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Meter Swap .-' . Request Number: 13528 Public Works Division Service Req�st Problem Address: 583?H�c�Ave Requested By: Tom DeQnrtme�: WA1ER Addrest: No address provided ProMem/Isaue: INSTALL AMR METER Phone Number: 612-850•291$ SchedafedDa • 2017-02-24 5chedeled'Rme: 11:30:00 , ACIION NEEDED: Crexted by: Beth Kondrick Drte Cre�ted: 201 T-02-16 AC 1TON TAI�N� w � � 11. � � ��: �R,o�� 5abmitter H�Been r, Coatscted Date Coa�pleted: Completed by: 2' Z�- r� "� GO r � �4��.�nlv��-sitrpl�lver�aae N� � E�ic19e}�,6V64V 55432 ��l � 753 572 3��6 v �,y� � U lJYA°� her�by authorize#he�ifiy�f F�idiey andJor its esnpioyees to do wfiat is oecessaey 4 replace the water�neter, 1�anderstand that the g�roperty owrter as tiable for the water line from the main to the premise and all imerior piuriaising. (Per City�oe1e 402.06� 1 adso hoid#he C'sty vf feidiey and/'rts em�ioyees harrnless#or eny slamages tEeat may occur whAe doing thi opea-aeion. This#o'snclucte,bu$nait lian"rted�o valves,piping,walls,floors or�he curb stop box and service line. 1n understand I am also requ to obtaira a perrnit prior to any av�rlc,if ctecessaey_ � rr - �} � �9ia- �I F9NAL�4tETE[i READIAiG(oid meterj 6 � �� �� Alame�l � � Address�1__J�� �, � t`�''t.,.r ���-S fl~ � Phone�Yumber �e ���2�� t, Signature Wii»ess S+gnaivre_ o�D��R� �b 30 `� �S OLD READtNG__� ��S 4�� NEW ME'TER#_��� ��.(> NEW READt111G� ERT#� ��� � � -- L � FRIDLEY C!7'Y CODE CH�►PTER 402.WATER,ST�RM WATER AND S�N1'TARY SENVER ADMIAI6STRQTIOt1� {Ref Ord No 113.464,�65,�6&,629,638,66Z,92Z,988,i144,1156,i191j 4025 PERAA6T FEE Prior fio constructing or repair o#ar�y wa�ter af sewer line connecting Che acisting muniapai system and arry house oc butlding far�rhicE►the appiication is made,the oamer or corrtractor shaif be required to obtain a permit for such conaection,and shall pay a permit fee as provided ii Chapter 11 of#his Code. After sucf�connection has been made,fihe 1Afater and Sewer Departmerrt shall be notified. tt shall 6e unlavrFu!to cov any connecting[ine ur�il an inspection fias been made and such connection and the wor�inciderrt thereto has been appro�d by the C?ty as a proper and suitabie connection. 402.06 REPA►!RS Ai1iD MA1�11TEfyqfWCE TO Cf?MWEC110M After the initial connecfiiort has been made tn the water service curb stop box or the sewer lead at fihe property line or a water service iead f�as been exfiendec[to the property line for rconnection,the appiiprrt,owner,or aecupar�t oc user of such premises shalf be tiable for all repairs required ta arry water line and sewer lines necessary#or connecCion of the premises trom#he main to the�remises. ff the pnopesty orrner requests maintenance service or repairs 6e pe�formed by the C'rty,the property owner sha{I be d�arged for fihe costs of the malrrtenance and/a repairs,inciudirag necessary sireet�epairs at a rate seE annuaily by an administrative policy. ft sball be fihe responsbitity ctf the app4icarrE, owner,occupant or user to perForm standard mairrtenance of the sewer service line fsom the premises to fihe main indu�ng debris dearing or root cuttin�and to maintain the water servic;e curb stap box for operabiiity and at such heighY as wili ensure that it remains above the finished grade of fihe ta�d or praperty. {Ref 638,1156,1191j