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Meter Swap � M s Request Number: 6814 � Public Works Division Service Request Problem Address: 711 68th Ave Requested By: Doris Osborne Department: WATER Address: No address provided Problemllssue: INSTALL METER(WATER) Phone Number: 571-3395 Scheduled Date: 2013-08-27 � e cS�ieduled Time: 09:00:00 --- Q ,.� T�� � �t � ACTION NEEDED: 2013 AMR Created by: Wendy Hiatt Date Created: 2013-0&23 ACTION TAKEN: .........................................................................................................................................................................................................................................................................................................................................................................................__....._.__.._.. � .. .. . �� - . . . �`7 � . . . ... ... .......................... .................................__............................_ ................ ............�..................................................................�......................�.....o�..............'.�.............................. .... .... ... .. .. . ... _.........�....:..���_��....:..�....................................._.i....a�...1......�.._�.c�.......................................:.....................:................................................................:.__�_...�...:_...... _...........�:����_�...._............_���!_�_�...1..��...�.�..............:........:....................:...............................................:...................._...._.....:...:..::....._................_...................:......__ ,�� ���,�- � .. .........._........................__........__......._.._........ .........................................:.....................................................................................................................................................................................................................................................___............_._. ....... ..............._�`�,�.._-�--...........:..-............:...�_�I.._�.._`�°�.�..�a...............................:.........................................................................................:..................._..................._......_........................ Status: In Progress Resident Contacted O Date Completed: Completed by: ....� � � � � City of Fridiey Water Department 6431 University Avenue NE Fridley,MN 55432 (763)572-3566 !/we hereby authorize the City of Fridley and/or its employees to do what is necessary to replace the water meter. i understand that the property owner is liabie for the water line from the main to the premise and all interior plumbing. (Per City code 402.06) !alsa hold the City of Fridley and/its employees harmless for arty damages that may ocwr while doing this operation. This to include,but not limited to;valves,piping�wails,fioors or the curb stop box and service line. 1 understand I am aiso required to obtain a perrnit prior to any work,if necessary. Final meter reading(old meter) � �� � �� Mame: Address: � �� ` ��7��e Phone Number: �a�� �� ��� ` � Signature• �� � Witness Signature: �RIDLEY ClTY CODE CHAPTER 4D2.WATER,STORM WATER,AND SANITARY SEWER ADMlNISTRATION (Ref Ord No 113,464,565, 566,629,638,662,922,488, 1144, 1156,1191) 402.05.PERMIT FEE Prior to constructing or repair of any water ar sewer line connecting the existing municipal system and any house or bailding for which the application is made,the owner or contractor shaN be required to obtain a permit for such connection,and shafl pay a permit fee as provided in Chapter 11 af this Code. After such connection has been made,the Water and Sewer Department shalt be notified. It shail be unlawfut to cover any connecting iine 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 connedion. 402.Q6. 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,owner, or the occupant or user of such premises shali be liable for aU repairs 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 requesCs maintenance service or repairs be performed by the City,the property awner shall be charged for the costs of the maintenance and/or repairs, including any necessary street repairs,at a rate set an�ualiy by an administrative policy. It shall be the responsibility of the applicant,owner,occupant ar user to perform standard maintenance of ° the sewer service line from the premises to the main including debris ciearing or root cutting and to maintain the water service curb stop box for operability and at such height as wiil ensure thaY it remains above the finished grade of the land or property. (Ref 638,I156,1191j