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Meter Swap � �' Request Number: 13395 Public works Division Service Request Problem Addreas: 1090 Gardena A�e Requested By: Pat'Iherms Department: WA1ER Addre:s: 1�To ad�ess provided Problem/Issue: INSTAL.L AMR METER Phone Number: 763-571-7143 Scheduled Date: 2017-02-1 � 6eduled 1lme: 09:00:00 � � �� AC"IION NEEDED: Created by; Beth Kondrick Date Cre�ed: 2017-02-09 _� AC1IO��T: , �� i-�-s�.L ��e � ��t�t,� ��- Stsitus: In Progress Snbmf tter Has Be�a � Coutacted DateCompleted: a,"' l�—'� � Completedby: ��V�o - �—v �-: „ � ----- --r,...,........d 5�31 l9niv�o-sitv�Avenue N� � � �� j Fridle�a MRi 55432 763-572-35�� '� � , � � V._y-�,��>� -C� � 1/we here authorize xhe C' af Fridl bi/ rty ey andJor its empioyees to do what ds necessary to replace the water meter. 1 understand that�he property owner is liable for the water line from the main to the premise and all irnterior plurrtbing. �Per City code 402.06� i also hold the C"rty of Fridley and/ifis employees harmless#or erry siamages thai may occur ierhile doing this operation. 3his 8o tnclude,but not lim+#ed io va{ves,p�ping,watls,floors or the turb stop b�ox and service line_ In understand 1 am also requir to obtain a permit prior to any�ror3c,�f necessaey. FINAL METER READIPIG(otd meter) �� v �� " Hame: �� r�'� Address L v � V V�� }�'� Phone Number ��J v✓��" �1� Date_ _ � � � /�l� Signature Witness Signature �— o�DM�-�R# �� a �� OtD READtlVG �� a � � NEW METER# �lJ��✓� �}� � � - _ NfW READIAIG V � , ERT#� 1 � i � � S�3 � FRIDLEY C1T1f COOf CHAPTER 402.WATER,STORM WATER AfYD SANITARY SEWER ADMtNISTRATION �Ref Ord No 113,464,565,566,624,638,662,9Z2,988,1144,1155,1191) 402.5 PERMIT FEE Prior to constructing or repair of any water of sewer line connecting the existing municipat system and arry house or buildir�for w6ich the epplication is made,the owner or corrtractor shatl be required to obfiain a permit for such connection,and shall pay a permit f¢�e as provided in• Chapter 11 of tfiis Code. After such connection has been made,the Water and Sewer Depardnerrt shall be nofified. tt shatl be untawfui to cove any connecCing(ine until an inspection has 6een made and such connection and the arorl�inaderrt thereto bas been app�oved by the City as a proper and suitable connection. 402.06 REP,AIRS AND MAtAtTENANCE TO COiYNECi70N After the inetia!connectio�has been made to the water senrice curb stop box or the sewer lead at the pmperty ilree or a water serv�ae iead has been extended#o the property line for connection,the appiicarrt,owner,or accupant or user of such premises shalt be tiable foc ail repairs required to any water line and sewer lines necessary for connection of the premises from the main to the premises. tf the property owner reques#s mairrtenance service vr repairs be perFormed by the C'rty,the property owner shall be charged for the costs of the mai�enance and/or repairs,including necessary street repairs at a rate set annually by an administrative poliry. it s6at1 be ti�e responsbility af the ap�carrt, owner,occupant or user to perfiorm standard mair�tenance of the sewer service line from the premises to the main�nduding cbebris dearing or root cutting and to mairrtain the water service curb sfiop box for operability and at such height as wiil ensure that it remains above the finisFeed grade of the land or property. (Ref 638,1156,1191)