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Meter Swap , City of Fridley �����'�"��� Water Department 6431 University Avenue NE Fridley,MN 55432 763-572-3566 UWe 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 iriterior plumbing. (Per C'�ty code 402.06) i also hoid the�ty af Fridley and/its employees harmless for any damages that may ouur while doir�g this operation. This to include,but not limited to valves,piping,walls,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) lJl J�J� I ��� Name: Address Y�W �—i��G 1���� l.�1� Phone Number p�e '� �� Signature Witness Signature i • OLO METER# � � SIZE & STYLE(Circle) OLD READING t,�JL) '`t ��e� 5/8 HEX NEW METER# `�JAn�.t ��� 1" HEX NEW READING � 1�" ELiPTiCAI or HEX tKi # F��� t�����cs, 2" ELIPTICAL or HEX U'N� ��' ���� ��� �'� LEY CI'6�Y CODE . ATER,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 arry�w.at�r af sewer line connecting the existing municipa!system and any house or buikling for which the application is made,�the owner or contractor shall be required to obtain a permit for such connection,and shali 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 untawfu!to cover any connecting line until an inspedion has been made and such connection and the work incident thereto has been approved by the C'rty as a proper and suitabie connection. 402.06 REPAIRS AND MAINTEMAPICE 70 CONNECTION After the initial co�nection 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 connection,the applicant,owner,or occupant or user of such premises shaU be tiabie fior all repairs required to any water line and sewer tines necessary for connectio�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 shali be charged for the costs of the mair�tenance andJor repairs,including 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 ciearing o� root cutting and to maintain the water senrice curb stop box for operability and at such height as will ensure that it remains above the�nished grade of the land or property. (Ref 638,1156,1191) s, a� � ���� �, . ' � , `+�d J��Li11t�C1'V�C��s�i'���G � � � �a�:, ��, . „;: � :. �.. , ,,,. s: '��„u�?Ftt�$�F+2� �,� � " __ ...._ � �. . � - , ��k1TH�k€�s'�ERA�k .� f � � � C �t�s=�����-� ` , , ; ,,����� ' 13fi�CfiE�4��At�#�Li�A�E fRT[�LE��v1i3 55��� , , '_ _ `� � � '�� R�a�r� �� ��������€ .�f��� ��,s�������� ��. ���+�� ����.���.����:��� � ��.,,,�..� ,,.� �.� l�t�a- ' Y ;'3`�m�L5P E�s� t��Cs�up[��t�' er�����n� �,��",��fsi�>���r�€�sf�; t�Esttmat�d���a�i Ty� .., ' � �► �����`��,� �� ����'�� �...:,,� �.;�T����-: �.. ,� "^`���k4�����.�'� ;� �� � ��P�1� ` tl [�EF�1LT :���18 �,�,�f.3 31�;r`��ol� �t�C)r�... ����SG�fr GEF�JLT 3i�:�r'2�18 � �'2?,`��-�18 Serr'ic;�t�sd� ����1� "; L�EF�,ULT 1;1��1��#�: �,4��,� t,'1��?�tt� �ic��7ra�a°' s����� ���.,u�r iz���.=;��;� 2.:��:.�sc� , 7.��,���� � ������ , �;��� t������.�' �t�,��� �,��t,� s��#��rt�° s�,��a�� �5�d}t'� [�EFr�ULT �.t�{"ri�t�1:� �.+�,`�Us� ?e31r�717 w+'' Estirr�at�r3 �:.���� t�EFI�lCI`: �t3°€r'2�'��' 'Z,4�9,:r� ��13 ' +a�` Est�` ���13 �EFr�ULT, 17s3S;2���' 2,41�,5� ' �12�13 , �Y+ Estirnait�d � t� : t�E�,�ItLT; �e"���i', �.���.�# 1'.Ot1�r,�1� t{ : d 85�{�13 DEFr��1LT +6�3{b.�{;1�, 2,��2.53fl 71�.�'Q1�, Nar�3hdd 13 i [�EFI�}LT I 3r�lt�#�S 2.�3.� �t �� �5fl�{313 C€EFA��T 521�7t�t315 2.37�.i#�fl 1:ttJ�t� ��3�3 [����t1LT' ..C81�:; 2,�,7�? �fldt�2�31� �J�;�S3 t�EFa�UtT 7P1B�1�a �.34�,�1 ��}12{}l�' t+fiarns�l �CF�� ' [�EFAE�IT' 4t�a��5 2.�4d.t� �t�2i315 �5,.�13 t�EF,�lJLT 12r3��t}14 :2.33;a.�C�Y l2"31�{7td 4�lka� �' t.� ` I�EE�ULT °�a'�f3��t '2,3�. 59 �€ S� 13 �EF1��1LT &�3�a24}14 2.3�t,D� �''.�{ir'�714 Pl4�r�ra1 13 4�E��tlL1" :3��€i�d 2.3�7.�+ 3.����4 ° �5t�i:1� DEF,�ClLT' �Z6�t4: 2,317,� ; �'Z&�{�14 �i� T' ��. ,�" ��� 3f 3/ �8� �/,P,a�,r,��-�' ��'rti`�`' /�-�^''�C c,J�'� `�.