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Meter Swap .,; . _....._.. __ _ �:--.��-., .. � Q�.'a�- __ P _ �,.,,�� a/ _ .. _`f�1��1 �" ,.. �� °o re" City of Fr dley �� ' ,, , Water De tment . , Address /)� / ��'L '� _ . .. Name ��Js.�-�'�� __ �, Date �'l T�� ' Old Meter Number „��_,:� ; � ' �ro __ Old Meter Reading Replacement No. �63��"' `" Replacement Reading '� 0 � : : � Replacement Make _ V�Y��- . . � Remarks: e��0 0�A � Signed �Go�� ' ; � __ - -__ _ ' ___-__-'� --•..._ __. '� G��=��-- j f�;��' ��i'S�� INSTALLATION AUT011QATIC METER READER �� .� Address ��`� ��" l.-�� Name �� Cy(S� Date � � `�� I� Old Meter Number �� Old Meter Readi � Replacement No. �h� �� v7�_ Replacement Reading � Replacement Make . ERT# _>�I �� Replacement ERT# Remarks: -��Signed� R�qu�f�r�r� FF��p+ar� . �i�►a�f Frid�,t � �: �t-�2��s �: ��r�r�za�2 �� . w� �� tso� �: ��a�a�uu�[�w c�r�: ��o-�� a�: �� [k#a�_ I:3 oP r,r. �Uelrals: � ��'l� T . �i� lU�e�r## �,,�1.�� C�c� - C�I+d r�ding, (� `t�►a� �p�� 3��nr ��r# �E�S �e�w �eadir��- � � E�T#� �� ._.._-- - �.___ __ _______-_____ ___.__ f �.__...._____..__.___��_..__ _..._____�,..___�_ ____._.�____,__._v_____...�.� . v � �r . �� . .._ ��r�__�__ r�..___ � � City of Fridley Water Department 6431 University Avenue NE Fridiey,MN 55432 (763)572-3566 ��W� hereby authorize the City af Fridfey andJar its " empfayees to do what is necessary torepiace the water meter. 1 understand that the property owner is liabie for the water line from the main to the premise and all interinr plumbing. (Per City code 402.05) i also hold the City of Fridley and/its employees harmless for any damages that may occur white doing tfiis operation. Tfiis to include,but not limited ta;valves,piping,walls,#toors or the curb stop box and service t�ne. I understand I am afso required to obtain a permit prior to any work,if necessary. Final meter reading(old meter) ��a � �� — Name• Address• l 1.�-�' � Phene Number: Date: � �� `�� Signature: Witness Signature: FRIDLEY CITY CODE CHAPTER 402.WATER,STORM WATER,AND SANI7ARY SEWER ADMINISTRATiUN (Ref Ord No 113,464,565,566,629,638,662,922,988, 1144, 1156,1191) 402.05. PERMIT FEE Prior to constructing or repair of any water or sewer line connecting the existing municipa{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 shall be notified. It shatl be untawful to cover any connecting{ine 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. 402.05.REPAiRS AND MA1N7'ENANCE TO CONNECTION After the initiaf connection has been made to the water service curb stop box or the sewer lead at the property line or a water service or sewer lead hasbeen e�ctended to the property line for connection,the applicant,owner, or the occupant or user of such premises shali be liable for all repairs required to any water line and sewer tines necessary fo�connection of the premises from the main tn the premises. lf the property owner requesfis maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance and/or repairs, including any necessary street repai�s,at a�ate set an�ually by an administrative policy. It shall l�e the responsibility of the applicant,owner,occupant or user to perform standard maintenance of � the sewe�service line from the premises to the main including dehris clearing vr root cutting and to maintain the water service cur6 stop box for operability and at such height as wili ensure that it remains above the finished grade of the land or property. (Ref 638,1156,1191) Request Number: 10028 Public Works Division � Service Request Problem Address: 861 Moore Lake Dr W Requested By: Alex Hogan Department: WATER Address: No address provided Problem/Lcsue: TURN WATER ON/OFF Phone Number: 612-760-1414 5cheduled Date: 2015-04-28 Scheduled Time: 02:00:00 ACTION NEEDED:Reinstall meter.Get reading.Make sure water is on at the street. Created by: Wendy Hiatt Date Created: 2015-04-28 ACTION TAI�N: � `l'� � ...................�.._�:..........-.........._�....r..`.......�.�.....�:�-_�..�.-�_�. ._...._..........�_�_�'�................� c� r �v S Q l �C�� p h. °�-'� f�e J Tr e� �- ........................................................................................................................................................................................................................................................................................................................................._......_._._..._......._..............._......................._ .....:......................................................................................................................................................................................................................................_........................................................................