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Meter Swap . ' Request Number: 15573 Public Works Division Service Request Problem Address: 4880 2nd St Requested By: James Leonard Department: WATER Address: No address p�ovided Problem/Issue: INSTALL AMR METER Phone Number: 612-247-4929 Scheduled Date: 2017-06-17 Scheduled 1lme: 09:00:00 "T� ACTION NEEDED: Created by: Beth Kondrick Date Created: 2017-OS-25 � ACIiON TAI�N: ,��:. ..,: ............................................___...__.._._._..................._....._-___._____--------__.._._...__._._...._......._......................................................................._._...................______._ .����^�: � Status: In Progress Snbmitter Has Been r Contacted Date Completed: Completed by: � �City of Fridley ( �` ' �� 7 v� '�� ' Water Departrnent �"'�� � � 6431 Univ�rsity Avenue NE J�� � ' -Fridley, MN 55432 763-572-356ti �"' i/we hereby authorize the City of Pridtey and/or its emp(oyees to do what is necessary to replace fihe water meter. t understand that the property owner is liable fo�the water line from the enain to the premise and all ic►terior plum6ing. (Per C'�ty code 402.06j 1 aiso hold the City of Fridley and/its employees harmless for any damages that may occur while doing this operation. This to inctude,but not limited to vaives,piping,wails.floors cr tha turb sCop box and service line. fn understand f am also required to abtain a permit prior to arry work,if necessary. C��� �� FINAL METER READING{otd meter) Name: .��4�� ��,1� !X Address� ��� �/1 ��a�%.r. �t� � , Phone lYumber ' �l • � '?-� .� Date lo "��� �7 . Sign re Witness Signature � . , .. . � a.E��s �' �� ' . � I����4,� Y � � � r"�, - � . . . OLD METER# �.,-.: � ,.. `: � �31�� _- _- y OLD READING ,�- ��\` � � � � � .. , I� �f + . NEW MErER#��`o�"� � 4906247Q { —� – ____ ���-_ �t `i ._ NEW READING - -- . ' • . � ��I � � E�#_ �%YIII��IIIIIIIIIIIII \,� 7192�922 �-- —` FRIDLEY C17Y CODE CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER - � ADMINISTRATION (Rt'f 01"Cr NO 113�464�565�566,629�638�662�922�988y 1144�1156�1191) 402.5 PERMIT FEE Prior to constructing or repair of any water of sewer ltne connecting the existing municipal system and any h�ase or building for which ffie application is made,the owner or cor�tractor shall be required to obtain a permit for such connection,and shatl 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 notNied. It shali be un(aMrfui io tover any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the Crty as a proper and suitable conqection. 402.06 REPAIRS AND MAINTENANCE TO CONNECTION After the initia!connection has been made to the water service cur6 stap box or the sewer lead at the property line or a water service fead has been extended to the property line for connection,the applicant,owner,�r occupant os use�of such premises shalf be tiaisle for all repairs required to any water line and sewer lines necessary for conneetion of the premises from the main to the premises. tF the property owner requests maintenance service or repairs be perEorsned by the City,the property owner shalt be charged for the costs of the maintenance and/a� repairs,inciuding necessary' street repairs at a rate set annuaily by an administrative policy. it shall be the responsibiltty of the applicant, owner,occupant or user to�erForm standard mairrtenance of the sewer service line from the premises to the main including debris tlearing or root cutting and to mairrtain the water service curb stop box for operability and at such height as will ensure ihat it remains above the finished grade of the land or praperty. (Ref 638,1156,1191) �, >.x,�;-