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Meter Swap ' �� ��i3�— � U�� INSTALLATIO���� ��.N� AUTOMATIC METER READER FRIDLEY , �" d Address 'Cj -� t �%'t h ��I � Name �r"� �1�o b��' Q.�,v� Date �d ` �l � l I Old Meter Number 1 � �.5 � Old Meter Reading ��d� � � �U Replacement No. �3 J�� �S � � Replacement Reading � Replacement Make �� -�` ERT# � � 3 � � So23 Replacement ERT# Remarks: (�-�-t� Signe��� � F�equest f+or Service Repc�rt City of Fndl�:y f3efieren�e't�lc�: �1-11-3� Q�e: 10I1$12�11 Request T�pe: k�staq/WR�aeter E.r�e�d By: Werxfy F��t [�epartm�nt: Y61ate,� C�ia�en�l�e: A+Iz�'y Ad�ess� 6031 �,TH ST NE adc Ph�e: 512-�44-2416 Sctred�d D�e: 1�/2tf2[!11 11�OD/kM ��� Rr�aperty{h�er: Locakion{��s: � Deta�s: k�staN AJ�IR Adicr�T�: ; �r �-�-a /l.e�� /}-f'�'l. � -�ar �'�- ��-r �''��j� � ', v � � i � � i i � � ���� �� MQ�.-� [ Q� `�� ��S ; .� old rae�d�� 0� �7 `� � � � ���� �ew �e���- � 3S� ����� ; n��, r.��:.aa� �`Tl i - E /�-� �3 3 3� � s�3 � , � , � __ . _ _ _ _ _�_ _ _ _ _ _ _._�� . . _____ _�_. �_.____.� Resp�n�e p�: � � � r ; �(!_....'"".�%'�... �pmve�: _ _ _. _ _ _ . __ ��D��: �zen Idat"tied ; jo ..�f � �/ � • ` 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 replace the water meter. I 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) I also hold the City of Fridley and/or its employees harmless for any damages that may occur while doing this operation. This to include,but not limited to; valves,piping, walls, floors or the curb stop box and service line. I understand I am also required to obtain a permit prior to any work, if necessary. Name: Address: Phone Number: Date: Signature: +..'�� /�1� '1 ' "1'� ` `' ,...�--� v .� - "-�,► `l ��-'�-'`�'�--� � �'�'' " FRIDLEY CITY CODE CHAPTER 402.WATER,STORM WATER AND SATTTTARY SEWER ADMIlVISTRATION (Ref Ord No 113,464,565,566,629,638,662,922,988, 1144, 1156, 1191) 402.05. PERMIT FEE Prior to constntcting or repair of any water or sewer line connecting the e�sting municipal system and any house or buil�ing 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 shall be unlawful to cover any connecting}ine until an inspection has been made and such connection and the work incident thereto has been approved by ti�e City as a proper and suitable connection. 402.06. REPAIltS 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 service or sewer lead has been e�ended to the property line 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 connecrion of the premises from the main to the premises. If the property owner requests maintenance services 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 repairs,at a rate set annually by an administrative policy. It 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 clearing or root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished grade of the land or property. (Ref 638, 1156, 1191) Request Number: 11737 Public Works Division Service Request Problem Address: 6031 6th St Requested By: Sandi Hara Department: WATER Address: No address provided Problem/Issue: FINAL METER READING Phone Number: Scheduled Date: Scheduied 1ime: ACTION NEEDED:Final reading.Closi g 7/12/16 T#33303523 Created by: Wendy Hiatt Date Created: 2016-Q7-19 ACTION TAI�N: .......................................................................................................................__._...._..................................................._..........................................................................._..._......_.................._............................._._........_..._..._..._........................................... ,. � �,�,�� - 3� o � ............................................................................................................................................................................................................................................................................................................................................................................._..._.._.........._....._ ...........................:..................................................................__........._.................................................................._....._................................................................................................................._.........................._...._............._...___.................................. ..................................................................................................................................................................................................................................................................................................................................................�____........._......____�__.._..._.._ ...........................................__....._......_................................................................................................................................................................................................................................................................._.............................................__...._.._......._..._... Status: In Progress Submitter Has Been �., Contacted Date Completed: Completed by: � �� 1 �� 4��. Request Number: 10414 Public Works Division Service Request Problem Address: 6031 6th St Requested By: Kevin w/Ben Franklin Plumbing Department: WATER Address: No address provided Problem/Issue: LOW WATER PRESSURE Phone Number: 612-961-9855 Scheduled Date: � �� Scheduled Time: V ACTION NEEDED:Lowwater gressure. Created by: Wendy Hiatt Date Created: 2015-08-OS ACTION TAI�N: �,,(��'tZ�-�c�SZ-� {�t�►.�......._�c.o.......... �—��........v.��....L:._�:�................._.............._____...:_._ .......................................................................................................................................................................................___ .... _......._..... . ......................�.��..........�............'.�..�...,....,..�.....'�'�............._��."..�....._..W`..��.........�:�...��:�.�^_^.�!!�__ ......................................................................................................................................................................................................................................................................W....__.___._..............................._...................................._....._..._.._._.........._..__._ ..............................................__................................................................................................................................................................_.............................................................._.................................._................_...�..._._____-__-___....____..... ..............................................................................................._..._._.._..._.._....................................................................__......._......................................................................................................................._......................................._.__..._..._........_....._...__ .....................................................................................................................................................................w...___.......................�....................................................................................................................._..................................._.___-___........___.__.. Status: In Progress Resident Contacted � Date Completed: Completed by: �� I� 8