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Meter Swap - Request Number: 13129 Public Works Division Service Request Problem Address: 5527 E Darnabe Rd Requested By: Roman Zown Department: WATER Address: No address provided Problem/Issue: INSTALL METER Phone Number: 571-0329 Schednled Date: 2017-02-01 Schedal ed'ISme: 01:30:00 �� I ACIION NEEDED: Crested by: Wendy Hiatt Date Created: Z017-O 1-27 A ON TAI�N: . � _ ���/ � � � �� ;� rW .__� ._._.. .�... ._.._ .....,M_______ . _. ___.._...._____ ,\ Statua: In Pro�ess �bmitter Has Been �., Co�Acted Date Completed: Completed by: 1 I � r Z- � �' � 1fl/�tL9'!)E?��1"�B"9B�°11'C 5431 lOniv�a-sity Aver,ue N� tf Frid6ey,Mt'+i 55432 � ` `�,r�� '1���,�..��� / 753-572-3566 y il � � �3 ��� 4�'A°� hereby authorize#he Ciiy o#Fridley andjoe its empioyees to sio what is necessaey to reptac�the water tneter. 1 c�nderstand tt�at�he�roperty owner as liable for the water line from the main to the premise and ail interior �lumbing. (Per City code 402.06j 1 etsa hold the�t}��f Frid4ey and�ts employees harmless for any damages t[aat may occur while doir�g this oper,ation. This to�nclude,but not lim�ted to va{ves,piping,wafls,#loors or lthe curb stop l�ox and service line. Yn understand 1 am also requir to obtain a permrt prior to any vvorlc,if necessary. fIWAL M R READtNG me#er) ���� t Name:_ Address � � Phone Wumber ������j�, p� �," �, Signature _ Witness Signature OLD MECER#_ �� t � k> ��✓ OLD READtNG )�y SV � NEW METER#����jV��/�1 NEW REA.DIWG � �R�# � �� 2�O . �RIDLEY CiTY CODE CHAPTER 402.WA.TER,STORM WATER ta1WD SANiTARY SEWER ADMINISTRATION (Ref Ord No 113,464,565,566,529,638,662,922,988,i144,1156,1191j 402.5 PERMiT FEE Prior to constructi�or repair af any water of sewer tine connecting the existing municapaf sqs#em and ar�y house or buitdt�for wfiich tfie apptication is made,the owner or corrtractor shatl be required to abtain a permit for such connection,and shail pay a permit fee as provided in Chapter 11 af this Code. Afker such connection has been made,the Water and Sewer Departmern shall be notfied. it shall be unlawful to cove any connecting line until an inspection has been r�ade and such connection and the work inciderrt thereto has been approved by t,�e City as a proper and suitable connQctsan. �02.06 REPAiRS AMD MAINTEWAf110E TO CONNECi1011f After the inifiial connection has�een made to#he water senrice curb stop box or the sewer lead at the propercy iine or a water service iead has been extended to the property line for cannection,the appiicarrt.owner,or accupasrt os user of such premises shaif be iiabie for atl repairs required to any wa#er line and sewer lines necessary for connection of the premises from the main to the premises. tf the property owner requests mairrtenance ser+rice or repairs be performed by the City,the proper+ty owner shall be charged for the costs af the maicrtenar�and/ar repairs,induding necessary street repairs at a rate set annuaily by an administrative pol'icy. tt shaU he the responsbili#y cf the applicarrt, owner,�occuparn or user to perform standard mairrtenance of i�e sewer service line from tf�e premises to the main�ndudi�debris deartng or root cutting and to mairrtain the water service curb stop hoec far operabitity and at such height as wii!ensure that it remains above fihe finished grade of the land or property. (Ref 638,1156,1191)