_......................._................_..........__.__.............�._.__._ .................�..:�_�.-.................................r......�...._�:_�..._�....:�................................................................. ._.�_0.._6....�.�...._......_.....__._....._......... � _......__............W ........................................................................................................_..._._.._....._......................................................................................................._.............................................._.................................._..............._..._..................__....._..._..................._._ ....................................................................................................................................................................................................................................................................__......._........................................._................._._.__........_...._..........................____............ Status: In Progress Resident Contacted � Date Completed: Completed by: �.� -�.� - � �� - City of Fridley - :..,, WatPr Dppartment 64�1 University Avenue NE � . Fridley,MN 55432 (763)572-3566 i/we her�by authorize d�e�tY��diey andJor its employees to dc what a nec�ssary to replace the water rneter, !understand t�at the pr+�pertY owner -Ls liable far the water li�re from the main to the premi�e and aN int�ria'P�umbing. (Per t�ty cade 402.06) I.alsa hold the Gity of Frtdley andJii�employees harmless or any amaBes a may r" while doing this operadon. This ta indude,but not limited to;vah►es►Piping,wans,floors or the curb 5top box and servic�1ine. t understand i am atso required to ahtain a permit prior ta any work,ff netessary. . F1nai meter reading(old meter� . Name�(/�IR.K cLi^t Address:_ S LQ � 1`��Oo�� , �� Phone Number:„��I,��L�Q�Date: Signature: Wttness 5ig�ature• FRIDLEY GTY CODE CHAPTER 402.WATER,STORM WATER,AND SAMITARY SEWER dDMINISTRATIUN (Ref Ord No 113,464,565;566,629,638,66Z,422,988!1144f 1156,1191� 40Z.05.PERMIT FEE � Prior to constructing ar repair of any water or sewer line connectingthe adsting municipal system and any house or huitding fnr which the applicatian i�made,the owner or cantractor shall be requi�ed to obtain a permit for such conrtettian,and shall pay a permit fee as provided in Chapter 11 flf this C,�de. After such cannectinn has been made,the iNater and Sewer Department shap be notlfied. ft shal{he uolawful to cover any connecting tine untit an inspection has been made and sucii connection and the work incident thereta has been approved by the City as a properand suitable connection. 402.06.REPAIRS AND MAINTENANCE TO C4NNECTION �q�p��peri;,�has t�a�rnade to thP water servlce curh stop hox or the sewer tead at the propert� line or a water service ar sewer lead has been extended to the property line for connection,the appliant,uwner, or tha occupant or user af such prem�ses shall be liable far al(�epai�required to any waCe�line and sewe�lines necessary fot cannectian a6 the prernises from the ma[n ta the pr�nises. tf the prop�tty ownerrequests maintenance 5ervice or repairs be pe�formed by the City,the properly owner shall be charged for the cosks of the . maintenance and/or repairs, including any necessary street repairs,at a tate set annual{y by.an administrative policy. It shali be the responsi6ility of the applicant�awner,occupant or user ta perform Standard maintenance nf • the seuver service line fram the premises ta the main including dehri5 clearing or raot cutting and to maintain the water service curh stap box fur vperability and at such height as w�11 ensure that it remains above the finished . . :.,grade�ftfiri�-iand or�rop�rty.�(Ret 638,1�55,-t��:) .-.. .� . . . . ._ � - City of Fridley _ Water Department ' 6431 University Avenue NE , Fridley MN 55432 • (763) 572-3561 Uwe hereby authorize the City of Fridley and/or its employees to do what is necessary to shut affthe water at the curb stop box. I understaad that the propertp owner is liable for the water li.ne from the main to the premise. (Per City code 402.06) I also hold the City of Fridley and/or its employees harmless for any damages tha.t may occur while doing this operation. This to in.clude,but not limited to, sod,yard,landscaping,trees,shrubs,driveways,sidewalks or the curb stop box and service line. i understan.d I am also required to obt�vn a pemait prior to any work. Name: Address: � Phone Number:� �(D(? ��(� Date: `�-g'�.