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Meter Swap Request Number: 15450 Public works Division Service Request Problem Address: 7812 Alden Way Requested By: Mr.Sallman Department: WA1ER Address: No address provided Problem/Issue: INSTALL AMR METER Phone Number: 763-574-9588 Scheduled Date: 2017-05- 3 � Schednled 11me: 11:00:00 t� � � ACTION NEEDED: Created by: Beth Ko�drick Date Created: 2017-OS-18 ACTION TAI�N: _._._....._��5�c�-.1__.�......_..��.�.�...._-.�__ ___._....._....___._ __--_ Status: In Progress Snbmitter Hae Been r Co�acted Date Completed: Completed by: �—Z-� ' I`� � �� , z ` City of Fridley � ( � ��( �� / - Water Departrnent 6431 University Avenue NE � 1 � � �� Fridley,MPI 55432 �f 763-572-3566 ��`"�e hereby authorize the Gty of Fridley and/or its employees to do what is�ecessary 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�02.06) I also hold the City of Fridiey and/its employees harmless for any damages that may occur while doing this operation. This to include,but not limited to valves,piping,waiis,floors or the curb stop box end service line. in understand I am also required to obtain a permit prior to any work,if necessary. FINAL METER READING(old meter) �� -"-' Name: �� Address tJ Phone Number�� W[."'��F� Date � � Signature _ ,� Witness Signature_„_� �. OLD METER# �� _l� ,Q�- `� OLD READING �� NEW METER# ` t Z�� ! 1�� NEW READING �J ERT#�� FRIDLEY CiTY CODE CHAPTER 402.WATER,STORM WATER QND SANITAttY SEWER ADMINISTRATION (Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j 402.5 PERMIT FEE Prior to constructing or repair of any water of sewer line connecting the existing municipai system and any house or building for whtch the appiication is made,the owner or contracto�shall be required ta obtain a permit for such connection,and shail pay a permit fiee as provided in Chapter 11 of this Code. After such connection has been made,the Water and Sewer DepartmeM shall be notified. it shall be unlawful to cover any connecting line unti{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 COPtNECT10N 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 seraice lead has been extended to the property line for connedion,the applicant,owner,or occupant or user of such premises shall be Ifable for all repairs required to any water line and sewer lines necessary for connection of the premises from the main to the prersi'sses. If the property awner requests maintenance service or repairs be perFormed by the City,the property owner shall be charged for the costs of the mairrtenance and/or repairs,inciuding necessary street repairs at a rate set annually by an administrative poiiry. It shail be the responsibility af the appliqnt, owner,occupant or user to perForm standard mairrtenance of the sewer seroice 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 remai�s above the finished grade of the land or property. (Ref 638,1156,1191) 4� _._...Jc��C'�� Request Number: 12129 Public works Division Service Request Problem Address: 7812 Alden Way Requested By: Dave Department: WA1ER Address: No address�ovided Problem/Issue: STANDPIPE Phone Number: 763-574-9588 Scheduied Date: 2016-10-24 Scheduled'Rme: ACIION NEEDED:Mark standpipe with flag. C�eated by: Wendy Hiatt Dxte Crented: 2016-10-24 ACIION TA1�N: �j_�l.� e�� _!�C „_„_,_,,,�._�'�r�....�.�,..�.... ��,�.ec� —� _._._._.._--- -- � Status: In Progress Snbmitt�r Has Been r. Co�acted Date Completed: Completed by: ��^ a `�� c� � � Request Number: 12137 Public Works Division Service Request Problem Address: 7812 Alden Way Requested By: Da�5olomon Department: WA'IER Address: No address provi�d Problem/Issue: NRN WA1ER ON/OFF Phone Number: 763-574-9588 Scheduled D�te: 2016-10-25 Scheduled Time: ACITON NEEDED:Turn off water.Homeov�+ner will get permit.'***BILL"** Createdby: WendyHiatt DateCreated: 2016-10-25 ACITON T.�I�N: .__..______.__...._._. _..___._��:.�_..._�__�..�5....._�l.Q�._._�v� ._._..-_.________ _.__._.__._._.____��_.�....��2 _.��.M��....�.___.__..__.__...._.____.._.__ _. _.. ___._.__.____ Status: Tn Progress 5ubmitter Has Bees r Contacted Date Completed: Completed by: /0��