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Meter Swap � J � � � ' � ti1 �� � , , � 3 � � � � ,� � � � � � � � � �' � � � � � � � � � � � � � � � � � � � � � � � � � � � c� ;�; � l � � � , , � . ; ; ; � � � � . � `� � � i � �.. � � �//��\ i � � � E WhU � �� �./ \ . 7 � . _ � C��) � � _ E � �, � �b, �� _ j � �- � � � � � � � � _ � ------ � . � � � � � � ; , � � � � � � ; � � � � � � � � , � � � �� � � _ � � i � � � � � � � � ._.. � ___-__ ' � � . � � � �, `� � ; �� =�� � � � � � � � � � � � � .. � � � � ; � � � � ; � _ � City of Fridley _ ^ Water Department ' 6431 University Avenue NE Fridley MN 55432 (763) 572-35b1 Uwe hereby authorize the City of Fridley and/ar its employees to do what is necessary to shut off the water at the curb stop box. I understand that the property owner is liable for the water line from the main to the premise. (Per City code 402.06} I also hold the City of Fridley and/or its employees harmless for any damages that may occur while doing this operation. 'This to include,but not lim.ited to, sod, yard,landscapiiig,trees, shrubs, driveways, sidewalks or the curb stop box and service li.ne. I understand I am also required to obtai.n a permit prior to any wark. �,, �n6�-�- , , ticl O�me"ca `����f CPU�`` ��-e� Name:���'�� ��.t�10� rn, Address: �-C� PhoneNumber: (�p5)-��-�J�'� Date: )a - I��' ��, Signature: Witness Signature: FRIDLEY CTTY CODE CHAPTER 402.WATER,STORM WATER AND 5AIVITARY SEWER ADM�TISTRATION (Ref Ord No 113,464,565,566,629,638,662,922,98$, 1144, 1156,1191) 402.05. PERNIlT FEE Prior to constructing or repair of any water ar sewer line connecting the existing mwaicipal system and any house or building far which the application is anade,the owner ar contractor shall be required to ohbin a permit for such connection,and shall pay a permit fee as provided in Chapter 11 of i�is Code. After such connection has been made,the Water and S�wer Department shall be notified. It shalt be unlawfi�l to cover N any connecting line uniil an inspection has been made and such conneetion aud the work incident thereto has been agptoved by the City as a proper and svitable connection 402.06. REPAIRS AND MAINTENANCE T4 CONNECTIUN Af�er the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a water service or sewer lead has been e�ended to the property line for connection,the applicant,owner,or the occupant or user of such premises shall be liable for all repairs required to anY water line and any sewer lines necessary for cannection of the premises from the main to the premises. If the property owner requests maintenance services ox repairs be performed by the City,the properiy owner shall be charged for the costs of th�maintenance andior repairs,including any necessary street xepairs,at a rate set annually by an administra.titve policy. It shall be the respons bility of the applicant,owner,occnpant or user to'perform standard maintenauce of the sewer service line from t]�e premiises to the m�ain inciuding debris clearing or roat cuxting 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 oft�e land or property: (Ref b38, 1156, 1191j -�.— Request Number: 7105 Public Works Division Service Request Problem Address: 1426 64th Ave Requested By: Alex-new ovmer Department: WATER Address: No address provided Problemllssue: TURN WATER OWOFF(WATER) Phone Number: 612-597-1699 Scheduled Date: 2013-10-08 Scheduled Time: , 10:00:00 ..--�—' ,�_-�-��. ACTION NEEDED: New owner. Tum on water. Reconnect meter. '� `'�' Created by: Wendy Hiatt Date Created: 2013-10-07 ACTION TAKEN: ���I�G� �N ��l�..._i'��'`�..._�.���]�������.............._._._._._.__ ..................................................................................................................................................................................................................... . . _ ...............�x-..��........�..1..���_�-.........--._................._�f._.....5.......1.._..........�.......�.......��..................................................:.......__.........:.._.._.................._._...:.........._.......:_.............................._ � ................_o.�...._._..�.k......�............�..............._��v:...�..............................1:....�...:._I�...f o3�....................................................._.................._ ................__.............................................__.........................._ ........................��.._//�1�--.,-��..................`�.`��_�....�.�......�`.���............._.................................................................................__. : �.�, �--��t,�, - � ................................................................... ............................................................................................................................................................................................................................................................._......_.._....._............._.._..__.............._..............._ �� � 3 �1 � �� ................................................................................................_................................................................................................._.............��...�..............................................._........_..................................._..........................................._................................. Status: In Progress Resident Contacted ❑ Date Completed: Completed y: ���-� � ��� ��� _ City of Fridley Water Department 6431 lJniversity A�enue NE Fridley,MN 55432 (763)572-3566 ��We hereby authorize the City of Fridiey and/or its aWn�r employees to do what is necessary to replace the water meter. n�e do�t�mbing.t(Per�CitY code is liable for the water line from the main to the premise and all i p 402.06) I aiso hold the Gty of Fridley and/its empioyees harmless for any`d�ama�g"s'�Qors or he curb while doing this operation. This to include,but not limited to;valves,pip' g. stop box and service line. I understand I am also required to o6tain a permit prior to any wurk,if necessary. � �� � � � 3r-% Final meter reading(old meter� ' �� Name: Address• 1 `"1� ' �� " � .. �� Phone Number: Date: ,.� Signature� Witness Signature: � FRIDLEY CITY CODE CHAPTER 402•WATER,STORM WATER,AND SANITARY SEWER ' ADMINISTRATtON (Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191) _ 402.05. PERMIT FEE Prior to constructing or repair of any water or sewer line cunnetting th n��ben equiired to b ain a permit for such or building for which the application is made,the owner or contrador s connection,and shall pay a permit fee as Phall'be not'fed.tlt sha(i be unlawfut to cover any conneicti g lineeuntil an made,the Water and Sewer Department s inspection has been made and such connection and the work incident thereto has been approved by the City as a propec and suitable connection. 402.06.REPAIRS AND MAINTENANCE TO CONNECTION After the initial connection has been made to the water service�o e�Op��e forrconnection'the ppl'icant owner, line or a water service or sewer lead has been extended to the p R �Y or the occupant or user of such premises shail be��maen to the pre'misesulf he p operty owner requ sts r��nes necessary for connection of the premises from the 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 s�reet repairan���u er to perfo m rtanda d m intena'nce af policy. It shall be the responsibitity of the applicant,owner,occup • the sewer service line from the premises to the main inhe d�aa W�I ensure t at i ema ns above the fin shed he water service cur6 stop box for operability and at such g grade of the land or property. (Ref 638,1156,1191)