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Meter Swap i i Request Number: 6940 Public Works Division Service Request Problem Address: 924 68th Av�e Requested By: Diane Granlund Department: WATER Address: No address provided Problem/lssue: INSTALL METER(WATER) Phone Number: 571-2306 Scheduled�� 2013-09-13 v Scheduled Time: 09:00:00 . ( ��.� � ACTION NEEDED: 2013 AMR Created by: Wendy Hiatt Date Created: 2013-09-09 ACTION TAKEN: .....................................................................:.................................................................................................................................................................................................................................................................._............__............_.................._..._...........__.. ���1��=�— 1 ��� ��� ..................... ......................................_.............................................__.....................__._..................... _.............��.....��.!�........................................1...c�..��_�.�................................:.......................:......__...................:........:.._................._..........................._..._......._._ ................����:...._���-�-�...-..........�_�Q9a..._�:..�.�L.I................................_....................:....................._...............................___�....__..._....___.._ � .........._�C���......_��...._(.�.:.............-................_..Ps....:.........:.........:......................................................................................................_........................................._. _. _._. ..... ..... ...................._ _....................................:...��.�.......�-:......:.........:�...�`._�.....�.�.�o..............................:..........:..............................................................................____........................._. ................. Status: In Progress Resident Contacted ❑ Date Completed: Completed by: �✓ I��. � � City of Fridley Water Department 6431 University Avenue NE Fridley,MN 55432 (763)572-3566 1/we hereby authorize the City of Fridley and/or its employees to do what is necessary to repiace the water meter. I understand that the property awner is liable for the water line from the main to the premise and all interior piumbing. (Per City code 402.06) I also hold the City of Fridley andJits employees harmless for any damages that may occur while doing this operation. This to include,but not limited to;valves,piping,walis,floors or the curb stop box and service line. 1 understand i am also required to obtain a permit prior to any work,if necessary. Finai meter reading(old meter) � ����� ���{-- ?��,�-- , Name• Addresr � - Phone Num r: Date• ` ''� 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 building for which the application is made,the owner or contractor shall be required to obtain a permit for such mnnection,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 shali be notified. It shall be unlawful to cover any connecting line unti!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. 402.06. 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 appiicant,awner, or the occupant or user of such premises shall be liable for all repairs required to any water line and sewer lines necessary for connectian of the premises from the main to the premises. If the prop��ty owner requests 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 street repairs,at a rate set annually by an administ�ative policy. It shall be the responsibility of the applicant,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 will ensure that it remains above the finished �rade of the land or property. (Ref 638,1156,1191