06 REPAlRS AND MAl4VTEl1iANCE TQ CONNECTION After the initiai connection has been made to the water service aurb stop boz or t(ie sewer tead at the property line or a water seraice fead has been extended to the property line for connection,the applicant,awner,or ocwparrt ar user vf such premises shall be liable for all repairs required to any water line and sewer lines necessary#or connection of tfie premises from the main to the premises, ff the groperty owner requests maintertance service or repairs be per-Formed by the Crty,the property owner shall be charged for the aosts of the mairitenance and/ar repairs,including necessary street repairs at a rate set annuaily by an administrative poliry. It shatl be the responsibility of Che applicaM, owner,occupant or user to perform standard mairrtenance of the sewrer service line from the premises to the main including debris clearing or root cutting and#o mairrtain the water service curb stop box for operability and at such height as will ensure that it remains above the finished grade af the fand or property. (Ref 638,1156,I191) R�quest for �:ervice Report City Q# Fric�i�y� Reference No: �� —��2 Date: � �—Ia Requext Typt: �'�� .�� Enteted By� Deoartment: Citizen Name: t�"^ aV � �S��TL Address_ ��v�'Q �'`�� `� Callback Phor�e: �� 3Q—�,��"" (�� Scheduledf�ate: Proper�y0wner: (�(Z�(��j ��Q,k�� ND1�2.(�� Locatian Details: Requcxt[9etaila: ��-N?�-2 _ �/�� q�� 763- y38-loSZ� �s�� a�-F� "�A�� b�- a3a- 6�9� Actian Taken: ._. .--__-__.—__._. .____--__ _.._._ ..._ ___ ....-- -- ---_ _ ------ - ��,� '��-v� �- C��r ,�� Cl�A� , ��►.:� C.ve+��CZ �►� �`S �ER� � ��. �.�N� �� LS ,� �s CS��.�..��-� s��;�4t-Rt ur��-r�1�. �� l,�20 ��i �5 �1�.t 1�V C.C�l�T(Z�C._ d�S �� T �� l-�o�� t��►��,`� �T —� � ��n� ��CC�S � i-t � ��. -� C�� (1�k� ��--�o�? Tc� (�� ti� �� -e'2''`�� ' -�j�� -- �--NTt�Z � �A�� w�tZ� M��( A��2r � . �U 7 l S C ►-t� �-�!�� JC'�CS.�� a-i l-�� -------- .... __..---__... _._. _ Flr�spons4blc Fersorr ��,,� Aaprover: _.. ._ __ __ __ ._ _ _.____-_---- --- ----- _ ____ _._ _.__ _.. �Citizen Notified C��mpletion D at�: _� '� ��f�r� " Fi �iiy arf Fri�l� ��. s��2-� �: �rm�2 �T�� s��-�,��►� �� -� �� s�a�= �ir€� e�n��r s�'�s . �ue��_ �pu/C1f�eck�in-�'eie+an r� !�n Ta�t� C�jr _ r�r. r�ta� up�ae li[�e a�d " ��aQt �3. ��ing !c►get� _ i � '_ �� at� � �" _ o tfa�e _d��.6ut� �r�.Ylf+ed 7htis_ z � � � � �� e _ �� _.._..._._. _.__._.._._......______. _._�.__._ _._____�1 _ �,e: �1�012 i�i F� �� ... _____��.m�.....�_�.�........�.._� �