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Meter Swap • Request Number: 14503 , Public works Division Service Req�st Problem Address: 5400 4th St Requested By: Paul Laes Depu�tment: WA1ER Addres:; No address provided Prol�em/Iasue: INSTALL AMR METER Pho�Number: 651-470-02'70 Scheduied Dste: 201?-04-06 Sc6ednled'Ilme: 07:OO:W � AC1iON NEEDED: :«` Crested by: Beth Kondrick Date Cre�ed: 2017-04-04 �. AC'ITON TAI�N: .a-�-S�- �lec� _��—� Stat�: � In Progress Sub�►ittcr HAa Been r, Coutacted IMte Completed: �_ �_ 1`7 Completed by: � �� Di , ;��g�a --�� . ` City of Fridley �J�� Water Department 6431 University Avenue NE Fridley,MN 55432 763-572-3566 �/We 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 Itable for the water line from the main to the premise and all iMertor plumbing. (Per City code 402.06) 1 also hold the City of Fridley andrts employees harmless for any damages that may ocau while doirig this operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand 1 am also required ta obtain a permit prior to any work,if necessary. FIPIAL METER READING(old meter) �" " �� Name: ` (M^'' �Y�j Address � lUG �� 7• Phone Number `�J�a � 6� '� �� Date —l��✓ �� Signature Witness Signature OLD METER# �Ol% �� / � �I, `� `� � OLD READING_ 4 V O�cJ� NEW METER# � `�0� I � � NEW READING V � 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 FEE Prior to wnstructing or repair of any water of sewer line connecting the existing municipal system and any 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 not�ed. It shall be unlawful to co�rer any conneding 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 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 line or a water se�ke lead has been extended to the property line for connection,the applicant,owner,or occupar�t or user of such premises shall be liable for all repairs required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff the property aaner requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance and/or repairs,incfuding netessary street repairs at a rate set annualiy by an administrative poliry. R shail be the responsibility of the applicaM, owner,occupant or user to perForm standard mairrtenance 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 height as will ensure that it remains above the finished grade of the land or property. (Ref 638,1156,!29!)