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Meter Swap Request Number: 12394 � Public Works Division � Service Request Problem Address: 7379 Able St Requested By: Tina Sorvari Department: WATER Address: 7379 Able St Fridley,MN 55432 Problem/Isaue: INSTALL AMR METER Phone Number: '163-242-1194 Schednied Date: 2016-12-19 Scheduled Time: 08:30:00 G,� �. 3 a AC"TION NEEDED:Install AMR Created by: Beth Kondrick D�te Creaked: 2016-12-08 ���,, '=` AClION TAI�N: "` � r�T � �� �� t.� � �I � �, � ����� � ����� � �� .;.: St�: In Progress Submitter Has Been �.. Coet�ted IMte Completcd: Completed by: � � L "� � v � � ` � City of Fridley �° �,; ' � '"� � R �` Water Department .� ` 6431 University Avenue NE Fridley,MN 55432 �D�' �� ������ , 763-572-3566 �1/we hereby authorize the City of Fridtey and/or its empioyees 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 all interio� plumbing. tPer City code 402.06) i aiso hoid the City of Fridley and/its employees harmless for any darr�ages that may occur wfiile"�iping this operation. This to include,but not limited to valves,piping,wa{Is,fioors or the curb stop box and service line. In understand I am a�so required to obtain a permit p�ior to any work,if necessary. -� :��, aS'' FtNAL METER READIN6(old meter� 1 ��30� � ;.� - Name:���l�►�, :J8�V1^;�('� Address��� �'���.. (1� S . Phone Number ✓ " �' � Date � � � '� �`4,`, � Signature cJ ' IN'rtness Signature� / OLD METER# �Y�� OLD READtNG � ,�.;��� NEWMETER#�� �`���I NEW READING V ERT#��J �iJ� ���J� FRfDLEY CfTY CODE CHAPTER 402.WATER,STORM WATER AND SANiTARY SEWER ADMINlSTRAT{ON (Ref Ord No 113�464�565r 566�629�638�662�922,988�1144�1156�1191) 402.5 PERMIT FEE Prior to constructing or repair of any water of sewer�ine connecting the existing municipal system and any house or building for which the appiication is made,the owner or contractor shalt be required to olstain 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 Oepartmesrt shaA be notified. It shatl be unla�afuf to cover any tonnecting line until an inspection has been rnade and sucfi connedion and the wo�c incident thereto has been approved by the Ctty as a pcoper and suitable wnnedion. 402.06 REPAIRS AND MAINTENANCE TO CONNEC170N After the initiai connection has been made to the water service wrb stop box or the sewer fead at the properiy line or a water service lead has been extended to the property{ine for connection,the appiicarrt,owner,or occupar�t or user of such premises shalt be liabie for atl repairs required to any water line and sewer lines necessary fo�connection of the premises from tfie main to the premises. If the property owner requests mai�enance service or repairs be performed by the Cty,the property owner shall be charged for the costs of the mairrtenanae and/or repairs,including necessary street repairs at a rate set annua!!y by an administrative poliry. it shaii be the responsibility of the applicaM, owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main includirig debris dearing or root cutting and to mai�aln the water senrice carb stop box for operability and at such height as will ensure that it remains a6ove the fi�ished grade of the land ar property. (Ref 638,1156,1191) Request Number: 10310 Public Works Division Service Request Problem Address: 7379 Able St Requested By: Brian Sorvani Department: WATER Address: No adckess provided Problem/Issue: STANDPIl'E Phone Number: 763-242-1195 Scheduled Date: Scheduled'Ilme: ACTION NEEDED:Homeowner looked under the cover of standpipe and says it doesn't look like it is connected to anything.Please check and ca11 homeowner. : Created by: Wendy Hiatt Date Created: 2015-47-14 ACTION TAI�N: _........._.....................................:.................................................:...........................................................................................................................................:..............._........................_..._::..............................._...............:......_..__._....___._......._.._._._.......... _ -�� � e n+ � _.......��.............�_�u�.�...........................�...y.....�.�.-...........................Lt../_.._`.�..5........................�._��.._d�......................._6_..._............_............................�...__....._...__________..___..___..... ." � � �Q ............_ n�._..........._._........__e r� _. � a ..�.�.....1....0......�✓.�......................._�..U.........................._�_..._�:.....................U...�............... a............... �....... ...._�.._�..........._........._�......._.............._..................... ................................................. . � � ..........................................................................................................................................................................................................................................................................................................................................................._..................._._................__.._ ........................................................................................................................................................................................................................................................................................................................................................._....................._....:................_____._ .........................................................................................................................................................................._..........._................................................................._.................................._...._.................................................___....................._..................�._... Status: 1n Progress Resident Contacted � Date Completed: Completed by: -�- � S - �S