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Meter Swap s � Request Number: 14644 Public Works Division Service Request Problem Address: 5001 Clearview St Requested By: Kwok Kw�ong Department: WATER Address: No address provided Problem/Issue: INSTALL AMR METER Phone Namber: 763-572-8710 ScheduledDate: �17-04-19 �Sched�d'lime: 08:30:00 . ACTION NEEDED: Created by: Beth Kondrick Date Created: 2017-04-12 ACTION TAI�N: ...................�._�:....V.....1..-�..1.._..1...............:......��.��.....................__..............................._..._._..............._......_...__..__._.._....._...._........._..._.....................__._........_..�_..._.........._.... Status: In Progress 5ubmitter Has Been C, Contacted Date Completed: Completed by: Hours ' � � �,- I�r� `� . � ` ' � ou�- �5�3Zo- o� City of Fridley � � �� l� Water Department 6431 University Avenue NE Fridley,MN 55432 763-572-3566 i/we hereby authorize the City of Pridley and/or its employees to do what is necessary to replace the water meter. 1 ur�derstand that the property owner is liable for the water line from the main to the premise and all interior plumbing. (Per City code 402.06) i also hold the�ty of Fridley and/its employees harmless for arry damages that may occur while doing this operetion. This to include,but not limited to valves,piping,walis,floors or the wrb stop box and service line. In understand 1 am also required to obtain a permit prior to any work,if necessary. FINAL METER READING(old meter)_ I `� � " �� � Name: ���/"�� I�W(�(� Address �� �� 1 �I'C.�1� �1�vU V� Phone Number !� c����� ���ate � � F � �� Signature Witness Signature OLD METER# �`�(� � � � r� OLD READING � ��� 'v� � NEW METER#_"1 1���� J NEW READING � ERT# � ��'� I �� 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 rnnstruding or repair of any water of sewer line connecting the existing municipal system and arry house or buiiding 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 unti!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 CONNECTION After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a water servke lead has been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be Itable 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 a�rner requests maiMenance seroice or repairs be performed by the�ty,the property owner shall be charged for the costs of the mairrtenance a�d/or repairs,including necessary street repairs at a rate set annuaily by an administrative poliry. It shall be the responsibility of the applipnt, owner,occupant or user to perform standard maiMenance of the sewer service line from the premises to the main induding deb�is dearing 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 flnished grade of the land or properly. (Ref 638,1156,1191)