�-�a�-� ,a���l��' �L`�`_ �1��-'�P" � p� ��-� `� � ,���--- ����-iv� D� �c„��-� `�t'�'�`'�`u `�u�- f ,�,,� �°.� �� �j -a�-�� � � . -�- � t -�v�-. or� f��� ��`�� � � ��r-a��,�s� �� � Ciry vf Fridiey Request Number: 17987 P�bHic Works I�vision Service Recryest Problem Address: 1360 Crcek Park Ln Requested By: Mike Sidell Departmeat: WAZF,R Addres�: No address provided Problem/Isaue: INSTALL AMR METER Plrone Nnmber: 651-468-5301 Scheduled Date: 2018-03-27 Sc�eduled 1lme: O�:OO:Oi3 /� ---t ✓cil/� � i �.1 Y� � ACTION NEEDED:AMR Created by: Wemiy Hiatt Date Created: 2018-03-26 ACTION TAI�N: Status: In Progress Sabmitter Has Been �., Contacted Date Completed: Com eted by: 3-a7- �� / . s� � �r ' City of Fridley Water Department �9��7�'Yv�U� 6431 University Avenue NE Fridley,MN 55432 763-572-3566 A/��G / s'k0�. /"" - I/we hereby authorize the City of Fridiey 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 inte�ior plumbing. (Per City code 402.06) 1 also hold the Crty af Fridley and/its employees harmless for any damages that may occur while doing this operation. This to inciude,but not limited to valves,piping,walis,floors or the wrb 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) Name: Address �3�0� C�«�L- Pa—� �� Phone Number Date 3"a Z-� Signature Witness Signature OLD METER# �S�g�� 3 SIZE & STYLE(Circiel OLD READING o��(CQ S(o�{p c��� _ _ _ H� NEW METER# 1 3SS��� ��`�� �..�`�C '� �'', � �C�_ n J NEW READING �J ERT# 7o237S S� 7 � �� � F� � � � �� CHAPTER 402.WATEP � „Q�,, _ � � ��� v� (Ref Ord No 113,464,565, �, � _ 402.5 PERMIT FEE prior to constructing or repair of any water of sewer line co� � ���`")� ►uilding for which the application is made,the owner or contractor shali be requii S��W�,�„�` as provided in Chapter 11 of this Code. After such connection has been made,m ..�--_�__ � � dawful to cover _ any connecting line untii an inspection has been made and such connec - - - - __ the City as a proper and suitable connection. ^ I1 G�!.�1� (� ���;e?��CC.c� 402.06 REPAIRS AND MAINTENANCE TO CONNECTIOIY �� After the initial connection has been made to the water service curb st< � � enrice lead has been e�ctended to the property line for connectiort,the applicant,owne (,U'f/� ' a0 repairs required to any water line and sewer lines necessary for connection of !rty owner requests maintenance service or repairs be performed bythe City,the� ����Cd►�C�����` itenance and/or repairs,including necessary street repairs at a rate set annualty by an a �pplicant, owner,occupant or user to perform standard maintenance of the sewE C�'�`��'�- G��� �-�j4 bris clearing or root cutting and to maintain the water service curb stop box for operal �ve the finished grade of the land or property. (Ref 638,1156,1191j `���. - � � �M:'� Ciry oj Fridley Requ�st Number: �a�3� Public Works Dtvision Service Requ�st Problem Address: 1360 Creek Park Ln Requested By: Dave Iazenberry Deps�rtment: WAT'ER Address: Problem/Issue: MALFCTNCTTONIl�iG METER Phone Number: 651-216-7389 Schedaled DAte: „� Sch�uled Time: ,,,�, � _ ACTION NEEDED:New AMIi not scanning. Installed backwards,blocked or meter head issue? � `1���1��,� Crasted By: Wendy Hiatt Date Created: 2018-04-25 ACT'ION TAKEN: � '� J � ����� � � �� o�� Status: - Submitter Contacted: false Date Completed: Completed By: Hours: �f s�� o� . Hiatt, Wendy Subject: renter Dave Lazenberry 651-216-7389 new AMR not scanning.Instal{ed Backwards? Blocked or meter head issue? Location: 1360 Creek Park Ln NE Start: Thu 4/26/2018 1:30 PM End: Thu 4/26/2018 2:00 PM Show Time As: Tentative Rewrrence: (none) Meeting Status: Not yet responded Organizer: Hara, Sandra Required Attendees: Hiatt,Wendy 1