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Meter Swap a-a �� , ��R�-��,�v City of Fridley Water De�artment 1 / Address �_l�� -�l'/?'t�.f�'-f Name �c:��`" Date �/4��l� Old Meter Number J ��{��j � � ,��cz��" � Old Meter Reading S�'l � Replacement No. ��o�a��%�U Replacement Reading � Replacement Make ,�uA� ERT# � 'J� lT�al � al �/ Replacernent ERT# � Remarks: /'Lfil/G� /��~�� Signed � --- —��y Request Number: 9829 Public Works Division Service Request Problem Address: 6568 Central Ave Requested By: Raj Department: WATER Address: No address provided Problem/Issue: LEAKING METER Phone Number: 612-309-3053 Scheduled Date: 2015-03-06 Scheduled Time: 10:00:00 �'�' t� c,�A � � � Q fYl ACTION NEEDED:Leaky meter.Install AMR Created by: Wendy Hiatt Date Created: 2015-03-OS ACTION TAI�N: ` � ..� �� Tv�` ,V'�Z'�.: ��L � --r�� — �� ...................................................................................,l � • � . _...._C�%_�--`�c�_�l_C�Z.._�-.........-:..........._�..._ ..:....��.�... ..........._ �C�._t._��.-.'....................... ............................................................................. _ ..............................................._.. ..._ ��-� ��'��, � �.� ��'` �--n ��'< < `��7 ��. T � � � c� . , _ � ...................................................................................................................................................�.................. .:.. .....:............................................................................ ..................................... .......................................................... .... .. _�;f�:��'_l�'1�.=.-r......�..��.......-. .._`�`�_�..�.�� '� .................. ......... ... .... ...... .. . . . ............ ................ . � , ........�.%��......_�`-��_!.....�:.1.�....�.`_._.�........................................................................................................................................ ._...........................................................................................................__.... �� J3��i � i ��7 ........................................................................................... .................................................. ........ ......... .... ....... ................................... 5tatus: In Progress Resident Contacted C Date Completed: Completed by: � . _ �� ; �, .. . - City of Fridley - _ . .. Wat?r Department _ ._.. . 6431 University Avenue NE Fridley,MN 55432 (763�572-3566 ��We hereby autharize the��Y of Fridley and/or its employees to do what is necessary to replace the water meter. I understand that the property owner is liable far the water line from the main to the premise and all interior plumbing. �Per City code 402.06) I alsa hoid the City of Fridley and/its employees harmlessfor any damages tnat may occur while doing this operation. This ta include,but not limited to;valves,piping,walls,floors or the curb stop box and service line. 1 understand I am also required to ohtaln a penr►it prior to any work,if necessary. � .�� ', .� Finai meter reading(old meter) ' Name: Address: ��T� �� (�'�" �� Phone Number: Date: �—`� ' � � Signature• , Witness Signature: � _ FRIDLEY CITY CODE CHAP7ER 402.WATER,STORM WATER,AND SANITARY SEWER ADMINISTRATION (Ref Ord No 113,464,565,566,629,638,662,422,988,1144,1156,1191) 4U2.05.PERMIT FEE Priar to constructing ar repair of any water or sewer line connecting the existing municipal system and any house ar 6uilding for which the application is made,the owner or contractor shall be required to obtain a permit for such connectian,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connection has been made,the NJater and Sewer Department shall be notified. 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 C'rty as a proper and suitable connection. 402.06.REPAIRS AND MAINTENANCE TO CUNNECTIQN �#��b��p�� _�___�..,.,a+�+he water service curh stop box ar the sewer lead at the propert� line or a water service or sewer lead has been extended to the property line for connection,the applicant,owner, or the occupant or user af such premises shall be liable for al(�epairs required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the prope�ty owner requests maintenance service ar repairs 6e pe�formed by the City,the property owner shall be charged for the co�ts of the maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative policy. It shall be the responsihility of the appli�antr owner,occupant or user to perform standard maintenance af • the sewer service line from the premises to the main including de6ris clearing flr root cutting and to maintain the water service cur6 stop box for operability and at such height as will ensure that it remains above the finished ::�. .. r c ^�O 1Y.[ . . .. . . .. . - . . . ' grad"e of�t�7�lar�d or�rd��ri.y.�IRE�6'0,y1�,5,.�1�1) .. _.