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Meter Swap , ' Request Number: 16461 Public Works Division Service Request Problem Address: 5567 Matterhorn Dr Requested By: Aaron Wallace Department: WATER Address: No address provided Problem/Issue: IlVSTALL AMR METER Phone Number: 386-503-4910 Scheduled Date: 2017-08-10 Scheduled Time: 01:00:00 - ; ��� m ACTION NEEDED: Created by: Beth Kondrick Date Created: 2017-07-25 ACTION TAI�N: .........._I..��'.�_�::._�..._�........................a._!`��...._.�.................................................................................................................. . . ........................... . ....... .. .................................. _ .. . . .. .... . ............ . . ................... . .. .. ...... ........ . ................................................... ... . ............... ...... . . _ . . . ...... ..... .. ... . .. . ... .... . .. .. .. . . .. . . ...................... . .... . . .............. ... . . ........................ . . . . .. .. ................... .. .......................... . .. . ..... ..... .. .. ............... .. . ...... .... ... .. . .............................. .. ... .. . ...... . . . . . ............... .................................................................. ........................ ...................................... ............. .................................................................................................... ......... . ..... .. . .. . .... . .. . . . .... ....... . . .............. ........... . ............................................................................. ....... Status• In Progress Submitter Has Been r ' Contacted Date Completed: Completed by: �- IC�- i � �rz4 %v �_ � , �iity o�Frqetaey � • '�i1/a#er�epaa^krvaea�t ��ls 'y �/� U ` 543�.�niversity Avenue 4V� _ , - Frisl9ey,MfV 55432 7�3-5�2-35�6 a�°iVQ hereby authorize the�ity of�ridley and/or its am`SlOyees to do aahat is necessary to replac2 the water meter, 4�nderstand#hat the property owner is liable for#he water 9ine#rom tfie main to the premise and all inter6or plumbir�g. �Per�ity cade 402.06) i also 9�old the�Sty of Fridley and/its employees harenless#or any daes�ages that may accur while doing this oper�tion. This#o include,#aut not limited�o valves,g�iping,walis,floors�r the surb stop box and service line. In understand!am also require to afrtain a perenit praor to arsy�vork,if necessary. F9lVAL METE�2 READINC',(old meterJ �� �^� � {C.�� Name:J `C.t��'�. L�1lC�C.-� alddress �� !o� �-IC��C�,v.�Q`"'�'1 �t„ Phone Number 7r�'��'—S C�'�'���`-' �ate ^-�.� j �•_ % " / � � ,�/ Si nature ='� ��� `V ,g E���=�� � Witness Signature ---� o�� ���-��# _.:= � � �J� J 7 L-�f,� �LB� REA�96V� �� �� � L���j {VEVI/NtETE�t# ��� ���� ���� �lEQA�READiNt; � E�T# � �����-- ��� �� FRlDLEY C9TY CODE ��9A�TE�4�2.lNA�ER,ST�RiUt 41VAT�63,Q►ND SANiTAt�Y�E711/ER ADMIN9S1'RA�'80N (�ef Ord No 13.3,464,565,SCb, 629,538,662,322,988, 1.144, 1156,1193.} 402.5 PESiM!'8'FEE Prior to constructing or repair of any a,vater of sewer line connecting the existing municipal system and any house ar building for which the application is made,the ownea�or cantractor shal(be required to obtain a per�nit for�uch connection,and shait pay a permit fee as provided in Chapter 11 of this�ode. Afiter such connection has been made,the Water and Sewer Deparitment shall be notified. 1t shal(be unlawful to cove� 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 suita6ie connection. 402.06 REPAtFiS A�ND MAINTENANCE TO�ONNECTOON After the initiaf connection�as been made to the water service curb stop 6ox Qr the sewer lead at the property line or a water service lead has been extended to the property line for connection,the applicant,awner,or occupant or user of such premises shatt be liabte for al[repairs required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the groperty owner requests maintenance service or repairs be performed by the C3ty,the property owner shall be charged for the costs of the maintenance andJar repairs,inc(uding necessary street repairs at a rate set annualty by an administrative goiicy. It shall be the respo�sibility of the applicant, owner,occupant or user to perForm standar�l maintenance of the sewer service line from the�remises to the main including de6ris 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#inished grade�f the land or property. (Ref 638,i�.55,1191) � Request Number: 16461 ��.��� -v 3 Public Works Division f�-. �s— Service Reqnest �J�N� _ _ . _ _ _ _ _. __.. . .... Problem Address: 5567 Matterhorn Dr Reqaested By: Aaron Wallace Department: WATER Address: No address provided Problem/Issue: INSTALL AMR METER Phone Number: 386-503-4910 Scheduled Date: 2017-08-10 Scheduled Time: 01:00:00 ACTION NEEDED: Created by: Beth Kondrick Date Created: 2017-07-25 ACTION TAKEN: Old meter#77335744 Old reading: 2737740 New meter#49355835 ERT#72423814 .................................................................................................................................................................................................................................................................................................................................................................................................................... ............................................................................................................................................................................................................................................................................................................................................................................................:....................... .................................................................................................................................................................................................................................................................................................................................................................................................................... ................................................................:................................................................................................................................................................................................................................................................................................................................................... ................................................................:................................................................................................................................................................................................................................................................................................................................................... ............................................................................................................................................................................................................................................................................................................................................................................................:....................... Status: Completed Submitter Has Been �.. Contacted Date Completed: 2017-08-10 Completed by: Taylor Groth Hours l,��� g�'�` � a'��� l�� � � � � ��,,�-�� �'� �/