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Meter Swap , � Request Number: 12410 Public Works Division Service Request , - _ ____�____�_^ _ _ � > Problem Address: 7300 Van Buren St Requested By: Y Yu�Lee � DepArtmeat: WA'IER Addresa: T300 Van Buren St Fridlcy,MN 55432 ProMemlIssue: INSTALL AMR ME1ER Phone Number: �63-780-8324 Scheduled te: 2016-12-31 Scheduled 1lme: 08:00:00 3 � sr C�,(� AC'ITON NEEDED:Install AMR :��-. Cres�+ed by: Beth Kondrick Dnte Crerted: 2016-12-Q9 � � ACTIUN TAKEN: ; : ,�; _ �� , I j� � 4 ��.1� ._. _._._.__._. .__.____._.---��......_....._.._............. , � , ��-� � ----_____._._.......____.____..__..._.w._.__.___..�._._.�.:. _ 5lutus: In Progress S�I�iher AAs Been r Cont�ted Dxte Completed: `� �,—� j '� ��j Completed by: G��,,,,�_ .�,:y ',�, ,,�,:- City of Fridley Water Department ��(,�� „ 6431 University Avenue NE �� , Fridley,MN 55432 763-572-3566 �6 � �� 1 �/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 iMerior plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may otcur 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,ff necessary. FINAL METER READING(old meter) � .J� � ` � Name: �1 I l`!�7 .�Z e-� Address �✓�U v('t� '�jtti✓�il/l. �j�"' � Phone Number ,`'�� _��V 1 Date '� � J t � � � ,s'' ' /J �----- �Signat�...�� _` 'G� 1Afitness Signature •� _ OLD METER# ��C7 � � �� OLD READING �� J�� NEW METER# � / �� I � NEW READING � E�# C� �� n� I �1 FRIDLEY CITY CODE CHAPTER 4U2.WATER,STORM WATER AND SANil'ARY SEWER ADMINISTRATION (Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191) 402.5 PERMIT FEE Priorto construding or repair of arry water ofi sewer{ine connecting the existing municipat system and arry house or be�ilding fo�which the. application is made,the owner or corrtractor shall be required to obtain a permit for such connection,and shall pay a permR fee as provided in Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. tt shall be unlawful to cover any connecting line ur�tii an inspection has been made and such connection and the work incidertt thereto has been approved by the City as a � proper and suitable connection. :��w� �;>� �`� 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 the property line or a water senrice lead fias been extended to the property line for connection,the applicarit,owner,or accuparit or user of wch prem�s shall be liable for all repairs required to any water line asx!sewer lines necessary for connection of the premises from the main to the premises. If the property owner requests mair�tenance service o�repairs be performed by the City,the property owner shall be charged for the wsts of the mai�tenance and/or repairs,including necessary street repairs at a rate set annuaily by an administrative poliry. k shall 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 deartng or root cutting and to maiMain the water service curb stop box for operability and at such height as will ensure that it remains above the fTnished grade of the land or property. (Ref 638,1156,1191) R�quest for �rv�ce R�p�rt City of Fridl�y F�#e�nee�a: �-12-��'.:� t}ate: 3t'19�'20i12 Request T�rpe� Se�6ack�dreck Gt�t rwain Er��d�: Wen+dy�att Dep�km+ent: S�ewer Gtiaen N�ne: Yng Le�e Ad�ess� T3'�VAN BUF�EN ST NE C�a�cl€Phone: 763-7S�Q-8324 "Selred��l�d Date= Pr�perty�3wner: i�c�i�n C�ta�s: Request f3etails: Ba��_ Ctreck�Main Actia�T�: � C� ' � �. � l� _ � - �3 � � �- � � ��, � E � � � � � � � � � � � � � ; � � � � _ � ��P�: Prpprov�: i Co►�I�ticx3 D�e: Qizen Fia�fied 3._ -� ��_ � � �t�q�t f+�r '�� R� �ity a►f Frici�:y �i+lc�: �-12-��43�a �: 3��12 T�e: Se�6adc-�p c�e+�c��► E�y: �1��i �� ewa� C.it�z�� Y�Le� 14d�: ��'�!3 YAM BUREl�1 ST N� . 7�3-�324 S�#r�u�d D�e: �Op�jr(3w�r_ - c�rr �- R�Eaet�s= B�r�c�p_ C�redc[�Main P��ai�_ G�jr " �2: 1 � � I � � . �. _�_.. ��_ _ , �� . ______�_ � 3�� : � �._.__�.__-------.__ ___.. .._.____...._ ____.----------- � �= I�� i . -. a.N��@yC 0_UJ IV�4 i C . ........_m. ..................._.�—......... ....._..._...... ......... �