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Meter Swap t - Request Number: 16602 Public works Division Service Request Problem Address: 617 Hugo St Requested By: Laura . Department: WATER Address: No address provi�d Problem/Issue: INSTALL AMR METER Phone Number: 763-772-4499 SchedW ed Date: 2017-09-09 Scbednled'Rme: 09:30:00 �+. � ��,3 ACITON NEEDED: Created by: Wendy Hiatt Drte Created: 2017-08-07 ACTION TAI�N: Status: 1n Progress Sabmitter Has Been r., Co�acted Date Completed: Completed by: i�� i�y��ad�e� �(� D ' J'��lQl/ r� / ��,� 5 �� 3� ( 5�3�.�l�a�r�rsa��,er�r�tae S�� i �4"98��r�� 3� 7�3-5�2-356� �d''"� hereby authorize the City of Pr3dPey and/or its emplcyees to�o what is reecessarq t< repiaca che+erater meter. 9 understand�eat the,aropert�t�oavner is�iable for the avater�ine trom the mairt to the�nemise and aIt�m:e�ior �9umbing. {Per�City code 40Z.d16� 9 alsm hoid the rty�f Fr4dley anddits�mployees harmless#or arry dae�ages that may occur whi(e doing fihi; o�eration. This to include,�eut nvt 8imited to valves,piping wa31s,fBoors�r fiFte curb stop box�nd senrice 9ine, !n understaod 4 am also*equi to abtain a pee�nit prgor to any�vartc,if necessary. FlPIAt ME7'ER READtAiG{oid meterj Plame: l�`�Y'�' Add+�ss V Pho�e�tumber ��_��l " -!-f "f Date __ �q�1� Signature Witness Signature D� �L� �tltET'ER# ( � / O �� OLD READliVda' l � �� 6�lE�i1/�IIETER# ' : nr�a��a��N� _ _ 48907509 _ , , _ _ ��-��, 1 �� IIIIIIIIIIIIIIIIIIIII E 71821043 F�RIDLEY�iTY�ODIE CHA�'E!t 402.hVA�Et�,y�'�R6V�y�/ATER�iND SAN9TARY SEWER ��14liN15TRAT{ON ��ef�rd No�13,4&4,565,SCfs, 629,538,662,9Z2,988, 114�4,1156,1192} 402.5 PERMiT PEE � Priar to sonstructing ar repair�f any�nrater of sewer line connecting the existing rnunicipal system and arry house or bui(ding for which the application is made,the owner or c�ntractor shall be required to abtain a permit for such connection,and shaf(gray a perm'rt fee as provided ir �hapter 11 of this�ode. Afiter such connection has been made,the Water and Sewer Departmerrt shall be notified, !t shall be unlaa�fut to crnn any connecting line u�tif an inspection has been made and such connectian and the wvrk+nciderrt thereto has been approved by tfie Crly as a proper artd suitabie connection. Q02.06 REPAIRS AAtD MAtNTENANCE TO CONNECTIOiY After the initiai connection has been made to the water service cur6 stop box or#he se�vver(ead at tf�e preperty Iine or a water service;ead has besn extended to the�roperty 9ine for cannectPort,the applicarrk,awner,4r occuparit ar user of such premises shall 6e liable for aii repairs required to any water tine and se�ver lines necessary for cortnection of the premises from fihe main ta the premises. Ff the property owner requests+�nairrtena�ce service or repairs be perFormed by the Crty,the property owner shall be charged for the msts af the mairitertance andJo repairs,inciuding necessary street repairs at a rate set annua(ty by an adminisfirative�olicy. 9t shatl he the responsibility of the applicarit, owner,occupant or user to perform standard mairrtenance of tiie sewer service line from the premises to fihe main including slebris c(earirtg or root e:utting and to maintain the water;ervice curls stap 6ox for aperahitity and at such height as will ensure that it remains ebove the finished grade of the(and or praperky. (Ref 638,9.L55,1191) Request Number: 11697 Public Works Division Service Request Problem Address: 617 Hugo St Requested By: Laura Summerfield Dep$rtment: WATER Address: No address provided Problem/Issue: T[JRN WATER ON/OFF Phone Number: 763-772-4499 Scheduled Date: 2016-07-10 Scheduled Time: ACTION NEEDED:Emergency water shut off. Created by: Wendy Hiatt Date Created: 2016-07-11 ACTION TAI�N: ..........................�_�.:�Q�.........._....__...Q�-F................._��.��............._..��.......__......._S�o.�d�._�..��-..._.,�........................'Q�.`:,,�,..�_s'....._. w�.�\ - \ �c��.�f................................._e.o.� ................................................................................................. ............. .._._.............. ....M............................................................:.................�_...._......._.........._.....__.__........................................................_........_......_.......... .......................................................................................................................................................................�..............................................................__._............_........................................................................�.............��..............................................�..��... �....................................................................................................................................._.........................................................................................................�..............�....................................................._....._.___............�....�........................................._....... ............................................................................................................................................................................................................................................................................................................................................................................«.................................... .....................................................................................................................................................................................................................................................................................�.......................................................................................................................... Status• In Progress Submitter Has Been � � Contacted Date Completed: Completed by: j�� \O Zd\(A � o��y �v��,� ��5�'`� Request N r: 11668 Public Works Division Service Request Problem Address: 617 Hugo St Requested By: Steve-Plumber Department: WATER Address: No address provided Problem/Issue: TURN WATER ON/OFF Phone Number: 763-464-2111 Scheduled Date: 2016-07-01 Scheduled Time: 12:45:00 ACTION NEEDED:Turn water off far repair. Created by: Wendy Hiatt Date Created: 2016-07-01 ACTION TAI�N: ��/P�- c�-� �!� 1 �• �� d<� c� � � ............................................................................................................_................................_....................................._..__....................................................._.................._.......................................__......................._.........___._._.__..............__....._.__..... ...........................r...�........._�...........................�.�..._�...c�......................................................................._..............................................................._..............__..........._................................_..................._................._.._._..................._..._...._._.._.... ............................................................................................................................................................................................................................................................................................................................_.._........._.._....._._...........�____....._............ ............................................................................................................................................................................................................................................_....._............................................_......_........................_.__.__..._..._.__.................._._..___.__........ ..................................................................................................................................................................................................................................................._..........................................._...............................___._....._.__._._................._...._..__._._.......... ..................................................................................................................................................._......................_.........................................................................._..............................._........_.._..........................__._......._...___........._........____....._............. Status: In Progress Submitter Has Been �., Cont$cted Date Completed: Completed by: � -�-06 