� Siguature: Witness Signa.ture: FR�?L�Y CITY CODE CHAPTER 402.WATER,STORM WATER AND S.ANTTARY SEWElt ADNIIMSTRATIaN (Ref Ord No 113,464,565,566,629,63 8,662,422,988,1144,1156,1191) 402.05. PERMTT FEE Prior to constr�cting or rcpaQ of any water or sewer line connecting the existing municipal system and any house oz building for which the spplication is made,the owner or contractor shall be required to obtam 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 sball be notified. It sha11 be walawfi�l to cover any connecting line until an inspection has been made and such cronnection and the work incident thereto has been approved by the City as a propes an.d sui.table connection 402.06. REPAIl2S AND MAIlVTENANCE TO CONNECTIUN Ai�er the initiai conn.ection has been made to the water service curb stop br�x or the sewex lead at the pmperty Iine or a water service or sewer lead has been extended to the pmperty]ine for connection,the applicant,owner,or the occupant or user of such premises shall be liable for all repairs required to anY water line and any sewer lines necessary for connection of the premises from the m�n to the premises. If the property owner requests main.tenance services or reparrs be performed by the City,the property owner shall be charged for the costs of the maintenance and/or repairs,in.cluding any necessary street repairs,at a rate set amnually by an.admin.istrative policy. It shall be the responsibility ofthe applicant,owner,occupant or user to`perform standard mamtenauce of the sewer service line iiom the premises ta the main iucludmg debris clearing or root cutking and to maintain the water service ci�b stop box for operability and at such height as will ensute that it remains abov�e the finished grade of the land or properiy. (Ref 638,1156,1191j , , Request Number: 9946 � Public Works Division Service Request Problem Address: 861 W Moore Lake Dr Requested By: 5andi Department: WATER Address: No address provided Problem/Issue: FINAL METER READING Phone Number: 5cheduled Date: Scheduled T➢me: ,------__ � ACTION NEEDED:Fina1 reading. osing 4/28/15 ER'I'�342 795 Created by: Wendy Hiatt Date Created: 2015-04-07 ACTION TAI�N: , _........................................................._.......:........................................................_._._.................._....................................:......................................_......................................._._........................_.__..............................................._._..........._.._......._........._.__......... ��`� - 30�1 � ...........................................................................................................�.................................................... ...................................................................................._..........................._........................................................................_....................................._..._........_.. ......................................................................................................................................................................................................................................................................................................................_._...._._..............._...............__.................__................_.. ................................................................:..............................................................................................................._..........................................................................................._.........................._._................................_....._.__..._...........___......._......_......__..... .....................................................................................................:...........................:......................................................................................._......................................._................__.................................................._....._......_................__._.............__........... _..............................._............................._........................................................................_.............._......................_......._.........................................._......................................................._......................._..._..........................._.__........................................_.. Status: In Progress Resident Contacted Cl Date Completed: Completed b : �- ��.�- �� 1 Hiatt, Wendy From: ` Hara, Sandra Sent: Tuesday, April 07, 2015 10:57 AM To: Hiatt, Wendy Subject: final meter reading Glosing on 4/28/15 at 861 W MOORE LAKE DR ERT 34277795 CAN THE GUYS GET A READING? Tha nks i Sandi Hara City of Fridley Utility Billing 763-572-3530 1