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Meter Swap l Request Number; 6547 Public Works Division Service Request Problem Address: 501 53rd Av�e Requested By: Christine Moore Department: WAIER Address: No address provided Problemllssue: INSTALL METER(WATER) Phone Number: 612-388-5940 Scheduled ate: 2013-07-29 Scheduled ' 01:}0:0 _ ACTION NEEDED: Replace old meter Created by: Wendy Hiatt Date Created: 2013-07-29 ACTION TAKEN: ....................................................:........................................................................................................................................................................................................................................................................_.............................._........................................_..._.._..__ .........�..........._ ......._�-_�..-......-.................._I._�.._�.... ..:.. ........_�.. .... .._�.... .....:..............................:._..............:.....................:...........:........................_.:........._...........__._. �� � � � .........._oc,�._....��..�....r....................................._'�.:�..:�3._�......�.�.......................................................................:.................._�_._._..___.............._....:._.......:.._. ;_ _..........���....._�.-�-�._�:...............`�:`��:�:-1..._�y.,�.c�...::..............................................:.:........................:.....................................:...............................:..:...._ _.....,��...:._��++�..��........-....�......................:............................................:.�.�: . .. .........................................................................................._................................................................................_.._ ......:.....................�...r.........`r.......�.......-....-...................._......�.�..�......���....._�:._.�......�.�..�.....1_�..............:.....................................................:..:.........................................._..:....................................................._......................._ :� � Status: In Progress Resident Contacted ❑ Date Completed: Compfeted by: � �.��� �� �� City of Fridley , ' Water Department � 6431 University Avenue NE Fridley, MN 55432 (763)57Z-3566 ���Ve hereby authorize the City of Fridley and/ar its employees to do what is nece5sary to replace the water meter. f understand that the property owner is liable for the water line fram the main ta the premise and ail interior plumbing. (Per City code 402.06) I also hald the City of Fridtey andJits emplayees harmless for any damages that may occur whife doing this aperet'son. This to include,but nat timited ta;va[ves�piping,walls,floors or the curb � stop box and service line. i understand I am also required ta obtain a permit prior to any work,if necessary. Final meter readin (otd meter) �� `-'� �� g ^ Name: Address: �t - �3QY Phone Number: ' Dafie: / ��� � `� • � � , Signature: � . Witness Signature: . . fRfDLEY Ci�'Y CaDE CHAPTER 40t.WATER,STORM WATER,AND SANITARY SEWER ADMINISTRATfON {Ref Ord No 113,464,565,56fi,629,638,662,922,988,1144,1156,1191) 402.05. PERMIT FEE Prior to canstrueting or repair of any water o�sewer line connecting the existing municipai system and anq house or buifding for which the application is made,the owner or�ontractor sha41 be cequired ta obtain a permit for such ser�r�es�ien,and shafl-;aTa�ecm�t fPa ac rovid d in Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It sha(I be unlawful to cover any connec ing n � ' inspection has been made and such connection and the work incident thereto has been approved by the City as a proper and suitable connection. 4Q2A6. REPAIRS AND MAINTENANCE TO CONNECTION After the initiat connection has been made to the water service curb stop box ar the sewer lead at the property {ine or a water service ar sewer 4ead has been extended to the property line for connection,the applicant,owner, or the occupant or user of such premises shalf be liable for a11 repairs required to any v�rater line and sewer lines necessary for connection of the premises from the main to the premises. tf the property owner requests maintenance service or repairs be performed by the City,the prcrperty owner shatl 6e charged fnr the costs of the maintenance and/ar repairs, including any necessary street repairs,at a rate set annuatty by an administrative palicy. It shal{be the responsibility of the applicant,awner,occupant Qr 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 seNice curb stop bax for opecability and at such height as will ensure that it remains above the finished grade of the land or property. (Ref 638,1156,1191j