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Meter Swap Request Number: 13550 Public Works Division Service Request 1088 HaclQnann Circle Requested By: Ben Babcock WATER Address: No address�ovided - INSTALL AMR METER Phone Nnmber: 651-398-3627 Schednled DAte: 2017-02-24 Sc6ednlei 1lme: 11:OO:OU � � � � �M ACIION NEEDED: Created by: Wendy Hiatt Date Created: 2017-02-17 ACTION TAI�N: I V �� Status: 1n Progress Submitter Hs�s Beea r Contacted Date Completed: Completed by: Honrs � � 2_2�`! t� � � —----- --�-_ _.o �...d 5431 i9n[v�rsit�/#ven�te�1� ,{,� ; Fridley,Mf�i 55432 �� �'�J u 7�3-572-3566 °�� � !`e�'e her� by authorize the City af Frittley and/or its empioyees to clo what ds necessary to � replace the water sneter. 1 understand that the property owner is tiable for the water line from the main to the premise and al{is�terior plurrabing. (Per City code 402.06j i also hold the C'rty of Fridley and/'rts employees harmless for any slamages that may occur rihile doing this opee-�tion. This to include,but not Bimited io valves,��ging,wal(s,floors or the curb stop box and seavice line. In understand 1 am also requir to obtain a permit prior to any wor�c,ff necessary. � „� // — �' `7� �5 � ` b FINAL METER READNMG(old meterj t � ���O v Name:_�Q� �XJvC1�J�- Address 'O� �"�Y�1Q.� G,r Phone Number���� ^�LSG�G�ate _ �� �� 1 �gnature Witness Signature otD��T��� 20� 8 '���- G� ''') /�' � 2ZKS OLD READt1VG_t ( �D {V RiEW METER#_''[C� �� ` ! N�W READENG � ERT# ! � !✓ t � (�-Z� • FRIDLEY CITY tODE CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER armn�svisrr=anoia �Ref Ord No I13,464,565,565,629,538,662,922,988,1144,1156,1i91) 402.5 PERMIT PEE Prior to constructing ur repair of any water of sewer line connecting the existing muniapaf system and arry house ac buildir�fw�which the app(ica#ion is made,the owner or contractor shall be required to obtain a permit#or sucti wnnection,and shall pay a permit fee as proaided ir� Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. It shaii be uniawful to cove any connecting line until an inspection has been made and such connection and the worlc inciderrt thereto has been approved by the C�ry/as a proper and suifiabte connection. 402.06 REPAIRS ARID 9YIAINTENANCE TO CONNEC770N After Che�nitia(connection has been made to the water senrice curb stop box or the sewer�ad at the property iine or a wa�r serpice lead has been extended#o the property line for connedion,the appiicarrt,owner,or accuparrt or user af such premises shail be liabie f�ail repairs required to any water line and sewer lines necessary for connection of the premises frvm the main ta the premises. tf the property uvnner requests mairrtenance sernice or repairs be perForrned by the C'rty,the property owner shaH be charged for#he cos-ts of the mairrtenance and/or repairs,including rtecessary street repairs at a rate set annuaily by an administrative poliry. it shafl be the responsbility of t6e applicant, owner,occuparrt or user to perform standard mairrtenance af the sewer service line from the premises to the main induding�bris dear�ng or root cutting and to mairrtain the water service curb stop box for operability and at such height as will ensure Chat it rernains above the flnished grade of the land or property. (Ref 638,1156,1191j