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Meter Swap ia$�� - � � �� Request Number: 8141 Public Works Division ��j— ,� Service Request �.....................................................................................................................................................,......_..........._........................................................._............................_.............�............................................................................................. ..........�..�'.......... Problem Address: 281 Rice Creek Blvd Requested By: Ms Fo�ov�en Department: WATER Address: No address provided Problemllssue: INSTALLAMR METER Phone Number: 572-0167 Scheduled Date: 201406-25 Scheduled Time: 09:00:00 ACTION NEEDED: 2014 AMR Created by: Wendy Hiatt Date Created: 201406-19 ACTION TAKEN: Old meter#87432813 Old reading: 201 00 New metr#44921143 ERT#35171904 ...........:..............................................................................................................................................................................................................................................................................................................................................................._.............................._ ............................................................................................................................................................................................................................................................................................................__......................_......_....._................................_.................... ................_.........._................_._...................................................................................__._..___._...................................._.__..............................._....._..._._................................................_..............................._......_.._...................................._............_...... .................................................................................................................................................................................................................................................._........................................................................_................................_......_..............................._.... Status: Completed Resident Contacted � Date Completed: 201406-25 Completed by: Ryan Johnson Hours V � . Request Number: 8141 Public Works Division Service Request Problem Address: 281 Rice Creek BMd Requested By: N� Fo�oven Departmentc WATER Address: No address provided Probiem/Issue: INSTALLAMR METER Phone Number: 572-0167 � Scheduled Date: 201406-25 Scheduled Time: 09:00;00 ; 'I � �� '� ACTION NEEDED: 2014 AMR � Created by: Wendy Hiatt Date Created: 2014-06-19 ACTION TAKEN: _...._..:::.................................................................................................................................................................................................................................................................................................................................._........................................................._...._.._. 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Status: In Progress Resident Contacted ❑ Date Completed: Completed b : � -2 �� j`� � � City of Fridley � Water Department 6431 University Avenue PIE Fridley,MN 55432 (T63)572-3566 ��We hereby authorize tfie City of Fridtey and/or its employees to do what is necessary to replace the water meter. I understand that the properly owner is liable for the water line from the main to the premise and ali irrterior piumbing. (Per 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 include,but not limited to;valves,piping,waDs,floors or the curb stop box and service line. I understand I am also required to obtain a perrnit prior to any work,if necessary. Final meter reading(old meter). ��O ��o Name• Address: �� r�� 3��d- Phone Number• Date: � ��r `� � Signature: Witness Signa u : FRIDLEY CITY CODE CHAPTER 2.WATER,STORM WATER,AND SANtTARY 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 connection,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 shall be notified. It shall be unlawful 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. 402.06.REPAIRS AND MAINTENANCE TO CONNECTION After the initlal connection has been made to the water service cu�b 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 shall be liable for all 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 requests maintenance service or repairs be performed by the City,the property owner shal{be charged for the costs of the maintenance and/or repairs, including any necessary street repairs,at a rate set annualty by an administrative 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 grade of the(and or property. (Ref 638,1156,1191)