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Meter Swap Request Number: 17238 Public Works Division Service Request Problem Addreaa: 7169 Ri�erview Terr Reque:ted By: Departmeat: WATER Addreas: No ad�oss provided Probtem/Issne: WA'IER SERVICE LEAK P)ane Namber: � Schedaled Dnte: Sebedaled 11me: ACIION NEEDED:Water sernice leak.Gogher ticket#173111181 Created�+: Wendy Hiatt Date Cre�ad: 2017-11-08 ACIION TAI�N: �,�.��C�� . � � �� `� �� G �� __ � � ��,-�L�C�C��fl , ti 1�s`r��-� JU��J � ......_..._ ��...._�,� �� ,�M�.�,��. .� Status: In Frogress Snbmitter�Beee �., Cout�ted llnte Comptsted: Completed I �- � � �� b � � ' ��i��ir�e�9��u�� 3�.�l�aavr�e�-sa�d��r��a�9�@E F�'��,eW�6+� �543� ��—�al��^4I7-�- 7�3-S�Z-3��+� d�+�re iserel�aczt�arize the�ifiy of�ridiey and�'ar its�an�aloyzes to�o�re3at ss necessary r��s�ace the�watzr rraet�r, �a�rael�rst�ancl tiaa�the pe��ee-ts�o�arner as diable for xlae water�ine f^rarre fit�e�atain tra�he premise and a4!�rstseior �iwoaa6ingo {��c�ity�de 4��.d86� 4 a�s�#�old�9ae��t�y.��e�dldey anrd,�it�ernpl�yees�aarenless f�r arey dar�ag�s�hat mary occur rvhi4e do�ng� ��eration. °9'4�sis t�inc:7crde,��at saot iiresitesd to valves,��pirtg,walts,f9oors ar�the curb stag�xox and seruice 9ine, dn undee�stand d arn also aec ��o�tain a versnit�araor to acay w�orEc,if necessary. �NAL�ttE7'�ER�iE�It�iG{o(d a�c�ter� �1larne• Asldr�ss _ �� 1L l V�`'�v��W ��R --� 9�hone�tumber �� '-� � ? Sigrtaturc Wi'tste�Signature d -�� o� �� _. -� . ��.� �� n�� 3 �3 fn.�►...� '��) �� 5 lo�� _ _ � ��r� �r7 S C� 1 `7 � � ��. � � �� .t� ��-� �l � IF�� C��7 � � � � � F4i�Ot�l�6�YY�QDE . ��1��.��e�l'r��1��Jr��lQi�a°�� , >, ��,�� Oa�^��fo�.13,4�€,5�5,566,529,538,56�,9�2,988, 11#4,9.�.5�,9,19�.� � 4�2.5 AERMIT�EE � �rsor to constructing or repair crF any water of s�wer line canr�ecting the existing muniapal system and ariy house Dr bui(ding�ar which the a�q�lication is made,t�e owiner ar cnrttractor shalt be required ta fltstairs a permit for svch connection,and shail pay a�ermit fee as pravieied �hapt�r a1 of this�ode. Af�ter such connection has been made;�he�later and Sewer Oepartmeat�ait be notifiecE. 1fi shait be uraiavy�ul to�c. an�connectirsg iine unti[an inspection has been made and such corsnecCios�and�i�se u+os�ic inciderrt�ereto has t�eert approbed by��City as`;` �ro�er and suitabie connectiort. �02.06 1tEPAtRS AaVD Ma1N"�^EWAiYCE T(9 CONiUEC9'tQR[ After t�e init�ai soae�ection�as been made to the water secvice asr�sto�a�ox or ttae sewer iead at the prvperty line or a arater service tead h: been extended to the pevvperty line for ionRection,the appiicarst,oarner,�r occuparrt�r user oE such premises shal{be liabfe for a(i repairs required to am,wa�ter line and sewer(ines necessary For connection o�F the prerr►ises frorre tfae main Co i�te premises, tf the pro�erty owner requests maantenance service or repairs be�oerFermed�y the�ty,the properE:y owner shall be charged for the cosCs of the mairrtenance artd� repairs,including necessary street re�airs at a ra#e set annuaity by an administrative poiicy. tC shai!be the resportsibi6ty af the agplicarat, owner,occuparrt or user to perForm standard mairrt�naace af tkae sewer service line f�om the premises to the main indudang debris dearing a ��so��utting and fio rnaintain tt�e urater;ervic�curb sto�p�ox for opesaixitity and at such height as wiil ensuro Chat it remains above the finishe g�ade ot the fand Qr property. (Ref�38,1..i56,3.191� :� � _ 8 � � _ � s Request Number: 15331 Public works Division Service Request Problem Address: 7169 Ri�erview Terr Requested By: Tim Dean Departme�: WA'lER Addresa: No address provided Problem/Issue: INSTALL AMR METER Phone Number: 763-257-5697 Scheduled Date: 2017-OS-16 Schednle�Tlme: 07:OU:00 �U � AC'ITON NEEDED: Created by: Beth Kon�ick Date Created: 2017-OS-12 ACTION TAI+�N: l hS-�,�( ,�� ___..._. Status: In Progress Submitter H�s Been r Coutacted Dxte Compteted: Completed by: ��— I `T' lar— 7 � s�-��-3�6� 9/�v� her�by au�Cl�o�-ize�Pae�C' �uf��d1 reg�laca the�era�er�zaetec. 