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Meter Swap r �) � �� .r c:ry nf Friclley Request Number: 17727 Pub�c Works D[vlaion Serv[ce Raec�est Proble�Ad�eas: 5121 3rd St Itequetted�y: � Departmeat: WATER Ad�ress: No�drsss pr�vidod ProMe�/Is:ae: IN3TALL AMR ME1ER Phon�s Ntimber: 612-719-8324 Sc�ale Dates 201!8-02-12 Scikd�ds�Tie�sn 10:00:04 -�-� �C� GL �orr rrErnEn: , Created by: Beth Kondrick Date Created: 2018-02-08 � AGIION TAI�:N: � �,��. , f e �� _ .� Stataa: In Progress Sabmitter Ha:Been r, CoMacted Date Completed: Completed by: � - ia� lg ��,� �D �-�', City of Fridley Water Department 6431 University Avenue NE 1��.-'�G��✓d� Fridley,MN 55432 763-572-3566 I/we hereby authorize tfie City of Fridley and/or its employees to do what is necessary to replace the water meter. !understand that the properly owner is liable for the water line from the main to the premise and all interior plumbing. (Per C'ity code 402.06) I also hold the City of Fridley and/its employees harmfess for arry damages that may oaur while doing ffiis operation. This to include,Iwt not limited to valves,piping,walls,floors or the aurb stop box and service line. In undersWnd I am also required to obtain a permit prior to any work,if necessary. FINAL METER READiNG(ofd meter) ��"V � �� Name� Address ��1 J r`("� J�t+ Phone Number �1,�2` 7�"! `� �� flate � � �`Z �'" V� Xj Signature �tness Signature `'�—� ..�._. OLD METER# � r ✓� 3�lY� SIZE & STYLE fCirde) OLD READING ��V� 6 �v /8" E � NfW METER# -1 � 4� 1 ( �C� 1" HEX NEW READING V 1�" EUPTfCAI or HEX ERT# G G� p�V o�, � � 2" ELIPTfCAL or HEX FRIDLEY CITY CODE �� CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER ADMINISTRATiON ` (Ref Ord No 113,464,565,565,629,638,662,922,988,1144,1156,1191) 402.5 PERMIT FEE Prior to constructing or repair of ar►y water of sewer line connecting the existing municipal system and arry house or building for which the appltcation is made,the owner o�coMractor 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 shai)be notlfied. It shail be unlawful to cove� any connecting line urrtii an inspection has been made and such connedion and the wark incident thereto has been approved by the City as a proper and suitable connection. 402.06 REPAIRS AND MAINTENANCE TO CONNECTlON After the initial connection has been made to the water service curb stop box or the sewer lead at the propeRy line or a water senrice lead has been extended to the property line for connection,the applipnt,owner,or 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. ff the property owner requests maintenance service or repairs 6e performed by Che City,the property owner shail be charged for the costs of the mair�tenance and/or repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shaii be the responsibi4ity of the applicarrt, 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 heigM as will ensure that it remains above the finished grade of the land or property. (Ref 638,1156,1191)