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Meter Swap . � ' Request Number: 14281 Public works Division Service Req�st Problem Address: 1375 66th Ave Requested By: Robert Bridgeman Departme�: WA'IER Address: No address provided Problemllssae: INSTALL AMR METER Phone Nomber: 763-571-7252 Schednled Date: 2017-04-OS Sched�led 1Time: I 1:00:00 � M ACIION NEEDED: � Created by: Beth Ko�rick Date Cre�ed: 2017-03-23 ACIION TAi�N: �� J�S�i �� ,T . �� . .j_'�t ' �. Status: In Pro ss Sabmitter Ha�Been r � Contacted Date Completed: �� 5 �� Completed by: �� _�;�` . . r � �� - 0 I f � City of Fridley C 1� � � L� r � Water Department J U 6431 University Avenue NE Fridley, MN 55432 763-572-3566 �/W� hereby authorize the City of Fridley and/or its employees to do what is necessary to replace the water meter. 1 understartd that the pro�rerty owner is liable for the water line from the mairt to the premise and all interior plumbing. (Per City wde 402.06j 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 undenYand 1 am also required to obtain a permit prior to any work,if necessary. � ]`'� ��a FINAL METER READING(old meter) V� Name: ��✓li` � ��` Address �� Phone Number /��^ � (�l �� Date �� [ Signature Witness Signature OLD METER# �� V�� OLD READING L�J�/iJ` ��/ NEW METER.� I��C� w 6 O NEW READING D ERT# / ZZ� ��(J� FRIDLEY ClTY CODE CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER ADMINISTRATION (Ref Qrd No 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 wnnecting the existing municipal system and any house or building for whkh d�e 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 li of this Code. After such connection has been made,the Water and Sewer Department shall 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 qty as a proper and suitable connedion. 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 11ne or a water service lead has been extended to the property line for connection,the applicant,owner,or oaupant 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 a�rner requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the mai�tenance and/or repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responstbility of the applicarrt, owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main Pncludi�debris dearing or root cutting and to mairrtain 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)