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Meter Swap � ` Request Number: 15417 Public Works Division Service Request Problem Address: 181 Hartman Circle Requested By: Joyce Gudding Departme�: WATER Addreas: No address provided Problem/Issne: INSTALL AMR METER Phone Number: 612-747-7857 Scheduled Date: 2017-05-18 6edal ed'If ine: 10:00:00 ACTTON NEEDED:Rescheduled from missed appt Created by: Beth Kondrick Date Created: 2017-OS-17 ACTION TAI�N: ��1�� ' " \-V ---- S C� _ __.__.__.........._._..........�-���._..........____________________ ___.� :� Status: In Progress 5ubmitter Has Been r Coutacted DAte Completed: �_ ��i t Completed by: ��� `7 ,�� . ��: H . � �:: ��: ;.�� City of Fridte ��� � �� � �� �� ' � y z Watec Departrnent � �� ��J�i, 6431 University Avenue NE ���� Fridley,MN 55432 763-572-3566 1/we hereby authorize the City of Fridley and/or its employees to do what is necessary to repiate the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all iMerio� plumbing. (Per City code 402.06) I aiso hold the City of Fridley andrts employees harmless for arry damages that may oavr while doing this operation. This to include,but not limited to valves,piping,wails,floors or the curb stop box and service line. in understand I am also required to obtain a permit prior to any work,if necessary. FINAL METER READIPIG(old meterj � 4� �i �V Name: ` U(S � Address �.� (, ��.Y`Z'1/vLEL ��V �`P Pbone Number �� `" C l��' 1 Date � "" 1,� � t� l Signature Witness Signature �� i'�� OLD METER# �✓ ����� OLD READING �� � �� U NEW METER# � 16�� - loL� NEW READING v ERT# � I !O� I � �� FRIDLEY CITY CODE CHAPTER 402.WATER,STORM WATER AMD SANITARY SEWER ADMINISTRATION (Ref Ord No 113,454,565,566,629,638,662,922,988,1144,1156,1191) 402.5 PERMIT FEE Prior to constructing or repair of arry water of sewer line connecting the existing municipat system and any house or 6uildtng for which the application is made,the owner or contractor shall be required to obtain a permlt for such connect+on,and sfialf pay a permit fee as provided in Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerit shall be not�ed. R shall be unlawful to cover any connecting line unti{an inspection has been made and such connection and the work incident thereto has been appro�d by the City as a proper and suitable connection. 402.06 REPAIRS APtD MAfPfTE1YAf110E TO CONNECTIOPI • After the initiai connection has been made to the water service curb stop bax or the sewer lead at the property{ine or a water service fead 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{ine and sewer tines 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 C�ty,the property awner shall be charged for the casts of tfie maintenance and/or repairs,including necessary street repairs at a rate set annually by an admi�istrative policy. It shall be the responsibility of the applicaM, o+arner,occupant or user io perfarm standard mairrtenance of tfie sewer service line from the premises to the main indudtng debris clea�ing 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 finisfied grade of the land or property. (Ref 638,1156,1191) -r Request Number: 6129 Public Works Division Service Request Problem Address: 181 Hartman Circle Requested By: Joyce Guddig Department: WATER Address: No address provided Problem/Issue: OTHER(WATER) Phone Number. 3 � r�� � �Z—v� Scheduled Date: Scheduled Time: ACTION NEEDED: Clean up yard from previous water main break Created by: Wendy Hiatt Date Created: 2013-05-08 CTION TAKEN: �r � � � �r � S .......... .................................... .......�.���.. ..............................�....._�..............................................s...�.......................................................................�.y........................................................................................._..._........ � d ................................�,,.L,,�.���.,...............:................_a.....C:�...................................:.�'��.-�.�..s.........:.....::�.........._.._...L....-�_�►._�..._...s.....c�... ...._t..'��........................__..._ � � ...............:..........�,�,J..:....�;_�.................:......_..::.��e.....�.................�..:�.._1...........................:: ......... ... ._ .. .......................�.�.,......�....................�,.........__ -�'�- t o . _r � � 5��� �e� .... ......................................�.1.,r�.��..............:..................................:.:::�...................... . , . ....................................................................................................................................................................................... ................................... ................................................................................. . _. ............................. ................................................................._ 5� �� 3............... ............ ���s.. .........�_��:� .. . . . ........... .............. .�........ .................. ................... . ................... .................................................................... Status: In Progress Resident Contacted ❑ Date Completed: Completed by: � i �� � � 3