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Meter Swap Request Number: 8099 Public Works Division Service Request Probiem Address: 6746 71h St Requested By: David Richter Department: WATER Address: No address provided Problemllssue: INSTALLAMR METER Phone Number: 571-6099 Scheduled Date: Scheduled Time: 11:30:00 ACTION NEE ED: 2014 AMR � ( �b2 � � ��� � ( � Created by: Wendy Hiatt Date Created: 2014-06-16 ACTION TAKEN: ...................................:..................................................,....................................................................._.................................................................................................................................................................._.................._..............................__.__ o�....��-�_c�_�.......::�._�.".._3....p..._�..1.......�.�................................................................................................................:........._.�................._.......__....................................._ o�e.......P�:..� ..._...........�..�.-�....._�..R.._�_�....2.:�_�.............................................................................................................................................................................____:._...:_.._............_ � __��w....._u���..�-....�........��.�_2._�_0.._�'::�.....................:.............................................._...__......................................__.............:.....__.._._........................................_ ��w............_��...�.:..-.........�.........................................................................................................................: ..................:_..................................._.... _.�._��..._�:.........�.�...�...7........_C_�...g�....................................................................................................................................................................................................._......:...............�................___.. Status: In Progress Resident Contaeted ❑ Date Completed: Completed by: . J���,�� . . . � i 1 � City of Fridley Water Department 6431 Un►versity Avenue NE Fridley,MN 55432 (763)572-3566 I/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 properly owner is liable for the water line from the main to the premise and all interior plumbing. (Per City code 402.06) 1 atso held the City of FMdiey and/its employees harmless for any damages that may occur while doing this operation. 7his to include,but not limited to;valves,piping.walls,floors vr the curb stop box and service line. 1 understand t am atso required to obtain a pecmit prioc to any work,if necessary. Ftnal meter reading(old meter) `� i� ��' o Name• Address• ���`� �� v� Phone Number: Date:,�,D_,� 0� � l Signature: � �� ��� Witness Signature: FRIDLEY CITY C4DE CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER ADMINISTRATION (Ref Ord No 113J 464,565, 566,629,638,662,922,988, 1144,1156, 1191j 402A5.PERMtT FEE Prior to constructing or repair of any water or sewer line cos►neeting the existing municipal 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 shat{pay a permit fee as provided in Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shatf be notified. It shatl be ur►lawfu!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 suitabte cqnnection. 402.06.REPAIRS AND MAINTENANCE TO CONNECf10N After the initial connection has been made to the water service cu�b stop box or the sewer lead at the property 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 of such premises shall be liable fior all repairs required to any water tine and sewer{ines necessary for connection of the premises from the main to the premises. If the prope[ty 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 any necessary street repairs,at a rate set annualiy 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)