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Meter Swap � � � Request Number: 13420 Public Works Division Service Request Problem Addreas: 1070 Gardena A�e Requested By: Sazah I3epartment: WA1ER Address: No ad�ess provided ProWem/lasuc: INSTALL AMR METER P6one Nnmber: 763-503-3502 Schednled D_=te:_ 2017-02-21 5chedeled 1lme: 02:00:00 S� � ACTiON NEEDED: Created by: Beth Konc�ick Date Created: 2017-02-10 AC'IION'F . 7 ;�� Stxtus: In Progress 5nbmitter Has Been r, Coatacted Date Coaipleted: �� a.,'.-- �� Compieted by: `,, � ��/lJ���i .,;� � �.w�.�.� evc�cre Li6A�C11tl. 643�.Un6v�a-sii�Avena�e BV� 7 � �� r`- , Fridley/, MN 55432 `E� 763-572-356� �'' ,�I �-y 7�'� 70 _�� } � � ',�"°e her�by authorize the C'rty of Fridley and/or its empioyees to c!o what ss necessary to replace the water sneter. ��nderstand that the propea�ky owner is liable for the water line#rom the main to the premise and all irnerior plumbing. (Per Crty cocle 402.06j i also hold the City of PPidley and/its employees harmless for ar�y damages that may occur while doing�tt�is operation. This to snclude,bufi not limi#ed to valves,piping,walis,floors or rhe curb stop box and service line. On understand I am also requir #o obtain a permii prior to arry rvorlc,if necessary. FIAfAL ME'1'ER ttEADING(okt meterj O��IG t �v a Name: �d�,r� Address ' � � � (.��►+���Pi�1� C. Phone Alumber_/�3 ���� '�5d p�.p� a,� p� , "' "� Signature Witness Signature `�� OtD METER# � -1 � OLD READ[NG v���•/��V NEW METER# � V�� �7 �p�• NEW READIfVG � ��# `� � � ► c� a �� � FRIDLEY CiTY CODE CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER ADMINISTRATION (Ref Ord No 113,464,565,�66,629,638,662,922,988,1144,i156,i191) 402.5 PERAAIT FEE Prior to constructing ar repair of any water of sewer line connecting the existing municipal system and arry house or buiiding for which the appiication is made,the owner or corifiractor shall be required to obtain a permit for suc6 connection,and shaU pay a permii fee as provided in� Chapter 11 of thes Code. After such connection has i�een rnade,the Water and Sewer Departmerrt shall be notified. it shall be untawful to cove any connecting line until an irtspection has been made and such connection and the wortc inciderrt thereto has 6een approved by the City as a proper and suitable connection. 402.06 REPAiRS AND MAtAITEA(qWCE TO CONNEC770N After the initial connectivn 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 iine for connection,the applicarrt,owner,or accuparrt or user of such premises shall be ifabie fa�all repairs required to any water line and sewer Itnes necessary for connection of the premises from the main to the premises. tF the property owrrer requests maintenance service or repairs be performed by the Crty,the property owner shall be charged for the costs of the mai�rMe and/or repairs,including necessary stre,et�epairs at a rate set annually by an administrative policy. R shal!be the responsbility of the appiicarrt, owner,occuparrt or user to perform standard maintenance of#he sewer service line from the premises to the main includtng debris dearing or root cvtting and to mairrtain the water service curb stop box for operability and at such height as wiii ensure that it remains above the finished grade of the land o�property. {Ref 638,1156,1191)