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Meter Swap Request Number: 7022 Public Works Division Service Request Problem Address: 6796 Brookview Dr Requested By: Alan Schroeder Department: WATER Address: No address provided Problem/Issue: INSTALL METER(WATER) Phone Number: 571-4698 Scheduled Date: 2013-09-24 Scheduled Time: 02:30:00 � U � �� ACTION NEEDED: 2013 AMR Created by: Wendy Hiatt Date Created: 2013-09-20 ACTION TAKEN: ..............................................................................................................................................................................................................................................:....................................................:............................................................................................................... ��� � `� � � ��� � .................................................................��.-....�...........................................................................................................................................................................................__._. _........._ .t''''�,v.:,.�....:L_...�..L....�.........�11JL._�...................................._...�..�...�.......�............._�......._�._..��.�........._................_.................................................._..........................................:....._..................._ � ���- � ������� _..................�.............................................................................................................................................................._.............................�................._..._�..............................................:......................................................................................_............____..._ _..................�..:�......._:��..�_�:,.x�.._-....:.....�'..............................:..............:..............:.............�.._............. . _ .................................._.....................:.........__.............................................__......................._...._ ................................................�`��......_�.-........................�...�.�._�.._ ..��......_`�.._`�_��..:;.._........................................:......................_.........................__........................._. _. . : . . ..... ............................. Status: ln Progress Resident'Contacted ❑ Date Completed: Complet�d by: � '� \ CI_ � 1� � , z _ 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 oWner � employees to do what is necessary to replace the water meter. I understand that the propertY is liable for the water line from the main to the premise ha�1ess fo rany damfages that may occur 402.06) I also hoid the Gty of Fridley andJits employees while doing this operation. This to include,6ut not limited to;b�in'perm t/priorsto anY v+►o k,ff � � : stop box and service line. i understand I am alsa required to o p necessary. � � � ��� Final meter reading(old meter� � ,/ Address: l0��� �C�F.��L� Name• - . Date: � � ' `�I Phone Num6er• , ;- Signature• , Witness Signature:,�� � FRIDLEY CITY CODE CHAPTER 402.WATER,STORM WATER,AND SANITARY SEWER ADMINISTRATION (Ref Ord No 113,464,5fi5,566,629,63$,662,922,988,1144,1156,1191} _ 402.05. PERMIT FEE Prior to constructing or repair of any water or sewer line coMecti�o shall be equiredta'obt in a permit for such or building for which the application is made,the owner or contra connection,and shall pay a permit fee as P�all be n t fi�d. It shall be u lawful to cover any conneicti g lineeuntil an made,the Water and Sewer Department sh roved by the City as a inspection has been made and such connection and the work incident thereto has been app proper and suitable connedion• , 402.06.REPAIRS AND MAINTENANCE TO CONNE�'TION After the initial connection has been made to the water service cuor estop'ne forrconnect'on'the appl cant owner, line or a water service or sewer lead has been extended to the pr p rtV or the occupant or user of such premises shall be(iable for all repairs required to any wate�r�e �e uests�tines necessary for connection of thebe e erformed by the Citytthe P operty owlner hall be charged for he costs of the maintenance service or repairs p an administrative maintenance and/or repairs, in i udof the anplicant ow ert occupant or user to perfo m standard maintenance�f palicy. It shall be the responsib ty P • the sewer service line from the premises to thE main including debris deare�a�� mains ab ve the fi ished he water senrice curb stop box for operability and at such height as will ensur grade of the land or property. (Ref 638,1156,1191) ',