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Meter Swap � Request Number: 16150 Public works Division Service Request Problem Address: 538 Kimball St Requested By: Shelia Department: WATER Address: No address provided Problem/Issue: INSTALL AMR METER Phone Number: 763-786-8554 SchedWed Date: 2017-06-27 � hednled 1ime: 10:00:00 � �C� ��,_ ACITON NEEDED: Created by: Beth Kondrick Date Created: 2017-06-26 ACITON TAI�N: � ..................................................___.`�'t=5�-�(�P.Cr_........_....._��..�-_._.._�--.-.-._........... :.$� . Status: In Progress Submitter Has Beea r Contacted DAte Completed:�_��f� �� Completed by: ('a� r J \ . • Ci of Fridle ��O� � r ��' - _�' fil Y Water Departrnent �� -�{- 6431 University Avenue NE �T7 �� v Fridley,MN 55432 763-572-356& !/we hereby authorize the City of Fridley and/or its employees to do what is necessary to replace the water meter. i understand that the properly owner is liable for the water line from the main to the premise and all interior plumbing. (Per City code 402.06) I also hold the City of Fridiey andrts employees harmless for any damages that may occur 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 I am aiso required to obtain a permit prio�to eny work,if necessary. FINAL METER READING(otd meter) � J� " Name:__�r r� L�`� Address �� V 1�wl�G.v� �• Phone Number�� ^ �5� I Date � — � t `� � J �— X Signature _ • __ �1� Witness Signature � 'V OLD METER# �� / ��-� OLD READING � ` 1 � ✓�Q NEW METER# � I�� NEW READING a ERT# �" " _�� r �� I FRIDLEY CITY CODE CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER ADMINISTRATION (Ref Ord No 113,464,565,566,629,638,662,922,9$8,1144,1156,1191) � 402.5 PERMIT FEE Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or buiWing for which the application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permk fee as provided in Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notiffed. It shail be unlawfui to cover any connecting line urrtil an inspection has been made and wch wnnection and the work incident tfiereto 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 wrb stop box or the sewer lead at the property line or a water service Iead has been eutended to the property line for connection,the appiicant,owner,or occupant or user of such premises shall be liable for all repairs required to any water line and sewer lines necessary f�r connection of the premises from the main to the premises. tf the property owner requests meintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mairrtenance and/o� repairs,inciuding necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicarit, owner,occupant or user to perform standard mairrtenance of the sewer service line from the premises to the main including debris dearing 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) � _ � `�q o� Fridley Request Number: 18405 Public Works Division Service Request Problem Address: 538 Kimball St Requested By: John Olson Department: WATER Address: ,- Problem/Lssue: MALF[JNCTIONIlVG MET'ER Phone Number: 763-786-8554 Scheduled Date: � Scheduled T"une: ACTION NEEDED: Change stopped meter. Created By: Wendy Hiatt Date Created: 2018-06-18 ACTION TAKEN: � ��►��c� I�� Ot►� - ti� � �2 �� Status: - Submitter Contacted: false Date Completed: Completed By: Hours: � _ �� s � (��1 S7 c��F��e� iA/at�r Deparkment � f 643�. i�roiversityAversue N� �j'� ,S I��f7 Fridley,tiUfN 55432 � 7�3-��2-35s6 1/we fiereby authoriae t6e�ty of Fridley and/or its employees to do what is necessary to �eplace the water meter. I understand that the property ownee is liable for the water line from the snain to the premise and afi irrterior plumbing. (Per�ty code 402.06) t also hold the�ity of pridtey and/its e�nployees harmless for any damages that may occur while doing this operation. This to Bndude,�ut not limited to vatves,piping,walls,floors or the curb stop box and service line. In understand 1 am atso required to ob#ain a permit prior to any work,if necessary. N��4� �U? EIPiAL t4tETER READ111fG(old meter) �� a �� "��'"V �j..� �/4-� �'�' �,�-c,r�� ,`°°�°�- Name: Address Phone�lumber p�e � `° "d g , Signature ' �'�`" �°� Witness Signature OLD METER# " 1 �e� �� ,USIZE & � STl(E(Ci� r�cle�� OLD READING _�C� � �GX 6 5 L y 5J8" HEX �Gf��'�`�' � ��G'.'t � ,� —^� nc �–�n'`�UJk`t�.Qo�.k.,c/1� NfW MfTER# ��Iv�'� L��-`'� �� 1„ HfX �� _ `u,�y ��a��'"��'� NEW READING _ , „ �� .� i� ELIPTICAL or HEX ��-j,.i�.l . ERT# � � l.� � ��(.� � 2•• ELIPTfCAI or HEX FRIDLEY C1�Y CODE CHAPTER 402.WATER,STORM WATER AtVD SANITARY SEWER ADNIINISTRATION (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 arry water of sewer line connecting ihe existing municipal system and any house or building for which the application is made,the owner or corrtractor shall be r�quk�ed to obtain a permit for such connection,and shaN pay a permit fee as provided in Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shail be notif'ied. it shall be unlawfvl to cover __ _ _ —_____- any connecting line umai an�nspi (},� i and the uvork inciderrt#hereto has been ap�roved by the C�ty as a proper and suitabie connection. 402.06 REFAIRS API�MAINTEAIp � �'�� "�� ` After the initial connection has 6 ,�� 7 �"j �7 M f i(;,) - nx ar the sewer lead at the property line or a water senrice lead has been extended to the property li + �� ; ;� � cy E r��_ ;r r occupant or user of such premises shall be liable for all repairs required to any water line and sa �� premises from the main to the premises. if the property owner requests mairrtenance service or �'" �erty owner shail be charged far the costs of the mairrCertance and/or repairs,inciuding necessary strei � ��-;��3'21 � � nistrative potiry. It shalf be The responsibil'rty of the applipat, owner,occuparrt or user to perEc G.w„�� .t,�.;;� ;� vice line from the premises to the main including debris clearing ar root cutti�g and to mainfiain the� �� .� w �,� �C and at such height as will ensure that�t remains above'Che�nished grade of the land or property. (R