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Meter Swap ,� Request Number: 14315 Public works Division Service Request - Problem Addreas: 161 1 66 1/2 A�e Requested By: Ms Kr�ner Department: WATER Address: No address provided Problem/Isaue: INSTALL AMR ME1ER Phone Nwnber: 763-360-8853 Scheduled Date: 2017-44-I 1 Sc6ednied 11me: 10:30:00 �� ACTION NEEDED: Crented by: We�dy Hiatt Date Created: 2017-03-27 ACTION TAI�N: � � 1�'�- ___�.______.._.. ..._._.__�:� _ _ ____.____ � o v�,,-e��-�- � Stxtus: In Pro�ess Sabmitter Has Beea r, Contacted I?ate Completed: Completed by: `.1- � �- I� fi G�- � �Q� � ��r�o r�� U . ' � 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. I understand that the property owner is liable for the water line from the main to the premise and all interior piumbing. (Per City code 402.06) I also hold the�ty of Fridley and/its employees harmless for any damages that ma�r oaur while doing this operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understar�d I am also required to obtain a permit prior to any work,if necessary. FINAL METER READING(old meter) �� Name• �� Address ��2 2/'(� L1 `��_' PhoneNumber ��°��)�7v� �� Date r� " � Signature Witness Signature_ �� OLD METER# �+�' ` � - � �3 S� � �� Yy^�2 # , l � � �� •L� REA�ING �`"1� � NEW METER# �� ( � � NEW READING O ERT# � �,2�-3 0 ��l FRIDLEY CITY CODE CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER ADMINISTRATION (Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191j 402.5 PERMIT FEE Prior to constructing or repair of any water of sewer line connecting the existing municipal system and arry house or building for whtch the application is made,the owner or contractor shali be required to obtaln 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 shall be unlawful to�ver 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 properly line or a water servke lesd has been extended to the property line for connection,the applipM,owner,or occ�pant 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 maiMenance and/or repairs,including necessary street repairs at a rate set aonually by an administrative poliry. It shall be the responsibility of the appliprit, owner,occuparrt 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 enwre that tt remains above the finished grade of the land or property. (Ref 638,1156,1191) i . . 4 " b��''� ��-� � - . 3�5 �� j� City of Fridley ' Water Department �' �� 16�l 66'�a a� � � . Address - . Name ��S 1,�� _ Date_ I�- �[�- v�r? Old Meter Number 1 � � �`�? Old Meter Reading Replacement No. ��'��p�� Replacement Reading � Replacement Make - �u� . ; Remarks:_ �'"r(�� C� , Signed ... _ _ _ _ __ ;. �.. _ _ _.. _ __ . _ __.