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Meter Swap R Request Number: 7569 Public Works Division Service Request ProblemAddress: 1461 Rice Creek Rd Requested By: Judy Lennox Department: WATER �kldress: No address provided Problemllssue: LEAKING METER(WATER) Phone Number: 763-571-4491 Scheduled Date: 2014-02-27 Schedulg,l,�Time: 08:0 :00 `��` �` �' (�, ACTION NEEDED: Change leaky meter Created by: Wendy Hiatt Date Created: 201402-26 ACTION TAKEN: ............................................................................_....................................... � /��'I�� � S`� .�� . - .................................._.........................._........................_.........................__..................................._.....�.���.�.. ........................................._........................................................_.............................................._�......................................_....................... �. : _....c���....:...�.�_��.................................��1`1............. .._�Z.�.........................._...........................................__.__....._..............__................._..................:......_.:........................._____......_ : ....... ........�+_�'i��-........_��'�__I��'�..............................................................................................._..............�............_..........:......._...........�..............................._.._:...........:. � , � _....��.....��_'._��...::.-..........�.:..........................................................._......................................_. _. .... ..................................................._............................._......._._....._._................................_.........._____.._ ....................�-�...._�..:..........................�._�.�_���.��...........:..................:........................................................._._. .. .......................................................................___........._____..._.................... Status: In Progress Resident Contacted ❑ Date Completed: Completed by: r- \ ----''". � . City of Fridley ` Water Department 6431 University Avenue NE �� Ffldley,MN 5543Z (Tb3)572-35fi6 ���e hereby authorize the City of Fridtey andjor its oWner employees to do what is necessary to replace the water meter. f understand that the p�opertlf is liable for the water line from the main to the premis 5 h�'eS tfo rany tlamjages���Y°�ur 402.06) t also hald the City of F+�dley and/its employee while doing this operation. This to include,6ut not limited to;�aives.piping�w�lls,floors or the curb stop box and service line. i understand f am aisa required to obtain a permit prior to any work,if necessary. �� �� r adin old meter) � Final meter e g( � Name: Address• tti-It�i ���-E:f�,�- Phone Numher- Date: � ��� �� . Signature: ��'���'� � Witness Signature� FRIDLEY CITI GUDE CHAPTER 4�2.WATER,STORM WATER,AMD SANITAF�Y SEWER ADMINISTRA710N � (Ref Ord No 113,�464,565,566,629,638,662,922,988,1144,1156,119�) . 402.05. PERMIT FEE Prior to constructing or repair of any water or sewer fine connecting the existing municipal system and any house or buildin for which the application is made,the owner or contractor sha{I be After such connection has been U�h g connection,and shall pay a permit fee as provided in Chapter il of this Ca e. made,the 1Nater and Sewer Department shall be notified• It shalt be uniawful to cover any roved by the City as a n inspection has heen made and such cannection and the wo�k incident thereto has been app propec and suitahle connection. 4Q2.06.REPAIRS AND MAINYENANCE TO CONNECTI4N Afte�the initial connection has been made to the water service curb stop box�or�nn ��ni Che appl cant owner, line or a water service or sewer lead has be�n extended to the property i�ne f or the occupant or user of such premises shaft be liab{e for a4t repairs required to any wat0�Ine aQques�tser lines necessary for connection of the premises from the main to the premis o��ner shal!be charged for the custs of the maintenance service or repairs he performed by the City,the property Y an administrativs maintenance and/ar repairs, includof the an�licant,awnert u cupant or user tn perform standard maintenance of policy. !t shall 6e the responsibility PP - the sewer service line from the premises to the ma� ch he ah as will ensure t at it r ma ns above the finished e water service curb stop box for operability and at su g grade of the land or propest�/• (Ref 638,1156,1191)