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Meter Swap Request Number: 6411 Public Works Division Service Request Problem Address: 6857 7th St Requested By: Shirley Kennedy Department: WATER Address: No address provided Problemllssue: INSTALL METER(WATER) Phone Number: 763-571-4018 Scheduled Date: 2013-07-17 Scheduled Time: 11:00:00 � . c ACTION NEEDED: 2013 AMR Prgm Created by: Wendy Hiatt Date Created: 2013-07-16 ACTION TAKENs ......................................................................................................................................................................................................................................................................................... �m��� -- 1 �1.......�..�,�......�...�._�........ .......... .. : ............................_......._ ...............................................................................:................................................................................. ..............................................................................................._. _._._..._. c�..� ���� -.....:...............: `�`�► �� �..................:.........:....:..:......:....:.................................::................:.............................................:...................._ .......................................,........................................___.................. ...................... ................ ......... .......... ........_�....�,...._nn����......................_�I_�I_�.!.-1.....��._5_�.........................................................................................._...................................._..._.........._...........__....:....._ _......_��_��_��..--............�.................:...........:.........................:..........................................................: .........................��cz.��....._�..........-:........_�..�..1`�......���..�......_�_�....�..7............................................................:.:..............................:............................_......................_........_.....:.......:............__......_......:....,.... Status: In Progress Resident Contacted ❑ Date Completed: Com ted-by: .•r '�` I V� t - City of Fridley Water Department _. 6431 University Avenue NE Fridley,MN 55432 (763)572-3566 �jWe hereby authorize the City of Fridley and/ar 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 interior plumbing. (Per City cade 402.06) {also hold the City of Fridley andJits empioyees harmless for any damages that may occur while doing this ope�ation. This to include,but not limited to;vaives,piping,walls,floors or the curb stop box and service line. i understand I am aiso required to obtain a permit prior to any work,if necessary. � �,, ` /(� Final meter reading(oid meter) � ��`� _'�ZGN Address• � Name� � . Date: ��� e� t� � Phone Numb : Signatur Witness Signature: FRIDLEY CITY CODE CHAPTER 40Z.WATER,STORM WATER,A�ID SANtTARY SEWER ADMINISTRATI�N (Ref Ord No 113,464,565,566,629,638,6fi2,922,988, 1144, 1156,1191) 402.05. PERMIT FEE Prior to const�uc#ing or repair of any water or sewer Gne connecting the existing municipal system and a y house or building for which the application is made,the owner or cuntracto�shall be required to obtain a perm 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 notified. It shall be unlawful to cover any connecting li e until an inspectior�has been made and such cnnnection and the work incident thereto has been approved by the City as a proper and suitable cannection. � 402.Q6.REPAIRS AND MAINTENANCE TO CONNECTION After the initial connedion has been made to the water service curb stop box or the sewer lead at the p operty line or a water service or sewer lead has been extended to the property line for connection,the applica t,uwner, or the occupant or user of such premises shail be liable far all repairs required to any water line and se r lines necessary for connection of the premises frarn the main to the premises. If the property owner request maintenance service or repairs be performed by the City,the property owner shall be charged for the c sts of the maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an admini rative palicy. It shali be the responsibility of the applicant,owner,occupant or user to perform standard main enance of • the sewer service fine from the premises to the main including deb�is clearing or root cutting and to ma tain the water sen+ice curb stop bax for operability and at such height as will ensure that it remains above the fi ished grade of the land or property. (Ref 638,1156,1191)