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Meter Swap t� � � � :;:s, G�p f Fridley Request Number: 17696 P�lic Worka Div��on Servke R,equest Problem Addresa: 98 43rd Ave Reqneated Hy: John W/Acme Matai S�pimring� Dep�rtment: WATER Address: No acldreaa provided Prbldem/Issue: INSTALL,AMR METER Phone Namber: 763-252-6242 �t� . Schedule�Date: 2018-02- 7 y SckedeiedTfine: 01:30:00 _ ;�,. �;�� ACIION NEEDED:AMR �.-,:�,� � , � Created by: We�y Hiatt Ihte Created: 2Q1$-02-05 � ACITON TAKEN: �-S��l�.� A�� .,-, ti� Statua: In Progress ��er Has Seee r Contuted Dnte Completed: �� !� Completed by: 6 c� �.e �`� y� � � � �: ,. �_ �. _ .�.y ; �, � � 3 - �y -� 3S� � al � City of Fridley /�� Water Department � l(/�� 6431 University Avenue NE � Fridley,MN 55432 763-572-3566 i/we hereby authorize the C'ity of Fridley and/or its employees to do what is netessary to replace the water meter. t understand that the property owner is liable for the water line from ihe main to the premise and aN iMerbr piumbing. (Per C"�ty wde 402.06) 1 also hold the City of Fridley and/its employees harrrrless for arty damages that may ocar while doing this operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand 1 am also required to obtain a permit prior to any work,if necessary. FINAL METER READtNG(old meter) � �� w � ` q �d �f Name: JQ�� Address_ 6� �� Z"� Pbone Number��3"d��'"lD 2—I Z Date � r i '� r� J Signature Witness Signature � T .+.�r OLD METER# r� �� ( SlZE & STYLE ICirde) OLD READiNG �� o / � v %8" HEX C� NEW METER# � "�� 1" HEX " NEW READING v 1�4" EUPTICAL or HEX ERT# � I �� 2" ELlPTICAL or HEX FRlDLEY 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 RERMIT FEE Prior to constructing or repair of any water of sewer line connecting the existing municipa!system and any house or buiWing for wli�the application is made,the owner or contractor shali be required to obtain a permit for wch 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 unlawfu!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 connedion. 402.06 REPAIRS AND MAINTENANCE TO COMNECTION After the initial wnnection has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has been extended to the property line for connection,the applicant,owne�,or occupant or user of such premises shal!be Itabk 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 property owner requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maiMenance and/or repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility o�f the applipnt, owner,occupant ar user to perFarm standard mairnenance of the sewer service line from the premises to the main including debris dearing or root cutting and to mairrtain the water service curb siop box for operability and at such height as will ensure that it remains above the finished grade of the land or property. (Ref 638,1156.1191) : �