1�aaa�isrstancl E�a��he ro e � e+/ar�/ar ats zanAioyees ta aio wvhat as neces P P �'tty owne�9s�iahle fms�l�ae�rater 4in�from the snais�to�ae prernise and all eareerio �taa¢xalsieag- (�er�ij�oa9e 4�2.06) �also�a�1d�e�"rty rs��adle�and��ts em�l�,pees hae�mless for eny�Jamages�aa�t rraaay occur+�vlaiie�oii , aqaee�tiosa. �iais�a�nelude,bu$�ao�dFsaq�ted to�alves,�Ipen�walfs,fl�nors�s�ae eurb sto�box arad rvice line. In� derstand�am alsa ts�o€ataira a peaanit gar�o�r to a►ay rror�,if�aecessary. �� s a ��a��,�e�� 00� 3 � - � 1�5�� 1liame- ' 'c�'✓� �r/�,. 1 Address � �� !�—��'eX U�C� �U � Phone�fumber !�j /".�b/ / �afie �� l 'r � �� Wiir�ess Signature �� 3 ��l 0�l�7 ��►�«G l l �o�p ,��ER.� � g°[D� r �1 �� -� °� I �I �-1 ��y � _ �� CFlA�El�4U2.Vlf�,�tZ,S!'OlipV!i11rA,�'El��4tYD�ili'ARY SEN/ER ADN1�1 tS'6'Rfi,T90l�P ��Ye��d3B°iGl�Ry,2V�y�Wg V�9��y�V�y.7G+Gr 7�y 114�'F�117�7��1� . 4Q2.5 PERM9T FE£ Prior to constructing or sepair of ariy water of sewer iirae connecting the exis#ing�rruniapat systerr�and arn/house or(�uldirtg for whidt the u app ication is made,the owner or corrrra+ctor shalf be required t�obtain a permit tor such c�onedion,and sFrati pay a permi�t fee as proaid� Cha�rter 3.a of this Code. Ai�er suci�connection has been made,the Water and Sewer Departmerrt shali be re�otified. tt�at(be unfawful to ar�y coranecCing dine until an inspection has been anade andl such connec�iora and the woric inciderrt thereto has been approved by tfte City a proper and suitab{e conned5o�a. 402.D5 �{EPAlRS A�{D�tA{NTE41tA9�fCE TO COfW+iECTiQ911 After the tnitial cannection fras been made to#he water service a„�b stop box or the se�.��p��Re as a r�ater senrice�ad been extended to fihe property line for conraec�ian,i�e appiicarrt.o+�rner,4r accupant ar user af such premises sftali be itabte for ati re�zairs �equirec!�o arry water Cne and sewer lines necessary for connection aF the premises�'rom the main to the premises. ff fihe praperty ownes requests mairrtenance service ar repairs be perFormed try tfte C'rty,#ae�roperty aev»er shati 6e charged for the cos'ts af i�e ma�Rterrance an� repairs,inctudirag ne+cessary street repairs at a+�ate set annuaily{�an admin�s�a#i�e policy. it shatf be the sespons�7iiCri,yy af the app�c.arrt, owner,occupan#or user to perform standard maimenance of 1fie sewer service Cne from the premises to the main�aduding deb�dearing root cutting and to mairrtain the water servi+ce curb stQp 6ox for opera&ility and at sudt�eight as wifi ensure that it rer�aairts above 1�e finist grade of the land or prv{serLy_ �Re#638,1156,17L41) ��f � i�0�-5��s�� City of Fridley Water De�artment Address ��f� l �� l� Name � l/V1 z/G�A�iJ - Date � "f,�� Old Meter Number f ��r��/O� Old Meter Readin d �v Replacement No. :JcJ� ��7�� Replacement Reading � Replacement Make ��z Remarks: ��C,�(�1�J ��- Signed ".�:: ,;A �' � � M REQUEST FOR SERVICE REPORT CITY OF FRIDLEY f Reference Na Date: �._.� (— ( � � Request Typ�: Entered By: Department: Citizen Name: --�'� Address: � i �( I�,`J��U t��.3 �� Phone Number: �� _ a j '7 Scheduled Date: �� Property Owner: Location Details: Request Detaits: Action Taken: �C�L- ��' �"�Z- ��,..�-� S�-�� C..i= 1-...�P� l` � � � 2��-� �� ,►/�- i� �-'( 5�� Z_' Responsibi_e Person: Approver: � Completion Date: }� �l— (� Citizen Notified: � � � , � -