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Meter Swap . ' Request Number: 14869 Public Works Division Service Request Problem Address: 4717 2nd St Reqaested By: Cindy a�Sean Departmeut: WA1ER Address: No address provicJed Problem/�saue: 1NSTALL AMR METER Phone Number: 651-274-4784 Scheduled Date: 2017-04- 6 5cheduled'Rme: 10:00:00 � �� Q.m ACIION NEEDED: Crested by: Beth Ko�ick Date Cre�ed: 2017-04-21 ACTION TAI�N: ��.C��e�. ��—r= Status: In Progress S�bmitter Has Been r, Contacted D�te Compieted:�„�/„`1"7 Completed by: �� r�tsl > > :� + �O I � �`L �L/ /`� �/d �� City of Fridfey Water Departrnent 6431 University Avenue NE Fridley,MN 55432 763-5723566 �lWe 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 o�rner is liable for the water Iine from the main to the premis�and al{interior pfumbing. (Per�ty code 402.06) I also hold the City of Fridley and/its empioyees harmless for any damages tfiat may occur whlie doing this operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service iine. In understand 1 am also required to obtdin a permit prior to any work,if nec�ssary. FINAL METER READING(old meter) V�, �/�� O Plame:_�`��1 � x�-�, Address L� L� �� - Phone Number �5�`� � / 1`' �7 �/� Date_ _ 4 v�� ` (, Signature Witness Signature OLD METER# _ �uVd� � � OLD READING `� � � ` � NEW METER# '�9 a� `� �3� NEW READING � ERT# � �� / � � � 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) �` 402.5 PERMiT FEE Prior to constructing or repair of any water of sewer line connecting the extsting municipal system and any house or buiiding for which the application is made,the owner or corrtractor shall be required to abtain 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 nottfied. It shall be unlawfui to cover any wnnecting line untif an inspection has been made and such connection and the work incident thereto has been approved by the C�ty as a proper and suitabie rnnnection. 402.06 REPAIRS AND MAINTENANCE TO COA{NECTION After the initial connection has been made to the water servtce curb stop box or the sewer lead at the property line or a water sen�e lead has been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shatl be liable for all repairs required to any water line and sewer Iines necessary for connection of the premises from the main to tfie premises. ff the properly owner requests maintenance service or repairs be pe�formed by the City,the property owner shall be charged for the costs of the matntenance and/or repairs,including necessary street repairs at a rate set annualiy 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 indudi�g debris clearing or root cutting and to mairrtain the water seroice curb stop box for operability and at such height as will enwre that it remains above the finished grade of the land or property. (Ref 638,1156,1191) R�qu�f�r '�er� Ft +�ity a�f FrrHd� t� �: s��-rt�-�� : �z Chec� T�pe� �ieeiie �k 8�r� i� . tiNa� � �c� Add�� 4717 2[�I ST� . �12 7'48-�CT7 [1�+e: . L�r�: iiequeyt I)dais: New ha�eo�ner�ays�e�a 6e�et w�a Tid ox�er�ipe_ £an�rhe�dc ar�d�epair� �? E�au�ant hare aia �p�e cai i�a��ea� i ._�� . _.__�.__ �._.. Ac�ct 7ak+�th , ��-�Q ��-' �`,M�...'�;.-� � �Q ` 1 � �� ' N-�- �� P�O� �� 1 � __� __ ________ _ ��_. __ _ _. __ __ _ _ _ ._____. .____..__ � � � �� __._ _ _--------�_�_..�____:_______..._----__________._____. ; �. � G , � �____�__--___.__� _� _ �____.. .____________________ _____ _ . ��: �-__---� �,� ��- � � � _.� _ w _o�_�____--� �