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Meter Swap w Req uest N u m ber: 6980 Public Works Division Service Request Problem Atidress: 891 66th Av�e Requested By: Kaihleen Hov�e Department: WATER �dress: No address provided Problem/Issue: INSTALL METER(WATFR) Phone Number: 571-8754 Scheduled Date: 2013-09- Schedul�d Time: 02:00:00 ' �}y��\ � �/C.J � r ACTION NEEDED: 2013 AMR Created by: Wendy Hiatt Date Created: 2013-09-16 ACTION TAKEN: ......................................................................................................................................................................................................................................................................................................................................................._..........._......................_......_..............._._ .._��.,�.�.:1�'...�.1.... �.:�::........._"..-:........................_�.��.�............:!...�..........I...... .................................................... .. . _. _.__. .. � . .. ............. ................... ............. .................... ��� � � � � . � °� � _.......�.�-�...:............................................_�.:......................................:.................................................................�.1� � . ....... ...................................................................................................................._......................................_..._............._ _......._�.�....m:�:.-�_:�............:.........._��.��.�...�_�/._8�.........................................................................................:......................................................._._. _. . .... ............ 1i�� � , 1 J ............�\���.:�.:.`-.'..........._I����,�................�................._ ..................................................................................................................................._............................_.................................................................._ ........................................�-���.......................�_.5..�.._�.._�3_��.................._..._.:................................................................._. . ....................._...........................__....................................... '6tatus: In Progress Resident Contacted ❑ Date Completed: Completed by: �-� � �� , ti Ci#y of Fridfey Water Department 6431 University Avenue NE �ridley,MN 55432 (763)572-3566 ��We hereby authorize the City of Fridley and/or its employees to do what is necessary to repiace the water meter. 1 understand that the property owner is liable for the water tine from the main to the premise and all interior plumbing. (Pe�City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this operation. This to inciude,but not limited to;vaives,piping,walls,floors or the curb stop box and service line. 1 understand 1 am also required to obtain a permit prior to any work,if necessary. meter � `-' ' � ��� Final meter read�ng(old ) Name• Address• ( ` � �' Phone Numb Date• �� v`�1� — Signature• Witness Signature: FRIDLEY CITY CODE CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER ADMINISTRATION (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 connecting the existing municipal system and any house or buiiding for which the application is made,the owner or contractor shall be required to obtain a permit for such connection,and shaN pay a permit fee as provided in Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shail be notified. It shail be uniawful 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 suitable connection. 402A6. REPAIRS AND MAINTENANCE TO CONNECTION After 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 extended to the property line for connection,the applicant,awner, or the occupant ar usec of such premises shall be liable for all�epairs required to any water line and sewer lines 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 owne�shall be charged for the costs of the maintenance and/or repairs, including any necessary street repairs,at a rate set annually by an administrative policy. It shall be the responsibiiity of the appficant,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 wili ensure that it remains above the finished grade of the land or property. (Ref 638,1156,1191)