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Meter Swap � Request Number: 13443 Pablic works Division Seivice Request Problem Address: 1000 Hx�Circle Requested By: Earl Haason Dxpartmevt: WATER Addre�s: No ad�ess provided Problem/Iasne: INSTALL AMR METER Phoae Number. 5749629 Scheduled Dxte: 2017-02-21 Sc6ednled 11me: 08:30:00 S't— . ACTiON NEEDED: Created by: Wendy Hiatt Date Cre�ed: 2017-02-13 ACTION TAI�N \� Status: In Progress Submitter Has Been �, Co��ted Date Completed: Completed by: 7." Z�� `r i�/a�ee-�eqsat'�a�a�tea�t � 6437.tDniv�rsii^�Aver�a�e NE �'jb+� �✓ Fridley,MN 554�Z ]_ / � �1.,� 753-5r72-3566 ��1 _��111:� l � ,� � � I • !!'N� hereby authorize#he Criy of Frrdley andJor its emploqees ta do what is aecessary ta replace the wafier meter. 1 understand that khe properrty owner�s liable for the sarater line from the main to the premise and all irnerior p4urra0�+ng. (Per City cor)e 402.06j i also hold#he�ity arf�ridiey andrts employees harmless#or any�lamages that may occur white doing this operetion. This to include,bufi n+ot lirsiited to valves,piping,watls,floors or#he curb stoP hox and service li�ne. 1n understand�am also requi� to obtain a permit prio�r to arry ieror�,�f�ecessary. FSAIAL METER READIAiG{old meterp �� v Aiame:_.�if L� � �/�,�SD1� Address�1_1V� ��c�� ti � PhonePtumber J�� `��_ Date �^ `—��'~ ', Signature Witness 5ignature o�o ��-�� g�12.� � 0 2 � OLD READING _ c�� L �� RIEW METER# ��/ � 1� 1'�� NEW READf11PG t,J ERT# � 1 fJ L� � � J� FRIDLEY Ci'u'Y CODE CHAPTER 402.WATER,StORM WA't'ER AfifD SA�NITARY SEWER ADMINLSTRA370At (Ref Ord No 113,4,64,565,566,629,638,662,922,988,1144,i156,1191) 402.5 AERMIT FEE Prior fio constructing or repair af any water of sewer line connecting t(�e existing municipat system and any house or buiiding for w6icl�the apptir.ation is made,the owner or coritraetoc shatt be required to obtain a permit for such connection,and sE�ali pay a permit fee as proyfded i� Chap#er 11 of this Code. Atter such connection has beer�rnade,the Water and Sewer DepartmenC shall be natified. Ft shat!be untawfui to covE arry conneding line until an snspection has f�een made and such connection and the wos�inaderrt thereto has t�een approved by the City as a proper and suitable connection. 402.06 REPAIRS AfOfD MAIMTE1yAMCE TO CC14+11YfCTfON After the initlal c4anection has been made to the water service curb stop boK or the sewer�ead at the property line w�a water sen�ice Iead t�as been�ctend�d#o the property line for conneqaon,the appiicarrt,owner,or accupan#or aser of such premises shait be tiabie for�!!repairs required Co any water tine and sewer iines necessary for connectiun of the premises from the main to the premises. !f the property awner requests mairrtenance senrice or repairs be�rformed by the City,the property owner shatl be charged for#E�e cosTs af it�e mairitenance and/oi repairs,including necessary street repairs at a rate set annuatly by an administra#ive poficy, it shatl be the responsbility o#'the applicarrt, owner,oc�supant or user to perform sfiandarci mairrtenance of the sewer service line from the premises tp the main anduding debris dearing or root cutting and to mairrtain#he water senrice curb stop box for operability and at such height as wiil ensure that tt remains above#he finfished grade af the land�r property. (itef 638,1156,1191j