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Meter Swap Request Number: 13340 � Public works Division t Service Request Problem Address: 1024 Hackmann Circie Reqnested By: Demus Bechard Department: WATER ��.�5: 1024 Hac�m Circle Fridley,MN 55432 Problea�/1ss�u: INSTALL AMR ME'IER. Phoee Number: 763-574-0511 Schedu�ed Date: 2017-03-01 Sc6edaied 1lme: Ol:00:00 $ T Af.'1`�ON riEEDF.D: Created by: Beth Konc�ick Date Cre�ed: 2017-42-07 AC1I N TAI�N• �� S� � � . Statua: In Progress ����r Has Heen r Coutacted Dnte Compieted: Compteted by: Hoars , �- � � I��" � 1� �`'`� � � .w ��. '�1/ate��e�sarta�r'�nt �431.i1�iv�rsii�Ave�iue Al� �radlsy,M�i 55432 753-572-3556 � � � - I � ��y ('�� / '`"'�� her�by authorize#he�iiy�E Fsitlley and/or its empioyees to do rvhat is necessaey ta ' , repface+the water meter. �unclerstand that�he property owner�s iiable for the water line from the main to the pcemsse and ati imeriar plurrrbing. (Per Crty code 402.06j 1 also hold the�City+of Fridley and�ts empioyees harmless#or eny�damages tiaat may ocws rfiile slosrig tfiis � o�Oer�tion. This#0 9nclude,but no#limited to vatves,p�ping,watis,€taors ar the turb stop box and service iinc. In understand!pm also reyui� to obtain a permi�t prior#o any rrorlc,if necessary. / � lO 21�i�C� �jti ��` FfttlAL MEtER READiNG(old meterj _ � Name: _ Y'�� �Pf��YJ�KIY Address �O �' L �����1�VL,iF i i� �� Phone Nucnber������0�� p� � �'''� • Sigrtate�re-- Wltness Signature o�D���R� �� 1 �C� OLD READt1HG_ � � �y 1 �V RiEWMECER# ��� 2 ��� iVE1N READIPIG O . ERT# ` rt'Z � � (� 1 . FRlDLEY CITY CODE CHAPTER 402.WATER,SfORM WATER AtYD SANITARY SEWER ADMliM1STRATiON (Ref Ord No 113,464,565,566,629,638,662,92Z,988,1144,II56,1i91} 402.5 PERMiT FEE Prior fio canstruc#iog or repair of any water of sewer line connect�ng the existing muniapai system and arry hause or butlding for whid�t the appiication is made,the owner or corrtractor shail be required to abtais�a permit for such connection,and shali pay a permit tee as prvaided in Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shati be notified. !t shap ix uniawful bo� arry tonnecting fine urrtil an inspectson E�as been made and such connection and the work i�►aderst thereto fias been appro+red by the CFty as a praper and suitable connection. 402.05 REPAIRS AtdD MAINTENARI+CE TO COMWEC7'iON After the initial connection has been made to the water service curb stop hox or the server lead at fihe property line or a water service Iead has been extended to the property line for canaection,the appiicarrt,owner,or accuparrt or user o#such premises shat!be#al�e for ail repairs required to any water tine and sewer iines necessary far connection aF tfie premises fmm the main to the�remises. tf the psoperty ormer requests mairnenance serxice or repairs be performed by t(�e City,the pcoperty owner shaN be chargeci for the costs of ihe maulrKenar�ce and�oi repairs,inciuding necessary street�epairs at a rate set annuaily by an administra#ive po{scy. It shati be the responsibii'�ty of the applicarre, owner,oceupant or user to perfarm standard mair►tenance of the sewes senrice line frvm the premises tfl�thhe main ir�cluding debris dsaring or root cufiting and to mairrtain the water service�ur(�sfiop box for operabit'rty and at such heigtrt as wiH ensure Ci�at it remairis afaove the�nished grade of the land or property. �Rerf 638,1156,1191j