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Meter Swap � Request Number: 14406 rublic works nivision Service Request Problem Address: 5431 7th St Requested By: Flood ___-- Departme�: WATER Address: No address provided Problem/Isaue: INSTALL AMR ME'IER Phone Namber: 763-571-7396 Scheduled Date: 2017-04-06 Schednled'tlme: 10:00:00 � ":`�.'lION NEEDED: Created by: Beth Kondrick Date Createds 2017-03-29 ACTTON TAI�N: + � � ._._..__� �� V _._ � ___ ,� ��'� • ,�: . Status: In Progress Sabmitter Iias Beea r Co�icted Date Completed: i '��_�� Completed by: ��S �� Y�� :�4 s�.�-��-3.�5� �J�v� i�ere �-egx4ac��e+ra�er�zae�ea�. ��aaaderstaetct�sa��he ro e �authoa�ize Lhe�'rLy o#a�s'ssiley anc8/'or ats eanpioyees to s]o wv�at ds�eces � P �'�y owner 9s�iable fos fil�oe�vater Birt�£rom the anais�to#Cae premise and a1i imerio �@earraisieag- {Pe��Cs'ty�ode 4Q2.�5$ �ads��t�id t�e�'rty of�s�idley end�'rts empirayees 4�armless�or any siamages Tfeat rnay�ccur�u3aile rJoii ug��e�atioaa. �'i�e�s�o�nclucf�e,4a�,ag�vca+t 8asas�ed to walves,�alpin�wadts,f400rs or�ee�e.arls sto,�k�ox ared sea-vice line� 1ea underseand�am a(so . to o&ataiea a peaaa�it gar"sos�o�ray rr�r�c,sf necessara�e �� I�8--0 `� �4RtAL fi�(ETER€�Ar311hiCa�oki naeter� � � � � �LJ � ✓'�� a�,�: �I o � 5 '� 31 � 5� Addres�__ ��o��U�,�� 7c�3 T 5y1 —�39�� t— �e _ �Z �-�� ,�� -- oir��w�-��€�_ g� ��(�� o��_ ��q R'ZC� , .��-�R�� a7�a9 �� v ��# �aa�:�� . F�€9tEY CI'�'1f+Ct)ti� CE(�El�4U2.V1fATElt,STOf�l1t!lAi�l,�'E�AND S�AitTARY SEINER ADN1t1UIBSTRA't'd�i1t ' � �9�e�f Ora�l�to 113,464y 5G5,�66,629,63�,�6�,�22,9$8,114�,1156,1191�� ' _/ 4Q2.S PERNtl7'FEE � "�' .��; �' ��;` Prior to constructirig or aepair af any water of sewer�ine conn the existin rnunici I � rt; e�ng � pa system and arry house os buit�igfd��hich the appl�+cation is made,the oavner or corrtra,ctflr shati be required to obtairs a pernaifi for such connedion,and st�all pay a perrrui{�� Chapter 3�aF this Code. After suci�cannection has been made,fihe Ml/ater and Sewer Department shali be no "�'ied, �t shap be unlaarfvl to ar�y coranec�i�zg lsne until an inspectiora has been aruade and such connectiors and#he aror�in�iderrt thereto has beece appro�d by the Crty a proper and su�tab(e connectiv�a. AOZ.Q6 �tEPAtR�Ai0(D�tAlilt'i'ENANCE'!�0 C091ff�iEC71OR1 Aftec the initiat connection has been made to the wa�r sen�ice wrb sto�s bo�c or the sewer tead at the propert�tine or a water servic�e lead been exfiended to�tt�e property line#or conr�ectian,�e appficarrt,owner,or aecu�rant�r aaser of such premises sF�aI1 be Itable forail repafrs reqaire�d�to arn��rater l�ne�nd sewer lirres necessary#or connectiorr o�F the presnises#rartr the main to the pr�mises. ff the property owner reyuests ma�rrtenance service or repairs be perFormed bqr�he�,�tY,i�ae property o�arr�er shati be d�arged for�the sosts crF ihe ma�rrtenance an: repairs,indu��ag ne+cessary street repairs at a rate seC annualfy�an administrad�ve poticy. tt shaif be fiF�e responsbit'�ty o#the appiicant, mN'reer,accuparrt or user to perfarm stitantlard mairrterrance of t�e se�,yer servsce line from�te prem�ses ta the anain anduding ckbrts cfearing root cez�tting ax�d�o mairrtain the water servi+ce curb sfiop box for o�►erabslity an�at such height as wili ensure that it remairu a6oue the finisf: grade of the land or property. �Ref 638,1156,1191a � ____.___�..__�_.. _.�..._.�..� �_�...___�.w.... � ��S�"S i : ----- -___ __ ______. .____�__� .� ----- -- _------_--- � =�� bo�.�.�� l�� j :6t�ip�� naa�y b�� b��l� � ��►� "�� .��,�� ic� �,l_�.� �,C 1� � � �� . �� „ -�� - �� .-�� -z�� -�, _ _ �� :� �� Z��,� :� ��-��-�� :�� r , • - City of Fridley Water Department 6431 University Avenue NE Fridley,MN 55432 (763)572-3566 IJwe 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 aIt interior plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this operation. This to include,but not limited to;valves,piping,walis,floors or the curb � stop box and service line. i understand i am also required to obtain a permit prior to any work,if necessary. Final meter reading(old meter� �� Name• Address• �� Phone Numb • � Date: �'" �� Signature: �� . Witness Signature: � FRIDLEY CtTY 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) 402.05. PERMIT FEE Prior to constructing or repair of any water or sewer line connecting the existing municipal system and anj+house or building for which the application is made,the owner or contractor shall be required to obtain a permit for such connection,and shail 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 noti�ed. It shall be uniawful to cover any connecting 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 service or sewer lead has been extended to the property line for connection,the appiicant,owner, or the occupant 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. If the property owner 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, including any necessary street repairs,at a rate set annually by an administrative policy. It shall be the responsibility of the applicant,owner,octupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing 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 638,1156,1191)