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Meter Swap . � � Request Number: 16484 Public Works Division Service Request Problem Address: 6594 Fridiey St Requested By: Kirsten Department: WATER Address: No�dress provided �,., Problem/Issue: INSTALL AMR METER Phone Number: 763-360-5480 Scheduled e: 2 17-07-28 %� Scheduled'Iime: 08:30:00 ,F � , �° � ,� � �p AC�TON NEEDED: Created by: Wendy Hiatt Date Created: 2017-07-27 ACTION T�N: ...�Y.__1�:�... ._���...._..._.__.....__���_.L__._._............._..... ...._...__.__.______ ........................................ 1..l. �.. ............. _...:.........._....._..............................................................____._._____�...._....................._.__._...._....._................_....._............_.............__....._...._._ .__ __ Status: In Progress Submitter Has Been r Contacted Date Completefi'� Completed by: 1 �� � � � �— �� JG��� � �a������'�� ��c�._ ��7 S�����3 ` �nra�e����a����� $� � �j�1�-�'7 6431 l�niversity Aarenue NE Frisll�y,MIV 55432 763-5?2-3566 il�''Ye hereby authorize the�ty af FrPdtey and/or its emp(oyees to do what is necessary to replace the water meter. t understand that the property owner is liable far the water line from the main to the premise and a{I iriterior plurnbing. �Per City code 402.06) 1 also hold the City of Fridley and/its employees harmtess#or arry damages that may occur while doing this operation. '!'his to include,but noi limited to va(ves,piping,wa{is,floors or the curb stop box and service line. In understand!am also requirE to obtain a permit prior to any wor&,if necessary. FINAL METER READIiUG{old meter} v✓ 3� v / � Name: ��r�`e� Address V1 5 �"� J�I� I�. � �J T + ` Phone Nu b ��" lf/U� 1 VODate � ` � � �� �Signatu Witness Signature Ol.D METER# � `�`G�� � � � oLD R�D��G v � 3�c�7 0 NEW METER# � 9 3� 5 � j o NEIA/ READING � ERT# � a �� 5a��o FRIDLEY CBTY CODE CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER ADMINISTRAT{ON �Itef Orc(No 113,464,565,566,629,638,662,922,988,1144,1156,1191) 402.5 PERMIT FEE � � Prior#o�onstructing ar reRair of a+ry water af sewrer line connecting the existing municipal system artd arry house or bui(din�for which the appiication 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 �hapter 11 of this Code. After such connection has been made,the Water and Sewer Department shalt be notified. It shall be unlavuful to wvec any connecting line until an inspection has been made and such connection and the work inciderrt tfiereto has beert approved by the Crty as a proper and suitable con�ection. 402.06 REPAIRS AND MAINTENANCE TO COPlNECTION Aftee the initiai connectio�has been made to the water service curb stop box or the sewer lead at the property line or a water senrice dead has been extended to the property line for connection,the applicarrt,owner,or occupant ar user of wch premises shall he liabte for all repairs required to any water line artd sewer(ines necessary for connection of the premises from the main to the premises. If the property orvner requests mairrtenaace service or repairs be performed by the Crty,the property owner shall be charged for the costs of the mair�tenance and/o� repaers,including necessary street repa�rs at a rate set annaally by an admirtistrative policy. It shaU be the resportsibiltty of the applicarrt, owner,occupant or user to perform standarsl mairrtenance of the sewer service line from the premises to the main including debris clearing or roofi cutting and+to mairrtain the+aater service curb stop Box for operability and at such height as will ensure that it remains above the finished grade af fihe land ar property. (Ref 638,1156,1191) �7 � ��-"``� .,,�,� - �� t� �� City of Fridley Water Det�artment Address IL�-�J 1� ����7 ,�� � Name Date -' "� Old Meter Number � � ��� Old Meter Readin �J� ��_.___ Replacement No. �� _ � Replacement Reading � Replacement Make <�� �G Remarks:��.�.u`'��7� J t��T� S igned � �� � '� i � ,.