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Meter Swap ` s Request Number: 13212 • Public Works Division Service Req►�st Problem Addresa: 1071 Lynde Dr Requested By: Terrance Weglarz De�rtmeat: WATER A�Ucas: 1071 Lynde Dr Fridl�y,MN 55432 Problem/Issae: INSTALL AMR ME'IER P�one Nutaber: 763-574-0340 3ched�led D�te: 2017-02-06 Schedated 11me: 10:00:0(1 � 1 � � .4G1ION NEEDED: Created by: Beth Kondrick Date Cre�ted: 2017-02-02 ACfION TAI�N: �.S�CI� ��.C'� _._ � St��: In Progess Snbnitter Has Been r, Contacted Date Ce�ptetcd: Completed by: 2 -- � �� il(a$@G�'9�1"$9'�!&'17t l ,�`� �431 iJnav�rsii�J�lvena�e B4� � c � l � Fridley,N!N 55432 / . r r. +�� 753-572-3566 �� _� �� '��- (�' . 1/we hereby autharize the Ciky of Frit1ley andJor its empioyees ta s!o whafi ds necessary ta ' replace the water meter. 1 understand that the property owner 9s iiable for the water line from the main to the premise and ali irrterior plumbing. (Per City code 402.OS� i atse hold the Cmj of�cidley andJ'rts employees harmless for any sJamages that may occur iafeite doing This operation. This to inciade,bufi no#Hm�#ed to valves,piping,waiis,#loors or the curb stop box and service line. In understand I am also reyuii to obtain a permit prior Co arry rroc�c,if recessary- F4NAL METER READiNG(old mefier) v �� v � �D Name:�'L r Y'(�,V1.L�i W'"71 Q�.(r`z.. Address �� 6 � (�� Phone Number 3"J !��'�!G� Date � —�� Signature 5�� a�D��_ �0 35 0 � 7 OLD READING O ` v� �`D NEW METER# �,S �,o �33 7 WEW READIRIG C' ERT# �l � ��. o � �. S ;..� ='°µ� FRIDLEY CfTY CODE CHAP3ER 402.WATER,STORM WATER AMD SANITARY 5EWER ADMINISTRATIOitI {ttef Ord No 113,4f4,565,566,629,638,662,922,988,i144,i156,1191} 402.5 AERMIT FEE PrPor to constructing or repair of any water of sewer Pne connecting the existing municipat system and arry house or bulding fvr which the application is made,the owner or cos�traactor shal{be requ�red to obtain a permit for such connection,and shali pay a permit fee as provided in Chapter 11 of this Code. After such connection has been rnade,the Water and Sewer Department shall be not�fied. tt shail be untawfui to coerE any connecting(ine until an inspection has been made and such connection and#he work inaderrt thereto has been appro+red by the City as a proper and suitabte connection. 402.06 REPAlRS Af1fD MAIPITEf11ANCE TO CONNEC770N After the initia(connection has been made to the wafier seroice wrb stop box or the sewer lead at the property line w a water service lead Nas been exfiended to the property line for connection,the appiicarrt,owner,or accupar�t vr user vf such premises shail t�liable for ali repairs reguired to any water line and sewer lines necessary for connection of the premises from the main to the prem�es. !f the property owner requeses mairitenance service or repairs be perFormed by tF�e C'ity,the property owner shaii be+charged for the msts of the maiaCena�ce arnl/o� repairs,including necessary street repairs at a rate set annualfy by an administrative policy, tt shat!be the responsibility vf the applic�rrt, owner,ocsuparrt or user to perforrn standard mairrtenance of the searer service line from the premises to the ma'sn ancfuding debris dearing or root cutting and to mairrtain the water service curb stop box for operability and at such 6eight as wiil ensure that it remains above the t9nisF�ed grade of the land or property. {Ref 638,1156,1191) 4 � ,';� (.j�,#yf � Fridley ,� � ��u , ��, �� Request Number: 17887 �y . � ) Ptd�ic Works Dlvision ��,�� ,?.E� 5ervice Recryest � ProMem Address: 1171 Lynde Dr Requested By: Jim-Plumber Department: WA'IER Address: No address provided Problem/Issuc: INSTALL AMR METER P6one Number: 612-272-2953 Scheduled te: 2018-03-07 Sc6edded TIme: 10:00:00 � �`� �, ACIION NEEDED:Turn off water to replace sfirt off val�c at w�ter meter to�ilow for AMR replac�a►e�. Possibly replaae AMR? Crented by: Beth Kondrick Date Crcated: 2018-03-06 ACTION TAKEN: Status: In Progress Snbmitter Has Becn r Cont�ted Date Completed: Completed by: Hours (t�. � �� r S d �3�-�- °�`�-�-��- ��-�'`� "�".ww� ov �- • (��a� Sc� ., � � �� , SC� City of ridley �1(� � �� Water Department 6431 University Avenue NE �ridley,MN 55432 763-572-3566 �/We hereby authorize the City of Fridfey and/or its emptoyees to do what is necessary to replace the water meter. 1 understand that the property owner is liable for the water 11ne from the main to the premise and all iriterior plumbing. (Per City code 402.06j 1 also hoid the�ty of Fridley and/its employees harmless for any damages that may occur while doing this operation. This to inciude,but not limited to valves,piping,walis,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. FINAL METER READING(old meter) Name• Address_ ��71 ��d e. �'^+. Phone Number Date_ _ �� ts�� Signature Witness Signature � �� QLD METER# �y86 6�f S 3 SIZE & STYLE ICirclel OLD READING I 7 a y.�g a 5/8" EX �1 '-1�G�q 5 3 �( NEW METER# �,ScS olc� Y►�-cr 1" HEX NEW READING__� i'r4" ELIPTICAL or HEX ERT# 7 a.37�s 3y 2" ELIPTICAL or HEX FRIDLEY CI'GY CODE CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER ADMINISTRA710N (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 municipa!system and any house or building for which the application is made,the owner or contrador 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 Departmerrt shall be notified. It shall be uniaarful to cover any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a proper and suitabte 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 �� 'n` �� iead has been extended to the property line for connec�ion,the appficant,owner,or occupant or user of �!'1GP�aairs required to any water line and sewer lines necessary tor connedion of the premises from the n �a Nner requests maintenance service or repairs be performed by the C'rty,the property owner shali be S� �ce and/or repairs,including necessary street repairs at a rate set annually by an administrative policy. it :ant, owner,occupant or user to perform standard maintenance of the sewer service line from the� ;learing or rovt cutting and to maintain the water service curb stop box for operability and at such height ie finished grade of the land or property. (Ref 638,1156,1191)