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Meter Swap � Request Number: 12803 ' Public Works Division Service Request Problem Address: 1584 73 1/2 A�e Requested By: Mosefaz C.herazi Dep�taent: WATER Addreas: 1584 73 1/2 Ave Fridtcy,MN 55432 Problem/Isaue: INSTALL AMR METER Pho�Number: 330-398-3383 Scheduled Date: 2017-0 -25 Sc�dnled Time: 11:30:00 � � 1. _ AC"IION NEEDED:lvstall AMR ' Crented by: Beth Kondrick Date Cre�cd: 20 t 7-01-09 ACTION TAI�N: �2 �,�,c�� s���: r��o�� s�r��e��a�. �, cont�tea Dnte Completed: �i'a�.._- �� Co�pleted 6y: J��� City of Fridley � �3 y � v� ��O � �� Water Department 6431 University Avenue NE ( ,` � I `� . � Fridley,MN 55432 j�� l - 763-572-3566 1/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 plumbi�g. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may oaur 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 alw required to obtain a permit prior to any work,if necessary. PINAL METER READIN�(old meter)_--��.JC.-� ��� Name• �—l���7�'� C����Z� Address `15�� -l3 ��Z �� � � .f Phone Number ��� `—��� ���� Date + �� — �� Signature �tness Signature OLD METER# �� ✓��� �� OLD READING \�� ��� NEW METER# � � � � �� "' � NEW READING � ERT# � �� v v ��� FRIDLEY CITY CODE CHAPTER 402.WATER,STORM WATER AND SANtTARY SEWER ADMINISTRATIOPI (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 arry house or building for which the application is made,the owner or contractor shall be required to obtain a permit for such connection,and shail pay a permit fee as provided in Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. It shall be uniawful to cover 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 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�ecessary street repairs at a rate set a�nually by an administrative policy. It shall be the responsibility of the applicant, owner,occupant or user to perForm standard mairrtenance 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 or property. (Ref 638,1156,1191) Request Number: 8164 Public Works Division Service Request Problem A�ddress: 1584 73 1/2 Av�e Requested By: Nbzi (Talk to renter-Stev�e) Department: WATER E4ddress: No address prov9ded Problemllssue: TURN WATER ON/OFF Phone Number: 763-783-0152(Mozi) �c,3-�.$3.��2�o Ct���- Scheduled Date: 201406-20 Scheduted Time: 01:30:00 ACTION NEEDED: Leav�e key in standpipe. Show Steve the renter how to shut off and turn water back on. BILL **.,. �**. ���� �OZ.,I � �.�NL- l �' an �,�bLe_ms avt' . Created by: Wendy Hiatt Date Created: 201406-20 ACTION TAKEN: ...............................................:...................................................�..�........��..-._.......���......��...._��.......�."................................................_ ..................................................................................................:.............................................................:............................................................................................................................................................................................._..._._.__..._....__..__..._...... .........................................................................................................................................:.........................................................................................................................................................................................................................._.._.__.._............_.___...._ .............................................................................................................................................................................................................................................................................................................................................................................._..__..._...._ .............................................................................................................................................................................................................................................................................................................................................................._..............._..............._............ .........................................................................................................:_..................................._.............................................................................._................................................................._.._..........................................................................._............_.........__. Status: In Progress Resident Contacted O Date Completed: Complet by: �-�o���l