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Meter Swap Y � � � � 2 r <:; c,ry oj' FT1tlle� Request Number: 18073 Publfc works D�vision 5ervice Recryest Problem Addresa: 40 52nd Way Requested By: Ken wlPl�sketts Pest Co�rol Dep»rtmeat: WATER Addre:s: No address provided � Problem/Issue: INSTALL AMR ME'IER Phone Number: 763-571-7100 Sc6eduled Dxte: 2018-04-13 Sc�edaled 1lme: 10:00:00 , _ � i �,-� ,� v•. AC110N NEEDED:AMR 1 1/2" Created by: We�y Hiatt Date Created: 2018-04-12 ACIION TAKEN: I ..( i ti�"�� i� 2�� Status: In Progress Snbmitter Has Been r Contacted Date Completed: Completed by: S/ ��. _��` .1' i.�b �. . �y'� ~ City of Fridley r �3 --�5—�{��1�� Water Department t 6431 University Avenue NE /U-� �� Fridley,MN 55432 7 763-572-3566 �/We 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 iMerior plumbing. (Pe�City code 402.06) I also hold the City af Fridley andrts employees harmiess for arry damages that may occur while doing this operation. This to inciude,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand I am also requtred to obtain a permit prior to any work,if necessary. PIPIAL METER READING(old meter) O� � 1�� Name• ��`�'la�:!4-� �t.�� %��'�dress �V� ��1�`�� L,� i ' Phone Number Date "� �� Signature� � Witness Signature � ~ OLD METER#_ �� I � SIZE & STYLE(Circlel � OLD READING C� C� 5/8" HEX NEW METER# �� (� L� 1" HEX NEW READING_ � i�" ELIPTICAI or HEX ' \ (� ERT# T ,� � _ � � �, 2" ELIPTICAL or HEX FRIDLEY CITY CODE CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER ADMINIS7RATION (Ref Ord 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 connecting the existing municipal system and any house or building for which the appiication is made,the owner or contractor shall be required to obtain a permit for such connedion,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 st�all be uniawful to cover any connecting line untii 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. 402.06 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 has ' been extended to the property line for connediort,the applicant,owner,or occupant or user of such premises shall be liable for aii 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 C'ity,the property owner shall be charged for the costs of the mai�enance and/or repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the appiicant, 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 operabiiity and at such height as will ensure that it remains above the finished grade of the land or property. (Ref 638,1156,1191j �� .. � � c;��f Fridley Request Number: 17685 Public Works l�vision Service Request Problem Address: 40 52�Way Requested By: Ken wlPlra�ketts Deps�rtment: WATER Address: No address provided Problem/Issue: INSTALL AMR ME1ER Phone Number: 763-502-1701 Scheduled Date: 2018-02-OS ..� Sc6ed�led 13me: 08:30:00 m s � �� AC'IION NEEDED:AMR Crested by: Wendy Hiatt Date Created: 2018-02-02 ACIION TAI�N: � ._.....__...._._____._._..�-►��._�-..�.��.�_ ._____ ._._. �Z _.__ Status: In Progress Sabmitter Has Been r. Contacted Date Completed: Completed by: �- �- l� a�� City of Fridley �� S^, Water Departrnent 6431 University Avenue NE /�3- ��.� � �� P `� � Fridley,MN 55432 U 763-572-3566 1/we hereby author+ze 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 tfie water line from the main to the premise and all irrterior plumbing. (Per City code 402.06) 1 also hold the City of Fridiey andJits empfoyees harmless for any damages that may occur while doing this operation. This to indude,but not limited to valves,piping,wafls,floors or the curb stop box and service line. In understand I am also required to obtain a permit prior to any work,if necessary. F1NAL METER READING(oid meter) l� � �� ✓ �� IVame: T�/1 l.�/ P��h�Zi,°TT � E►ddress 'N "1��'"� W��' . Phone Number �w ✓ � Jv�`� �� ( Date � ' ✓ ^ l � '1r Signature Witness Signature /� — OLD METER# � ��d a� v �`� SIZE & STYLE(Circie) � OLD READING l.0 1 1 �15� �� 5/8" HEX NEW METER# l `� ( � � 1, ! 1' HEX NEW READING V 1�" ELIPTICAL or HEX ERT# { �`-" 1 � ! � U 2" ELIPTICAL or HEX FRIDLEY CITY CODE CHAPTER 4Q2.WATER,STORM WATER AND SANITARY SEWER ADMINISTRATION (Ref Ord 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 connecting the existing munitipal 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 notffied. It shall be unlawful to cover any connecting line 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. 402.06 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 service lead has been extended to the p�operty line for connection,the applicarrt,owner,or occupant or user of such premises shall be liable for all repairs requiced 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 for the costs of the maintenance and/or repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the appiicant, owner,occupant or user to perForm standard maintenance of the sewer service line from the premises to the main including de6ris clearing or root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it�emains above the ftnished grade of the land or property. (Ref 638,1156,1191) �