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Meter Swap Request Number: 14312 Public Works Division - Service Reqaest Problem Address: 6545 Arthur St Requested By: Katherine Wind Departmeat: WA1ER Address: No address�ovided - Problemllssue: INSTAL,LAMRMETER PhoneNumber: 612-986-1944 5cheduied Dute: 2017-04-04 ScHednled Time: 11:30:00 �'1"� r n ACTIUN NEEDED: Crentei�y: Beth Kondrick Dat�e Creste�: 2017-03-24 ACTION TAKEN: ��.s�-�. (1�c� �4-��z--- 3tatua: In Prog�ess ���er Hss Been r Cont�cted Date Completed: �J_,�,,,,+ `'7 Completed by: ^�� _C 6 j 1c� � 46w �{So 02 City of Fridley SD �- 3�3� , Water Department 643! 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 plumbing. (Per C'ity code 402.06) 1 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,walls,floors or the curb stop box and service line. In understand I am also required to obtain a permit prior to any work,if necessary. FINAL METER READING(old meter) ��� ` � � Name:_1�� /''pX���, W�Y�[�- Address_ lx�`[.� ��. Phone Number ��`` l.�- 1 y y�! Date b✓� � � [ Signature Witness Signature OLD METER# ��� �� ���J OLD READING `t7 oy�.�`� NEWMETER#� I�d� � �� NEW READING � ERT# � ��d� �O�Oq� 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 constructing or repair of any water of sewer line connecting the existing municipal system and any house or building fa�whkh 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 DepartmeM shall be notified. It shall be unlawful to co�rer 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 wnnection has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has been extended to the property line for connedion,the applicant,owoer,or occupant or user of such premises shall be liable fa�all repatrs required to any water line and sewer lines necessary for connection of the premises from the main to the premises. ff 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 necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicarrt, owner,oaupant or user to perForm standard maintenance 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 enwre that it remains above the finished grade of the land or property. (Ref 638,1156,1191)