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Meter Swap ,� �` Request Number: 13551 Public Works Division Service Request Problem Address: 1684 Kristin Ct Requested By: Jerry Broostcn Department: WATER AddregS: 1684 Kristin Ct Fridley,MN 55432 Problem/Isaue: INSTALL AMR ME'IER Phone Nnmber: �63-370-3760 Sc6eduled Date: 2017-03-21 ScLed�led'Ilme: 10:0t1:00 $t' ACITON NEEDED: Created by: Beth Kondrick Date Cre�ed: 2017-02-1? ACIIUN TAI�N: ,�r—_,.. 5tatus: 1n Pro,gress 5abmitter Hns Been r, Contacted Date Com�eted: Completed lry: ��.�` _ �.� -�--��,,� ------ --.-_ _.. �,..� �43119niv�rsit'r Ave�,e�e R1E Fridley,MPl 55432 763-572-3565 �1/ /s l,1q°� her�by authorize the City of Fridley and/or its ernpioyees ta s]o wfiat es necessary Yo replace#he water meter. t vnderstand that che property owner is liable for the+�vater line#rom the main to the premise and all interior plumbing. (Per CFty sode 4�2.06) i alsa hold the C'�ty�f Fcidley and/'rts empioyees harmless#or any slamages tfiat may occuc�erhile daing this oper�rtian. This ta[nclude,but not lim'rted io valves,p�ping,walls,floors or che cueb sCop box and service line. 6n understand 3 am also reyuir to obtain a permit prior to any rror�c,if aecessary. , � �( � � � � � ��-1�' � � � � �� - �c�=`-� FOUAL METER READ4AiG(old meter) Name: �"U� �(��, Address �`G.�� • `'�\�� L/1 Phone Number ��' �!v ��+bate <J ^� `"^ Y ` S��"� � Wltne�Signature V L�� OLD METER# J�� ` �� !-�c^� OLD RfADtNG I � J� � � t�iEW METfR# 1 ��/� �i �c�� NEW READIIVG � ERT# ` � ��O �� . FRtDLEY ClTY CODE CHAPTER 4p2.WATER,STORM WATER AND SANITAtiY 5EWER ADMtNISTRATtON (Ref Ord No 113,464,565,566,629,638,562,922,988,1144,1156,1191j 402.5 PERMlT FEE Prior to constructing or repair af arry water oF sewer line connecting the existing municipaf sysEem and arry fiouse or buiidir�fvr whid�the appfication is made,the owner or corrtractor sha(!be required to abtain a permii for such connection,and s(�all pa�y a permit fee as provided in• Chapter 11 of th�s Code. After such connection has been roade,the Water and Sewer Departmerrt sha0 be notified. ft shail be uniawfui to cove any connecting line ur�til an irrspectioa t�as been anade and such connection and#he wordc inciderrt thereto has 6eere appeoved by the C'rty as a proper and suitable connection. �02.06 REPAIRS AtHD fiAANHTEt�IqAICE TO CONNECT'iON After the initiat connectio�has been made to the water service cvrb s�top f�ox or the sevver fead at the property line or a water service lead(�as been extended#o fihe property line for connecCion,the app{icarn,owner,or accupant or user of such premises sf�alt be Itabie for all repairs required to any water line and sewer lines nesessary for connection of�Che premises frvm the main to tfie premises. tf the pnoperty owner requests main#enance senrice or repairs be perFormed by the Cit.y,the property owner shall be charged for the costs of#t�e maiMenant;e andJar repairs,includ�ng�ecessary street repairs at a rate set annuaily by an administra#ive poiiry. 1t sfiall be the respansibility vf the applitant, owner,occuparrt or user to perform standard mairrtenance of the sewer service tine from the premises to the main includ�debris deating or root cutting and to ma+nta�n the water service curb sfiop box for operability and at su+cfi 4�eight as wili ensure that it remains above the flnished grade of the land or property. (Ref 638,1156,1191) paubzs ,��,,,��,�-•� . w� ,�r� :sx�eutag .�+,�-��r� axey� �czauca�eZda� �, buzpeag �ua�ua�ETdag �� '-"°`�•oH �uauta�2tdag � �.,,.� �.� buipea� .za�ayl pto �,�,�,.�. ,� �ac�unH .za�aW PTO p� ` �, ...�v"`� a�ga •� r.�'�? .„,� �� au��H �� ,� r,�� ssa.zpp� � �ttem�}i� aQ sa��i� �atp�=� �� t� . ..��t,�� H > � ��``�� ;� � � �- :��' ��,�,;� ..,�,-�... �.,�,. ;- ..�__ ��..�_� _ � �-_ _ - . �. _..