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Meter Swap ' � ,' Request Number: 15255 Public Works Division Service Request Problem Address: 7565 McKinley St Requested By: Larry Galdonik Department: WATER Address: No address provided Problem/Issue: INSTALL AMR METER Phone Number: 763-786-1402 Scheduled Date• 2017-OS-12 Scheduled Time: 10:30:00 -�° -� ��,� ACTION NEEDED: Created by: Wendy Hiatt Date Created: 2017-OS-10 ACTION TAKEN: .............`:�..�.���\.........................�.�..'..'.�..._!�......................................................................................................_.................................................................................................................................. .................................................................................................................................................................................................................................................................................................................................................................................................................. ............................................................................................................................................................................................................................................................................................................................................................................................................ ................................................................................................................................................................................................................................................................................................................................................................................................. ................................................................................................................................................................................................................................................................................................................................................................................................ ................................................................................................................................................................................................................................................................................................................................................................................................................. Status• In Progress Submitter Has Been r ' Contacted Date Completed: Completed by: � � �. �" l�� � � � City of Fridley Water Department S/S3yl�`�r�' 6431 UniversityAvenue NE 3j�— Fridley, MN 55432 /� 763-572-3566 �� ���y ��We hereby authorize the City of Pridley and/or its employees to do what is necessary to replace the water meter. i understand that the property owner is liable for the water line trom the main to the premise and all interior plumbing. (Per City code 402.06) I also hold the City of Fridley and/its 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 1 am also required to obtain a permit prior to any work,if necessary. FINAL METER READING(old meter) � ` �� � + o Name: / _ Address � ��� 1- ��� ►1'C�y �� Phone Number � �� �'l�v (� Date � ��'" �� Signature Witness Signature OLD METER# �,� b� `'{,�i J � r , 2`j J� �y`� /k� � OLD READING � C� �����! �u�'D�e¢'c"Ir� 0'��"^�"`�' 2a�ti' C�'� NEW METER# `I C��"lQ � Z� J ��� S'�S-�� NEW READING � � �`-� ���� C / ay��,f ��e�t� - -((�' 0��1 ai'S�c�' ERT# � � � I � � � � ,_S'I�E II � N��r.u..0 _ ,�,�.����„odt��`` o,�.�� FRIDLEY CITY CODE (� ,���� � CHAPTER 402.WATER,STORM WATER AND SANITARY SE ER � � ADMINISTRAT{ON Gf�y��•�j,J��� (Ref Ord No 113,464,565,566,629,638,662,922,988, 1144, 1156,1191)`����. A02.5 PERMIT fEE ' ���-(/`''� ✓U"� �C.C'�i Prior to construding or repair of any water of sewer line connecting the existing municipal system and any house or building for which the j1 application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connedion has been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover any conneding line until an inspedion has been made and such connedion and the work incident thereto has been approved by the City as a proper and suitable connection. 402.06 REPAIRS AND MAINTENANCE TO CONNECTION After the initial connedio�has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shafl be liable for all repairs required to any water line and sewer lines 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 City,the property owner shall be charged for the costs of the maintenance and/or repairs,including necessary street repairs at a rate set annually by an administrative policy. It shal!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 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) � Hiat�, Wendy Subject: Larry Galdonik 1r 763-786-1402 AMR appt got letter in past Location: 7565 McKinley St Ne Start: Fri 5/12/2017 10:30 AM End: Fri 5/12/2017 11:00 AM Show Time As: Tentative Recurrence: (none) Meeting Status: Not yet responded Organizer: Hara, Sandra Required Attendees: Hiatt,Wendy 1