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Meter Swap � - Request Number: 14703 Public Works Division Service Request Problem Address: 5940 Stinson Blvd Requested By: Lindsey Langness Department: WATER Address: No address provided Problem/Issue: INSTALL AMR METER Phone Number: 612-432-8872 Scheduled Date: 2017-04-21 Scheduled Time: 07:00:00 ��� � ' 1�� ACTION NEEDED: Created by: Beth Kondrick Date Created: 2017-04-14 ACTION TAI�N: ............................_..�..._�.:.��Y.....!.:._._..�...�.�..._�.........___....___._......................_._......___..._.........................................__..........._......_._..__._...._.........._..._._._........_._......... Status: In Progress Submitter F�as Been �, Contacted Date Completed: Completed by: �- ZI- 1�1 �T' [dr � -�zo .- �k�1a � ��� v�- S� � � ��d Y� � City of Fridley Water Department 6431 University Avenue NE Fridley,MN 55432 763-5723566 �/H►e hereby authorize the City of Fridiey aed/or its employees to do what is necessary to replace the water meter. 1 understand that the property owner is liabie for the water line from the main to the premise and alt interior piumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for a�ry damages that may occur while doing this operation. This ta include,but not Itmited to valves,piping,walls,floors or the curb stop box and service Iine. In understand 1 am also required to obtain a permit prior to any work,if necessary. FINAL METER READING(old meter) ���� I � � Name: �1� d��-�{ l�(�'t� J J Address � / �L/ ���✓1,�6� �L� Phone Number �J'�� l ,, �^ � �� `-1'"�l "'1� Signature Witness Signature OLD METER#__(..1 ` � I J��� OLD READING D 10� C 14 NFW METER# `� � "' �'"� ` � NEW READING � ERT# � 2��� ��� � PRtOtEY CITY CODE CHAPTER 402.WATEFt,STORM WATER AND SANITARY SEWER ADMINiSTRATION (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 arry water of sewer line connecting the extsting munlcipal system and eny haise or buildi�for whid�the application is made,the owner or corrtractor 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 Departmeirt shall be notified. k shall be unlawful to cover any connecting line until an inspection has been made and swch connection and the work incident thereto has been approved by the City as a proper and suitable connedion. 402.06 REPAIRS AND MAINTENANCE TO CONNECTION After the initial connedion has been made to the water service curb stop box or the sewer lead at Lhe property Itne or a water servke kad has been extended to the property line for connection,the applipnt,owner,or ocwpant or user of such premises shali be IiaWe for ali repairs required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property rn�rner requests mairrtenance service or re{�airs be perfarmed by the City,the property owner shali be charged for the costs of the maiMenance and/or repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the appli�ant, owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris dearing or root cutting and to maintain the water service curb stop box for operability and at such height as wiii ensure that it remains above the flnished grade of the land or property. (Ref 638,1156,1191) Reques# for Serv�e Repor# Ciiy of Fridley t���: �-�2-�rta2 o�z�: �,�r�o�2 � r�� c�t��s�o�_� ���: w��� ��: � t:���,r��: t+�w� a�� ��r1r�W ��w c���n�: ��-� �� ��_ ��: ��,��: � ���_ s����c.��s� and net��bor�Ns�s�,r�c�F#�t�as a gate that is " �and"ea f�af �'. Adit�n T�c�r: ' {��-t,�t' !�^r� (��:��;�/E.� Qr�tsl��� C�dv✓Tf/ F"�pa.�►-� �t2bc�n�'� �'����I�rd a i ; ST�uC�u�.E. . �� �.�� T�l� �Ec.:bQ��i v�, Sf�'u� 'N ��'R��- � � I � i � E i r � i � � � � i 3 i s 1 � I i E [ 1 � � � I � i ._ _...__._ .e.._ . __.__ .__ __ .__ ..... _ .__. _ �.� _._._.._ _..._._ ... ..._..._.� �flf1S��#.'[30F7: ��;� ' /n I /, / � �lU' Y' �� (.�(\. _ . � . ._.... _._.. _... ��: -. � -- - _ r �B: _� . �'��� � � � _ �2�qt�es�f�� - F� +City c�rf F�il�y � �: ���-��a� �: ��r��� Tj1P�: �Se�er[lte�_} �#y: W�dy E�epa�: � �t'�e� �Ts Wager lydd�e �LVD . 7fi3�7�� Sc�d i7�e: P1sap+e�tp t3�rrrer� . F#equeat ladta�s: '�a�a�wer�e�tween 59�t'i�on ad�ra�i�ar�Ct�af�has a � yr�e�is�'si�irg��a�d is�i� weeds_ Ac�an�a�_ C�a�# ar�s! . �e u�t p�. �____ � .. __,, ______ .___�. .___.___. .._..._..�______ ___-- __,___. _ �� ���: �ir� . ��i:�1120"�2 8�19 A�1 � � � �..........._..__w_ e._..�.�.m_.�........w.�..........