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Meter Swap � �� - � Request Number: 12810 � , Public works Division Service Request Problem Address: 7405 Melody Dr Requested By: John Roct�e Dcp�rtt�ent: WATER Address: No sddress provided Problem/Ias�: INSTAL,L AMR ME7ER Phone Number: 612-236-S8S9 Scheduled Date: 2017-0 13 Sehedeled 1lme: 07:OO:OU ` 3� �r ,, AC'IION NEEDED: z z Created by: Weidy Hia�t Date Cr�ated: 2017-01-10 ACTION TAKEN: . �----- ,�+ �� ____..._._...._____.._.__..___...._ __. _.__..�.___....__...._�� _ � � � ��.__�__.._ ._.__._.____.._...._..:...._._........__ . __._ _._._ __ :..� _._._ __..._..........._.___._......_.._ _._._�..___._........._...__.._._.__._.____ .,.� . . . - . ":.;"^.s . . . . _......_........._...�:�.,�..,;k... ....................._......�.................._._......................u...�.........................._......_.................,_ .. . . .� . - . . ��*� . . StaEt�Rt In P�ress Snbmitter Has Bees � Cont�ted � Drts�o��- �+-- (3-- ( Completed by: f V�� ;�,� __�� .� � �y �,� `Fcj S'�� 4� `'S,� . � � 4 f � v �� k � �_ �:� �, f� �e�:� Ff , ' � '"a�� "` '� , ,� � � �,��' � � ��.� �� :- . .._. . � '�:.�. City of Fridley � o � � � � � Water Department � , 6431 University Avenue NE ,� �+ ' Fridley, MN 55432 � �� -��y� v� 763-572-3566 1/we hereby authorize the City of Fridley and/or its employees to do what is necessary to rep{ace the water meter. 1 understand that the property owner is iiable for the water line from the main to the premise and all interior plumbi�g. (Per City code 402.06) I also hold the City of Fridley andJits employees harmless for any damages that may oaur 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 also required to obtain a permit prior to any work,if necessary. FINAL METER READING(old meter) � � �`�O O Name• �0�'�✓1 ��—�� Address �� • �`" � �r• Phone Number 2 � '— �� D e � �� I� Signature Witness Signature �' OLD METER# �� V " � �� OLD READING � � `�' ` ��" NEW METER# �� v I � J � � NEW READING v ERT# c� ��`� �a35 FRIDLEY CITY CODE CHAPTER 402.WATER,STORM WATER AND SANiTARY SEWER ADMINISTRATION (Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191) 402.5 PERMIT FEE Prior to constructing or repair of any water of sewer line connecting the existing municipal system and any house or building for which the applicatian is made,the owner or corrtractor shall be required to obtain a permit for such connection,and shail pay a permtt fee as provided in Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerit shali be�otifted. It shall be unlawful to cover any connecting line untii an inspection has been made and such connection and the work incident thereto has been approved by the City as a proper and suitable connection. 40Z.06 REPAIRS AND MAINTENANCE TO CONNECTION After the initial connection 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 shall 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. ff the property a�rner requests maintenance service or repairs be performed by the City,the property owner shail be charged for the costs of the maintenance and/or repairs,including necessary street repairs at a rate set annuatly by an administrative policy. It shaii be the respons�ility of the applicant, owner,occupant or user to perForm standard maintenance of the sewer service line from the premises to the main including deb�is 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) _- ;"W �n - - z � .i ,�z rt l, �� ,a r � �r :�5-+j,x t '' r` ��,, � x � +� u Cfty a� Fridley mater Department Address ��$� fj�„�� Name G'i!��'S/� ✓�'h21,�h Date ,—� %O Q' Old Meter Number_ � � g ��,�,`��"' O1d Meter Reading�� j� � Repla�ement Nv.__ �� e°, ��_ Replacement Reading c� Replacement Make �a��,,.�-�� - � Remarks:_� �_��,p �.—,, r- S igned ..�''�"` << UT300I01 CITY OF FRIDLEY CXLIB 1/22/08 Customer/Location Consumption History Inquiry 09: 51 : 05 Customer ID: 73995 Name: REFSHAW, DALE � Location ID: 516450 Addr: 7405 MELODY DR NE Cycle/Route: 03 12 Amount due: $ . 00 Initiation date : 5/04/84 Pending . $ . 00 Termination date: 0/00/00 Customer status: A Customer/Location status: A Type options, press Enter. 1=Select 5 View detail 6=Display comment codes Service Reading Actual Actual Meter Est Cmnt Opt Code Type Date Consumption Demand Days Number CD CD wA REG 10/31/07 42 . 00 . 00 92 17874235 E WA REG 7/31/07 48 . 00 . 00 92 17874235 E � WA REG 4/30/07 11. 00 . 00 89 17874235 E WA REG 1/31/07 10 . 00 . 00 92 17874235 � E NC WA REG 10/31/06 42 . 00 . 00 92 17874235 . E NC WA REG 7/31/06 48 . 00 . 00 92 17874235 ��q �, — WA REG 4/30/06 11. 00 . 00 89 17874235 — WA REG 1/31/06 10. 00 . 00 92 17874235 + F3=Exit F5=Print history F6 Meter inventory F7 Meter svc info F8=Pending/history trans F9=Budget trans F24 More keys � �� -.� . �� -� ' 5�� a.. S�v � .,o;�.�.�.� �e �� 3 �.�,.��.t.�-,�/'�. ��',�c�L 1�� jv � `l�.e,�� ,�� t�a.,� �:�p,�,. ��2 n,�.�o�,, `�vr �n� �e �`-�vc- � � `�r�.P.t.- �.,�� l�� ,�` 6 � `T 3� • t `��✓�.Q��:�,p� �-e �,� � �-�-... d�` /� ll 0 2 .�� " �,; C-��„`d'.w � �1�� G�z .�e� ` U = c � 3 .[-�"-.+'�i� r m�. - �,� , '>�� ' �� ,�.u.�-� ��. � .:_ Y W n � �p .,,� �r�-�.��'z,�-�� . �h�� ` �U �3�-S � C�� j 5� �- �-�� 1-� ��-�` - �c,'-f .�� . 5.��',�.d�`�a,/ : :�;, ._. `�'4..P 1�-3 l�e �� G� 2� �� 'i� ��' � . . u r�z � �-- _ � - 1 D! -��. ,Q �1�� ,��,� �'^�-'6r'�"