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Meter Swap f�, Request Number: 14534 Public Works Division Service Request Problem Address: 1508 Windemere Dr Requested By: David Larue Department: WATER Address: No address provided Problem/Issue: INSTALL AMR METER Phone Number: 763-228-4231 Scheduled Date: 2017-04-20 Scheduled Time: 10:00:00 � /� r �.J ACITON NEEDED:He will need water shut off at same time,he is having valves replaced and meter install Created by: Beth Kondrick Date Created: 2017-04-OS ACTION TAI�N: ................................................................................................................................................................................................................................................................................................................................................................................................................... ,w. ...,... 1.._v..............�......_���::.._c�._�..:�..��........�.�%_�..........._f�c�.._�._�_�-�--�."��...........:...................... ............................... ................................................................ ...... ���c�-�� �- �Ae���r�t� N�S ��L�- - . . .. . . . ... ................ ........-...:......_�........................�.,................................................................�..........._�......................................._�_�........................................................................................................... . _`�_�u�-�... ..._�.�..�..�.�C.......�.�...._�..�_+_�_�� . ................................. ... ........................................................ _ . .. ..... ................................. ....................... ..... ........... ..... . . ................. .. ........ ...... . .......... .. .. .... . . . .. .. .. . .... . ...................... Status: In Proy-ess Submitter Has Been r Contacted Date Completed: Completed by: Hours u� —�� �(/� t � . � Request Number: 14534 Public Works Division Service Request Problem Address: 1508 Windemere Dr Requested By: David Larue Department: WA'IER Address: No address provided Problem/Issue: INSTALL AMR METER Phone Number: 763-228-4231 Scheduled 2017-04-13 Scheduled'ISme: I1:00:00 � � � ACTION NEEDED: Created by: Beth Kondrick Date Created: 2017-04-OS ACTION TAI�N: �1Ll�VE (�l,�r.'`�b�� �,��7�� ................................................... ............._._.....................................--- 7 ��,� Sc<<c� �� ��0f�_�-�--�'�c:C�y Suc;c� ��trti� ......................................._. -�----1---............_..._.__._.__._..........................................................._.`...._�......................._...__._. ........._................ ........................_........................_...._.........._ �1�tet,�:!......_.___._._.h�_._._. v",�::�_�_f:'........................._��t' �.........._... �-�'E�� S h �' � �.� . ..... . � ....................... . . ..... �-.. � _.........._...._ ._..._.._....... ... ........_G-�". _.__..........._i�_..__.......--�--��c��'�...:._................................................................ ............................................................_._........................_...................................................................................................................................................................................................._......._.__...__._......_.....__.................._.__..__....._.................. ........................................................................................................................................................................................................................................................................................................................................_...---._......._.........__._........__. Status: In Progress Submitter Has Been r Contacted Date Completed: l—j_ I2 _ '� Completed by: � � � J � � , . ���f �� �j"lV� �V� City of Fridley S (� � 3�0 � Water Department 6431 University Avenue NE Fridley,MN 55432 763-572-3566 �/We hereby authorize the City of Fridley and/or its employees to do what is necessary to replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all interior plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand 1 am also required to obtain a permit prior to any work,if necessary. FINAL METER READING(old meter) `J � � � ,� ._- � � y� Name: ���\.AL�' ����`L�(�, Address I � �.i'tC�'��� ��"'�-' ��- b Phone MCi bm e �� ✓� �C1'' V ��' Date � � J �� Sigrfature Witness Signature ,� OLD METER# 1 lJ �`����'� c� OLD READING lL� � l�' � �� NEW METER# � � + � �� � NEW READING �-i � ERT# �������� , FRIDLEY CITY CODE CHAPTER 402.WATER,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 any water of sewer line connecting the existing municipal 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 li of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover any connecting line until an inspedion has been made and such connection and the work incident thereto has been approved by the City as a proper and suitable 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 at the property line or a water service lead has been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable for all repairs required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property owner requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance and/or repairs,including 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 including 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 of the land o�property. (Ref 638,1156,1191)