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Meter Swap ,_ Request Number: 13361 r��wa�n;��on Service Request Problem Address: 582 Hugo St Requested By: Tim Ryder Department: WA'IER Address: No address provided Problem/Issue: MALF[JNCIIONING ME1ER Phone Number: 763-614-9999 Scheduled Date: 2017-02-08 Scheduled 13me: ACTTON NEEDED:AMR not registering Created by: Wendy Hiatt Date Created: 2017-02-08 ACTION TAKEN: New ERT#71819994 Status: Completed Submitter Has Been r Contacted Date Completed: 2017-02-08 Completed by: Ryan Johnson Hours ..r.r..r �vcNqe x.o8B�C1/Y. �431 lOniversiiry�/�,veroa�e BYE FridAey,MN 55�.�2 >v�s�� I I��a Uj 753-572-3556 j O ,�� ,/"'�� hereby authorize xhe�ity af Fridley and/or its empioyees#o slo what ds necessary 20 reg�lace the water meter. 1 aanderstand that the�ropea�ty flwner�s liable for the water line from the main to the premise and all interior plumbing. (Per City code 402.06) 1 alsa hold the City of�ridley andJits em}sloyees harmless#or eny�lamages that may occur while doing this o�eration. This to 9nelude,but not Bimi#ed io valves,piping,walls,#loors or the curb stoP box and service line. Bn understand I am also requir to olatain a permit prior Lo any wor�C,if necessaey. F9fVAL METER READING�o6d meterJ lvame:_� 1 1l�ti �1 Ci� Address_ �iJ 2- / l v�j� Phone Number �� - �l�'" (9� I p�e L� ��( � Signature Witness Signafiure o�� nn��-�� ( '�ll�� OLD f�EADIl�iG �` d��3�;� NEW ME�ER#_ � �xc�--L `"�'� I I �S 7'J `�'ti�� "`�'� �`�`-�� NEll1/READl6V1G � ��# 7��I ��9y � , �� ` �IVATE '�'�� itY SEUVEFZ Si.J� J`�� ,565 4-7� /'��-`# 144,I155, 1191� . �, �.,�1,�� f�% �� .�--�:��.. 402.5 PERN1lT F ��`,�,�� (+,�,,'i'��'R t `r�� Prior to constru� �.K.� :-i�-�•-�• �-�-�-�l� ine cvnr�e�d,�,' � W��''�Z�'n� s�.•....�---_� m and any house os building for which the appiication is made,the vwner or contractor 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 rnade,the 1Nater and Sewer Department shall be notitied. Et shall be un(awfui to cove any connecting line until an inspection has 6een made and such connection and the worh incident thereto has been approved by the City as a proper and suitabte conneetiora. 402.06 62EPAIRS�1ND 9VtAfNTEfVANCE TO�ONNECTION A�fter the initial connecCion has been made to the water service curb stop boK or the sewer lead at the property line or a water seruice lead has been extended#o the property line for connection,the appiicant,owner,or ascupant or user of such premises shal!be liabie for all repairs required to any water line and sewer lines necessary for connection of the premises from the mai�to the premises. If the property owner requests maintenance service or repairs 6e performed by the City,the property owner shall be charged f4r the costs of the maintenance and/or repairs,including necessary street repairs at a rate set annuaily by an administrative policy. it shall be the responsibility of the applicant, owner,occupant ar user to perform standard maintenance of the sewer service line from the premises to the main ancluding�lebris clearing or root cufiting and to maintain the water service�urb stop box for operability and at such height as will ensure that it remains above the finished grade of khe�and or property. �l�ef 638,1156,1191) � �L D i�IN�-�-- i��.5 v�� '�►�+� ► , `�-�e i� w-�-�. v�.�� -w� �- 2��1�, . * Request Number: 12319 Public Works Division Service Request Problem Address: 582 Hugo St Requested By: Tim Rider Department: WATER Address: 582 Hugo Street Fridley,MN 55432 Problem/Lcsue: INSTALL AMR METER Phone Number: 763-792-1179 Scheduled Date: 2016-12-OS Schednled 13me: 10:00:00 a�-� ACTION NEEDED:Install AMR to replace stopped meter and locate standpipe(ca11 from Sandi I� .� r ; �, Created by: Beth Kondrick Date Created: 2016-12-02 *�''� ACTION TAI�N• I n ��u�le� A M �- L :a��l S-�u.� � ��p� _......_..........o...�....................._................__..........._.____.__...........__.............__........__.._....._...._._.....__.........................._._..........................._................._.._..._._._........_.__..__......_..._..._.._.__.....____--.___........ Status: In Progress Submitter Has Been � Contacted Dnte Completed: Completed by: � Hours �~ ., / i / iZ � � �� b j�'�;�� , � City of Fridley ��s--�)l v�� 'U3 Water Department 6431 University Avenue NE j_[;� Fridfey, MN 55432 S �� J 763-572-3566 i/we ��i� ��'�l.� hereby authorize the City of Fridley and/or its employees to do what is necessary to replace the water meter. I understand that the property owner is liable for the water line from the main to the premise and ail interior plum6ing. (Per City code 402.06) !also hold the City of Fridley and/its empioyees harmless for any damages that may occur while doing this operation. This to include,but not limited to vafves,piping,walls,floors or the curb stop box and service Itne. In understand 1 am also required to obtain a permit prior to any work,if necessary. FINAL METER READING old meter) L � � `� � � � Name• i � ��'�� Address d J t -- � � 6 Phone Number\�� 3 �,� �I��Date � � � I Signature Witness Signature OLD METER# V � 3 v � " I OLD READING_� � Z Z � `` � NEW METER# � 1 ' � � S �D NEW READ{NG d ERT# � � �� ?i� 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 PERMtT FEE Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or building for whith the appiication is made,the owner or contractor 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 Departmer�t shall be notified. it shalf be unlawful to cover any connecting line until an inspection has been made and such connection and the work inctdent thereto has been approved by the City as a proper and suitable connection. 402.06 RfPAIRS AND MAINTENANCE TO CQNNECTIQN After the initial connectton has been made to the water service curb stop box or the sewer lead at the property ITne or a water service lead has been extended to tfie property fine 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 connectio�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 maiMenance and/or repairs,including necessary street repairs at a rate set annually by an administrative poliry. 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 ensu�e that it remains above the finished grade of the land or property. (Ref 638,1156,1191)