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Meter Swap • Request Number: 12546 Pnbtic works Division Service Request Problem Addreaa: 7401 Melody Dr Requested By: Joel Tra�up Dep�rtm�at: WATER Addreass �401 Melody Dr Fridlcy,MN 55432 Problem/Iaane: INSTALL AMR METER Phone Number: 763-786-1256 Sc�ednledD�: 2016-1 -28 ScheduledTlme: 01:30:00 &� �3C� ACIION NEEDED:Inetall AMR � ��r . ;.� Created by: Beth Kondrick Date Cre�ed: 2016-12-22 � ACIION TAi�:1�I: �S�:t,t le� �t. '�... � ^_�: Status: In Progcess �bmitter H�Bee� �., � Co�ted DAte Completed: i 2 �' � � -�' (� Completed by: Ho�ra M , City of Fridley �(�, ��t�� � Water Department �'� 6431 University:Avenue NE � al,����� ���l Fridley,MN 55432 � � 763-572-3566 �/We 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 the main to the premise and all irnerior plumbing. (Per City code 402.06) 1 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,walis,floors or the curb stop boz and service line. In understand I am also required to obtain a permit prior to any work,if necessary. FINAL METER READING(old meter) � U J � v� v Name: �C'e� 1 ���yt� Address ��� I 1'`� 1,(I��/ �Y, Phone Number �� ���� � I� t[� Date L�+ � C� ��� �gnature Witness Signature �- OLD METER# �C�� �� � �� OLD READING J � 5 v � � � NEW METER# —+� �� �� `� NEW READING � ERT# � ��� O J ( 1 , 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 wate�of sewer line connecting the existing municipal system and any house or building for which the application is made,the owner or corrtractor shall be required to obtain a permit for such connection,and shail pay a permit fee as provided in Chapter li of this Code. After wch connection has been made,the Water and Sewer Department shall be notif'�d. It shall be unla�aful to cover any connecting line until 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. 402.06 REPAIRS AND MAINTENANCE TO CONNECTION After the initial connection has been made to the water service curb stop box or the sewer lead at N�e property line or a water serWce lead has been extended to the property line for wnnection,the appiicarit,owner,or occupaM or user of such premises shall be liabte for alt repairs required to any water line and sewer lines necessary for connedion of the premises from the main to the premises. If the property owner requests mairitenance service or repairs be pe�formed by the City,the property owner shall be charged for the costs o�f the mairrtenance and/or repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applipM, owner,occupa�or user to perForm standard mairrtenance of the sewer senrice line from the premises to the main including debris cfearing or root cutting and to main#ain the water service curb stop box for operability and at such height as will enwre that it remains above the�nished grade of the land or property. (Ref 638,1156,1191� Req uest N u m ber: 6126 Public Works Division Service Request Problem Address: 7401 Melody Dr Requested By: Police Department: WATER Address: No address provided Problemllssue: WATER MAIN BREAK(WATER) Phone Number: Scheduled Date: Scheduled Time: ACTION NEEDED: Water main break Created by: Wendy Hiatt Date Created: 2013-05-08 ACTION TAKEN: ��. .1..�:�............................_�-:�.'......................�.6�-�...........n......................�.1......�-:._:�.`�.................._o_�.�'_. _. _. _�c f_ ........................ . .... .... . . .... ... .... .... ............... . �' , .._�.�t�°............._,¢"-�..................._�.....__.....��..�...............o...�..........................:.........._�:.�:....................._1....._��U...................................._.. .................................................._.... .....................................................:............................................................................................................................................................_.....................................................................................................................................___......................_._._._................_ _.....................................................................................................................................................:...........................................................................................:......................................._......._.._............................._........._......................_..............._.........,................. ..........................................................................................................................................................................................................................................................................._......_.......:........_........................_._....___..__.........................._........................_..............._ _.......................:................:................................ ........................................................................................................_........................................................................................................................._....._....................................:.............................._....................._ Status: In Progress Resident Contacted ❑ � Date Completed: Completed by: s= �' �3