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Meter Swap . Request Number: 15540 Public works Division Service Request . _ _ _ _ Problem Address: 236 Liberty St Requested By: Bethany Department: WATER Address: No address provided Problem/Issue: INSTALL AMR METER Phone Number: 763-786-8082(mom) Scheduled Dat • _.-�-2017-OS-26 Scheduled Time: 10:30:00 � � � C�' �c� ACTION NEEDED: Created by: Wendy Hiatt Date Created: 2017-OS-24 ACTION TAI�N: ^ �� L �5 �I� �\G ............................_......................_.._....._._...................................................................................................................._......_.................._...____..._......_._................................_..._____..................._................___..................................................... .............................................................................................................................................................................._.._.__.�........__........_.._..._...._............................................._...................................................................._.........................._........__..........._. ..........................................................................................................................................._.__......._...................................._............................._...................._................................................................................................._..._..............................................._. ..............................................................................................___._.....................................................................................................................___.........._..............................................................._..............................._._.....�..........._.........._......................._ .......................................____......................................,....,.................................................................................................._...._.........................................................................._._..._......................................,............................_............................................. ..........................................................................................................................................................................................................._.._..............................................................................................................................................................................._.......... 5tatus: In Progress Submitter Has Been r. Contacted Date Completed: Cam leted by: � �� S= ��, � i� � , City of Eridley �` U ^ �r � �� v � Water Department ��;� (,�(,�� 6431 llniversity Avenue NE Fridley,MN 55432 763-572-3566 �jWe hereby authorize the City of Fridley and/or its employees to do what is necessary to replace the water meter. 1 understand that the property owner is liable for the water line from#he main to the premise and al{irrter6or piumbing. (Per�Lity code 402.06j 1 aiso hoid che City of Fridley and0its empioyees harmless tor any damages that may occur while doing this operation. This to include,6ut not limited to vafves,piping,wafls,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. FBNAL METER READ{NG(oid meter) `-�� Name• It �'�..� �Y 1,,�.( Address_ �� 7� �� Phone lVumher �V ��`�T��pate cJ" �'� (� x Signature Witness Signature �_.►.--.. Ol.D METER# ��v � ` �� OLD READING lJ �� `T �� NEW M€TER# �� NEW READtNC;� E�-r� �? 2 3� �` ( 'L} FRIDLEY CITY COQE CHAPTER 402.WA�ER,STC�RM WATER AND SANfTARY SEWER ADMINlSTRATION (f�ef Ord No 113,464,565,566,629,638,562,922,985, 1144, 1156,1191) 402.5 PERMIT FEE Prior to�onstructing or repair of any water of sewer line connecting the existing municipal system and any house or building for which the appiication is made,the owner or contractor shall be required to obtain a germit for such connection,and sfiall pay a permit fee as provided in Chapter 11 of this Code. After such connecCion has been made,the Water and Sewer Department shai[be notified. It shall be untawful to cover any connecting line unti{an inspection has been made and such connection and the work incident thereto has been approved by 9the City as a proper and suitable connection. 402.06 REPAfRS AiVD MAINTENANCE TO CONNECTIOIV After the initiai connection has been made to the water service curb stup bvx or tfie sewer tead at the praperty line or a water service lead has been extended to the property line fvr sonnection,the applicant,owner,Qr occupant or user of such premises shall be liable for all repairs required to any water line and sewer lines necessary#or connection of the premises from the main to the premises. If the property owner requests maintenance service or repairs be performed by the City,the property owner shafl be charged for the costs of the maintenance and/or repairs.including necessary street repairs at a rate set annually by an administretive poficy. it shall be the responsibility of the applicant, owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing o� root cutting and to maintain the rnrater service curb stop box for operabitity and at such height as will ensure that it remains above the fiinished grade af the land or property. (Ref 638,1156,1191j . F �4 a. Y�` b Jl�e drrti+'��.{Efi �s�:p� x s, a . � �' s , c . '��, �: 6-�'4r� � �. � ' +4 h r . .,�' � '�� #Y �: �i� � � �- �� a=.-� . - y�l ��P-"l�� . � . � � � � . . .. � City o� Fridley Water Department Address_,,,.�., r �l�l'"�y �? Name f F�1 ��",� Date �"�' �� Old Meter Number �� Old Meter Reading � Replacement No. �� Replacement Reading � Replacement Make��- Remarks• �� E��' Signed � �� e#�res�cs �!a _6n�-t1�-Q503 ��3�E;�� )� ��'�S`�� c�3t'�3� . . . �� $ ��£��'j/ Servic� R2�vested install meter, turn. water on pa�� 8/12/08 3:30 P2S i irr3e . De�artment . . Public Works Division Water LQcatian of Servsc� r�esd 236 Liberty St I�lE Qwner or Agent ar Properiy Paul Brow� 612-290-2104 . Phone: (N) Name o�P C�ii�e� `��l c� Phone: (Hj , Addtess �� 17etaJls o�Reau�st �o'��closed property ha.s been sold & thep need the water �eter installed � t�e water turn.ed on @ the street. Appointment set for Thursday, Angust l�i, 2008 @ 8:30 AM. Hamec�wner sai.d that the meter is sitting on the floor. Pl.ease get a rea.din.g also. i ' R�uest Taken By: Jesna '��}" Y Y 1 4 ; ' X +n J"\} bF^lXv £N t�'43iYMYNv -0tJJ- 'YY A AYY De�artme�t _��.�C�4�� . Person res�onsible for request � 1'�-. l�" . Ti�le . Action taken (inciude da#e &cr�mmunication wi� citizen) ��-L.�.,�� E��'� ., � ��`�"'t,�s�Z�.�J � f�-`��._� i'��.�� ' ~-- ��r' �n�z'�`��S C�� t,�-t- �;.�.5� �i��.; �t� ��,�-� � , � �,�� . �.� ��3�,�,� �, � �� 1.��.s--� �� - a� ��- . � 59 �� . . - �� -��- .�-��. � � ��_ 3�p�O`1 . --�s. ��— ,�`�' � � Da�e C1e�'er� ��b-t' �� . . .� , � Eitize� nQti�fie� Yes N o � . - . , �nature of pers�n cisaring`request - � F��q�t f+�r�erv� R�p�f �ity c�f Fnidie� ��Ca_ 6ti1-�3-5�Ci3 �� 1/�0/�[��3 �Tgpe= T��afffaer 8�r �ert� Wa� fi�r l�e� ��r A�: �i ST� aCaba�dc � �f2-� ich�d�f i7�e� 1l15/�13��10 J�1 �192 S �r O�a� ,�/I(s�►3 &7 ts�aa�s U�: ��.€/ � P TM' � � Fietpra�[Idais� T�an�ad. � �dant�r�wa�Eaerg a�at sE�but �r�r an°� �. _ , ��. l��r�nt��a�]� Tu�.�r�+�f��an _'�13" � Aie�Tak�e� �,t,�i. �'- �-S o � a� �- C� r b S �o�J r S �,� 1 �,� p ;� �.j �� s�-- �� c�� b 5.�� 5 61�'�� O he O� � � o; ✓1�- �n� �,,��/�q TI�e � s`�!� I•� Ocl `� �� ✓ t WL �� V�� r �%�� r -1 � '�r- -�kd1n9 � l � ev r� S�'o� % '� �r,��'�� 2��1��r i ; �__ _____ _._ ._ .._ . � , 1 -16 - 1�3 �__�_.�e�� ___��__m (� �