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Meter Swap •-� �' Request Number: 15426 Public works Division Service Request Problem Address: 6668 East Ri�er Rd Requested By: Ryan Lillion Departmeat: WATER Address: No address�xovided Probiem/Iasue: INSTALL AMR METER Phone Nwnl�er: 612-788-4355 Scheduled I�te: 2017-OS-23 5chednled'fime: 07:00:00 1`� �rrl ACTION NEEDED: Crented by: Wendy Histt Date Created: 2017-OS-18 ACTION TAI�N: �:; �-S�.CPI,� a.�_ .___..__....___._..._..__............_._.__. _.__...___.�._. _._.__._.._......_.._..__.__.___. Status: In Pro�ress Snbmitter Has Been r, Goatacted Date Completed: Completed by: �'-.��,.-��l c��� � ,, � � � - � �� � �d 02- � City of Fridley Water Department �� //�(.�� 6431 University Avenue NE K Fridley,MN 55432 � 763-572-3566 �/N/e hereby authorize the City of Fridley and/or its employees to do what is necessary to replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and ali interyor plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may occur while dotng this operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand I am also required to obtain a permit prior to any work,if necessary. FIPIAL METER READIMG(old meter) � l��O l �v wame: ��Gtv� L-i ���D� Address ���C�J C�-�i} • �1 V�.f'' ('�-G` . Phone Number 4 C Z- '�'�V� " _`��� p�e � �O� � — �� Signature Witness Signature ��1 OLD METER# ��a� `C/ �� OLD READING ` �v� �'�"U NEW METER# I 1��lS�U �3 NEW READING O ERT# �d� � ���1 fRIDlEY CITY CODE CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER ADMINISTRATION (Ref Ord Plo 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 existing municipal system and any house or buitding for which the appiication is made,the owner cr contractar 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 shali be notified. it shall be unlawful to cover any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the C�ty as a proper and suitable connection. 402.06 REPAIRS APID MAINTENANCE TO CONNEC710N After the initiai connection 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,owner,or occupant or user of such premises shall be liable for ali repai►s 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 mai�rtenance service or repairs be perFormed by the City,the properly owner shall be charged for the costs of the mairrtenance and/or repairs,including necessary street repairs at a rate set annually by an administretive poliry. It shall be the responsibility of the appticant, owner,occupant or user to perForm standard mair�tenance of the sewer service line from the premises to the main including debris clearing or root cutting and to maintain the water senrice curb stop box for operabil'rty and at such height as will ensure that it remair�s above the�nished grade of the land or property. (Ref 638,1156,1191)