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Meter Swap a ' � ` ' Request Number: 16487 Public Works Division Service Request Problem Address: 5132 Hughes A�e Requested By: Becky Departme�: WA1ER Address: No address p�ovided Problem/Issue: INSTALL AMR METER Phone Number: 612-910-3418 Scheduled Date: 201'7-0 -I 1 � heduled 11me: 11:00:00 . / ACITON NEEDED: Created by: Beth Kondrick Date Created: 2017-07-27 ACTION TAI�N: � �� '�e�' �v� ........................�..___..._... .__........._._..............................._..._._..._......._._ ________. __..______________..__�___.__..____...___.____ ................��..`��W��...................., ._.._..._.._.._Y�'�-��.._... ___.............._______._...._.__._.....__-___.._......_......___._..._. ,�;, A�� Status: In Progress Contacted��Been r � Date Completed: Completed by: � - l l' l'I � �0'� � � � �'�y��t�y �aS ` �� ` a 3 : iA/ater�e�sartrvient s,�3a� � 6431 l�r�iversity Aaeenue NE ' Fridl�y,MN 55432 7�3-5�2-3565 �0'11Ve hereby authorize the City of Frid(ey artd/or�ts employees to do what is necessary to rep(ace the water meter. 1 understand that the property awner is liable for the water line from the snain to the premise and ail irrterior plumbing. (Per�ity code 4�OZ.�6) 1 also hold the C'rty of Fridley and/�ts employees harmless for arry damages that snay oaur while doing this operation. This to include,but not limited to valves,piping,wal[s,floors or the curb stop box aad service line. In understand i am also require to abtain a permit pr6or to aray wortc,if necessary. FINAL METER READING{old meter) � '`�O Name: ��, Address �1 �� G� '"� Phone9Yumber � ��GO��` C� �� r 1 ' — �� Signature Witness Signature OLD METER# `�� `� � �� 3 OLD READING �O� J��O NEW METER# `-��'e' �P�IU� r ` �� l�� NEW READING D . ��T� �l Z��I 3 y°� Fii1DLEY C1TY CODE CF9APTER Q�OZ.WAI'ER,STORM WATER AND SANITAiiY SEWER ADMlAlISTRATIOPt (ltef Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191) 402.5 PERMlT FEE � Prior to constructing or repaic af arry water of sewer{ine connecting the existing municipal system and arry house or bu(Iding for which the appiication is made,the owner or contractor shali�be required to abtain a permit for such connedion,and shail pay a permit fee as provided in Chapter 11 of this Code. After such connection has been made,fihe Water and Sewer Oepartmerrt shatt be nutifiied. tt sha{{be unlawfui to cover any connecting line unti{an inspection has been made and wch connection and the work incident thereto has�een approved by the City as a proper and suitable connection. 402.06 REPAIRS AND MAINTENANCE TO COMNECTION After the initiaf connection has bee�made to the arater sesv�ce curb stop 6ox or the sewer(ead at the property line or a water servi�ce dead has been extended to the groperty line for connection,the applicant,owner,or occupant or user ffF wch premises shall I�e liable for all repairs required to any water line and sewer lines necessary For connection of the premises from the main to the premises. tf the property owner requests mairrtenance senrice ar repairs be perFormed by the�ty,the property oarner shall be charged for the costs of the maintenance and/o� repairs,including necessary street repairs at a rate set annual(y by an administrative policy. It sha116e the responsibility af the appiicarrt, owrner,occuparrt or user to perform standard maintenance of the sewer service line from the premises to the main induding debris clearing or root cutting and to maintain the avater service curb stop box for operabil'�ty and at such height as will ensure that it remains above the�nished grade of the land or property. (Ref 638,1155,1191) ��q�ue�� f�c� � R�r� �i�y►t�f Fricil� � r�. ��-� ��: ��r��2 �qs�,7�pe= tc�s�81rd-�pRrate} �: 'l+t �: /Ad�: 513"L H!lGF�.S A'�t� ��nr�e: Dat+e: t7�wr�� t�: �iee�t Ll�ta�s: Ctred�c�n1 HAr�ee_ laoi�s +�eas�d ard�as&#d deed wo�nd �s�_ Ac�on"6�r: � � �� u� �� + _ ' �� i � � 9 � � � �p 1 1 i } � � � ( � �{ • I. � � __. __ _...__..._... .....____� ______m_ __.__�.__�.____�.___�__ _.._�.._ ____.__.._ _.. �______.__� r � �t�P�scx�: � � ' � 1 �..._.___.... __.�,____._ ___ _.. � � � I �.. _..__.._ _ _... �. _._�____ __._...________.__ _.._.._ . _.___ �_ C� ��en Na�'ied ' _ `6 � ` � � � .�.., _ .._. ____�. .�_ �.