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Meter Swap � , Request Number: 16716 Public Works Division Service Request Problem Address: 7385 University Ave Requested By: Brian Manning Department: WATER Address: No address provided Problem/Issue: INSTALL�R METER Phone Number: 763-245-1108 � �°� Scheduled Date: �, '�17-08-29 Scheduled TSme: 11:00:00 , . ACIION NEEDED: Created by: Beth Kondrick Date Created: 2017-08-15 � ACTION TAI�N: . �� - Status: In Progress Submitter Hac Been C • Contacted Date Compieted: ��1�`f� Completed by: �� Qll �� t # « ; t� . 'Cb�'"�i��P'9��"� ( � ��iC��D�z�+�a�d9�� G,f ...�'�'�5�'��" ��3��J��so�j�A�r��ae�� . �`t6+! 5�3� C,11� L�� 753-5��-3�� v-ri ��'�nre her2in/aea�fsorize the�ifiy af�id�ey and,�or its�aa�ic�ees to dc��vhafi�s�aecessary a��ace t�+e,�water meter, ��rad�rstar�sl�laag the�ropes;.yy tawnea�as�iaiale for the arater line frorn tl'�e mairt ta�Fee�r�ra�tise and ail�r�terior �luraakainge {Per�'�ty cr�s#e�2.�6� !aiso�soid tiae�'�t�y n��d9e�asarl,�its empi�sy�es�aarmtess f�r arry�laea�ages tleat may o�ar while doing� ��ea�ion. �'his to 3n�9ude,:bu�t saot�im'rte�!to valves,�s9{oissg,�rr�1ls,f�vors nr ttse aar3s stap�xox sr�c3 service 3ine. �n undeastand�arse also a�c ��Qibtain a�ea�eait�Sraor ta�rsy w��fc,i€�necessary. �N,�9�tE'�'E9�RF�Ii76RlG(oitd meter� � "" �� ``� ti �p �3 g 5 ,�� tame• r)� 1"4G�I�1'_�� Address PF�one�fumbe lY �� `�V�Dat� ^��"�'� �Signatvre �— � 1Nitness Signature �� W � � 4� � ��-��# �L`� 3� ��a�i �� b �� a 3 So� F�[DL�'Y�9�'f�O ��9A��O�e��E�,�£�t$31�!��'� ��V49�Itl5�"�3d�T# ��4"?��.��9 Q��Z��J��S��5��9�8��v�83�m� 4��.� 3��3ZtUti��E � �r�ar t��onstr�,ccting or r�e�air�f an�yvater of;e�n►er�line conrte�t9rrg�l�e existing a�a�iicatiort is�r►ade,t�e vvuner ar cor�tractor shatt�e required tc�a{�fiaira a permi� ed Chap$�r 13 of this�Cade. Aftar such connection�as�aeers made,ti�e L�tater and�ewer�epartmerrt�hai!&�e notified. tt shall be�aaiavuful tco cc an�coranecting line urrtdf�n ins�ection has beera made and�uch car�reection and the�,vor!c incidera�thereto has beer�a�proved 1�y the City as; �aro�er and suitable coerraection. 40Z.06 �tEPAtRS AaVp MI#i6V'R'E4VANCE'��iDiVNEC1'tO1V �,fter t�e init�a�sorrnectiora�as been made fio the water serv9ce wrla sto�s aox ar t[ae sewer lead at the�roperiy line or a urater senrice lead hs Paeee�esrtended�o the propes�fiy line fror connectiort,the appticarrt,vwner,or occu�aarrt vs user uF such premises shatt 6e liabte fo+�aft repairs required to any water line ar�d sewer(ines necessar�fnr connection of the�remises from the main ta the pr�mises. (f the pro�erty owner requesks nna6rnenance service or repairs be performed by the C�ty,the property owner shalt be charged for the cosis af the mairrtenance arsd� re�aRe's,includ+ng necessary street repairs at a rate set annuaity�y an admirtistrative policy. It sfraif$e the r2spansifsility aF the applicaiat, owner,occuparnt or user to perform seandarci rr�airrt�nance of the sewer service line from the nremises to the main includeng debris ciearing o �-�xpt�'�ting aa�d t�maintain the yvaCer serrice curb sto�box f�r ogaera6ility and at such heigkt as wili ensure that it remains above fihe finishe grade of the tand c�r proper�ty_ (R�f 538,3156,i191) � 73�? � Request Number: 12819 Public works Division Service Request Problem Address: 7387 University A� Requested By: Ms Fdwards Department: WA1ER Address: No ad�ess provided Prol�emllasue: INSTALL AMR METER Phone Number: '763-788-0806 SchedW ed Dnte: 2017-01-19 Schedulod 1lme: 10:00:00 � "C� AC"IION NEEDED: Crerted 1ry" Wendy Hiatt Da�te Creatcd: 2017-01-I 1 ACTION TAI�N: °; "-��'S��1'�� ' � �.�,�f s .� '�� ' �;�. � Statua: In Progress S��er Has Been �.. Coutacted Date Co�letcd: 1-� ��-� �� Completed by: ��.1� City of Fridley .�� r Water Department �j I �� 6431 University Avenue PIE � Fridley,MN 55432 �y � 763-572-3566 S� i/we hereby authorize the City of Fridley and(or its employees to do what is�ecessary 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 interior plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may oaur while doing this operation. This to include,but not limited to valves,piping,walis,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) �`�(�. f � �`� Name: �� `"" G� Address ` � � / ��(l��(� ��. Phone Number ��—�v� ��""� Date � ` l r � ` •.►- Signature Witness Signature OLD METER#� CG�� 3 �_ OLD READING_ � �� 7 r�(� NEW METER# �� ' �" � �� NEW READING v ERT# � � � � � ` �I FRIDLEY CITY CODE CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER ADMINISTRATION (Ref Osd 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 conneding the existing municipal system and any house or building for which the 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 connection has been made,the Water and Sewer Department shait be not�ed. It shal!be untawfu!to cover any connecting line until an inspection has been made and such connection and the work inadent 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 wa#er service lead has been extended to the property fine 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. If the property owner requests maintenance service or repairs be performed by the City,the property owner shall be charged fo�the costs of the maintenance and/or reqairs,including necessary street repairs at a rate set annually by an administrative policy. It sha{1 be tfie responsibil'�ty of the appliqr�t, owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris ciearing or root cutting a�d to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished grede of the land or property. (Ref 638,1156,1191)