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Meter Swap t ` Request Number: 15098 Public Works Division Service Request Problem Address: 5145 Hughes Ave Requested By: Bernadine Department: WATER Address: No aadress provided Problem/Issue: INSTALL AMR ME1ER Phone Number: 5�2-8225 Sc6eduled Date: 201 -OS-03 Scheduled 1lme: 01:30:00 r�' � � , ACITON NEEDED: - ' Created by: Wendy Hiatt Date Created: 2U17-OS-02 . ACTION T.,I�N: s-r�-��.��� �_ _ __..____._ �, �}'R.. ,j'i Status: In Progress Sabmitter Ii�Been r, Contxcted Date Completed: � - � +, '� Com�eted by: ��� .. � ,�:��� ���: . ��Ci � I��ZQ (pp r(}� r ' City of Fridley �� ����2 Water Department 6431 University Avenue NE Fridley,MN 55432 763-572-3566 UWe hereby authorize the City of Fridley and/or its employees to do what is neeessary to replace the water meter. I understand that the property owner is liable for the water line from the main to the premise and all inte�tor plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may oaur while doing 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 atso requtred to obtain a permit prior to any work,if necessary. FINAL METER READING(old meterj � ��� � � � Name: �J'e��V'�R.,l�u' `� Address_ � ��� �u-g/�'"�'� • Phone Number_ ��� ���� Date d `� � � �� � Signature Witness Signature OLD METER# �� ��� � / -�-t-- OLD READING � � ! �� �� NEW METER# � {�O � ��� 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 PEE Prior to constructing or repair of any water of sewer line connecting the existing municipal system and arry house or building 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 shatl be unlawful to cover any conneding line until an inspection has been made and such wnnectlon and the work incident thereto has been approved by the City as a proper and suitable connection. 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 Iine or a water service lead has been extended to the properly line for connection,the applicant,owner,or occupaM or user of such premises shall be liable for al(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 senrice or repairs be performed by the City,the property owner shall be charged for the costs of the mairrtenance and/or repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicar�t, owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris dearing 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 638,1156,3191)