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Meter Swap t t Request Number: 16892 Public Works Division Service Request Problem Address: 6800 Madison St Requested By: Melanie Doherty Department: WATER Address: No a�ess�xovidcd Problem/Isaue: INSTALL AMR METER Phone Number: 612-695-9441 Sched 20 -09-19 � Sc6ednled 11me: 09:00:00 ^ 1 �� AC"IION NEEDLD: Created by: Beth Kondrick D�te Created: 20 t 7-09-OS ACIION'PA�N• � � � __....__...__....�_......._M.�S�...-� � � __._.___. 1p'�- __ �._..�._.._..........................._......__.._... �......__._._..._................._..........._..__...__...._.........._...___._.......___._�..._..._.._..._._...__ ___�.-.-____._.. __�: Statas: In Pro�ess Submitter Has Been �., Contacted Date Completed: Completed by: ��� � �` � `� ` l7 � .�, , ,_ � x,� _ . � � � . � r �, 4 � <; t. , , 2 :; ,.��, , � � � � , .�s�. 1i'�'�'G'��P l��:�3���'t!l�>?1� �����,J�a����r�z�!���a�ra�a�,�� �r��1�,e^�, ����� 5�4'�:� �� N": 7�� l�� -.�� ' �'�.�-���_3.���6 � ' ,,�� St> � 5�`� 4e���q+3a�ts�ri�...a`�ie�,;��a=rridfet�aa��#�l�r i�s�^nr�a��cr�+�es��er�r�Is�re� rnv�a��:�ae��rx��.r�erzT, 1 s�a��}es�sians��aa�-�'�ae�v��e�^�a9ur�err Fs!ia&a2���sr c�e�a��r Isa�e fz^ar7¢�e rsaae�a�a��e u�s���d a�3 ir� pd��iz�ia�ge ;:�q��,�,��e�.y��) q a��;�����e G�^��=r;a�ie�j��a��i��sn�S+c���s�aae�?r�d�;�c�+a-aa�s{�aaaaagss�sa�f�zaa+,��ctz�s���aTe og���u��> 1","6s:�ie���c4�,fae:��sc�!am�����aa!�es,rag�r��g;�rayls,F9a�c��s 3r che aar?s�a�a B��e a�z�f ser^a��l6�e. ir�;�a�c�e�r��3�a t�otz�g?��errt�i��i�a�-��:r����r�c,i��e�ssa�p_ ���������������������� � '��9�8 a �ari3�: 1"``4 Kh`� +�0'`����_S.s— V! 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A;re�suuc9a�v�rsectior�nas i�eer��a�te,�e��i��r�an��orer tle�aa�rx�errt�ratt be rraCif�ed. 1t shat��e ur�(awft ar,��cvr��etti�g(i�re�«a�Ii arr iars,vestiars nas�eer�r�ade 3rrc�sWcE��rtsaecttQr�arart�re+vos^!�inciders��r�a iras a�er�apt�ts�v�ed f��e C ;�����'and�'stabde r,z�raraec'�vsa. ?w9�.�� 4�a�t3��a�fF3�t�td�t'��t+�'��C�iVtki`�t3t�r ,��s��ae:r�i�iai a�r�rsed:ia�lSas�Saea�macte�:��Ze urater;er�scz�s�s�fla��ox ar�e se�nrer iead��re ps�csperty firte ar a�rat2r ser�ce �aeer��x:2e�des3 cv�e�rc��s�*:��ti�re fo+-»artr�ectsar*p�e a�o�s(acaa�rt;�avner,�r eccu�aacr�or use�aF�,rcfr prerrcisPs shaCf oe(ia�ste�ar at(rep r2�uB�d i:a�a�art�era�s�tirr��nd seRwes{ic�es rtecessar;For car?�es�iQra QF�E+e premises fr�rza�lxe rrra�n�tiae pr�mises.. fiE Yhe�arogert���ur rQqueesfs��aarn.�na�c�:�erRr�c��r��sirs be�aerFar�+�seQ��re .�"rty�,*d�e,rarvgecfi�r q�rrter sha(t ue cfs�oad far�f?e psts af hhe mairrt�rrartc ;��aie�s>inctudang�2cesar���:b�t r=�ais�s�t a+�te set ar�r�saat(�p�l as�adarinistxa�^�¢�Q1icy�, ix sfiai(ise tf�e ra`spansbii"it+�af�e�cl�cac �*Rener,��.cuparz�ar us�r Co.�erF.r+�;�anc�ard rnairrr.2s�anez�e�ae se�n�er sec�ri�line f�-araa�e prsmises tu�fse re�a9n in�ucfPrr�debrts ctea r�c�:cu�fs�aa�d�marrr�ain'e awater;e�rica�srh s�;c;a�eax f�r fl�es�k�id'r��and�t�ucfa nei��,s�.�itT�rssuro�at;fi romatns a4�aae�e t �s�e a�cfre;artd:r prm�er�_ (�2�f�,�:,;�,�9�� Request for Service Report , �ity of Fridley Fieference No: 601-11-3129 Date: 06116f11 Request Type: Turn water aFFlon Entered By: Wendy Hiatt Department: Water Citizen Name: Duane Doherty Address= 6800 MADISON ST NE Callback Phone: 612-554-2007 Scheduled Dake: 06117111 12=30 PM .�'�Q Property Owner: Location Details: Permit#2�11-00939 � Request Details: Shut water oFflleave key `xB I LL' Action Taken: - - - - - --__..._ — -, � _ _ � \�`�-a�0 ��� `��( �� ��.-+��"� .�7 S`�t�--'�(-�, , � j 1\�"i�t c� �M������Z ►�T ��-S ��S `z� �-�A�cz� � �� 1S /.�i �L�-SL ��',,,��t�C-� � -�i ��S A�' 1��S "�irn�-. I � �,���� I �--- . ----._ .^--- ----- -- Responsible Person: � ��� � � Approver: j —_WY—v_--� �_ T� Completion Date: ��� �itizen Notiiied `�-�A�1 � � City of Fridley Water Department 6�31 University Avenue NE Fridley MN 55432 (763) 572-3561 U ��4 i� O"`�-� hereby authorize the City of Fridley and/or its e ployees to do what is necess to shut off the water at the curb stop box. I understa�d that the property owner is liable or the water line from the ma.in 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 limited to, sod, yard, landscaping, trees, shrubs, driveways, sidewalks or the curb stop box and service line. I understand I a.m also required to obtain a permit prior to any work. Name: ��' � . Address: ��l�� /'�Nt�� S�' Phone Number: �o( Z -515 Y-Z� Date: 6 ` �� "-j( � Signature: Witnes Signature: FRIDLEY CITY CODE CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER ADNIINISTRATION (Ref Ord No 113,464,565,566,629,638,662,922,988, 1144, 1156, 1191) 402.05. PERMIT F`EE Prior to constructing 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 obtam 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 Department shall be notified. It sha11 be unlawful to cover any connecting line until an inspection lias been made and such connection and the work incident thereto has been approved by the City as a proper and suitable connection. 402.06. REPAIl2S 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 properly 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 properiy 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 administrative 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 inciuding 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 ofthe land or property. (Ref 638, 1156, 1191)