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Meter Swap � Request Number: 13163 Pubhc works Division Service Request Problem Addreas: 5647 Matterhom Dr Requested By: Lisa Ferrier DepartmeM: WATER Address: 5647 Matterhorn Dr Fridley,MN 55432 Problem/Is:ue: INSTAL.L AMR ME1ER P6o�Number: 612-868-3650 Sc6eduled Date: 2017-02-06 Sctied�led'nme: 01:30:00 � ` ACIION NEEDED:Install AMR Created by: Beth Kondrick Date Cres�ed: 2017-01-30 ACTION TAKEN: �� (� �"�►tiS�. ��e� Stat�: In Progcess ��Ker Has Beee �,., Centacted Date Completed: � ' \Q � '� Com�etdl by: � ��L� �� Water t)e�artment (� `` 6431 lOniv�rsity��1ver,ue N� � L` ,��1� � � Fridleyy MN 554�2 ,� 753-572-3566 � � �j,� � �� 7 �� '�- �� ► �/''�� hereby authorize the C'rty of Fridiey andJor its emptoyees to clo what ds necessary to replace the water s�neter. 1 understand that the property owner is liable for the water line from the main to the premise and all interior plumb�ng. (Per City code 402.06) i aiso hold the City of Fridiey andfits employees harmless#or any damages that may occur while doing this operation. This to sncfude,bufi not limited to valves,piping,walls,floors or the curb stop box and service line. in understand 1 am also requtre� to obtain a permit prior to any�rorgc,if necessary. FINAL METER READtNG(old mefier) � � V I � � � Name• ��`�JG`. �r�`�il� Address �� / 1"�-�%1�"� �✓� �.. Phone Number`�'`2 ��V� ✓�5d p� �, � � ` �� SFgnatare Wtiness S�nature — OLD METER# �v�� J �� ( ��G�� # ��-T� OLD READti11G� f � l��D C� � S!� �3�v3• . ��/ U"�� NEW METER#_�� .( �� ,� r2�r.P.�t� NEW READING � �T''J ��'ot$5`'L I(o. N�o�`/� � 1 � o �1 ��#�- ��.� �,�� ERT#__ � �� S�'a��` �� c� ��-�� c� �A�� FRIDLEY CITY DE ��' ,��- CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER ADMINISTRATION (Ref Ord No 113�464,565,566,529,638,662,922,988,1144,1156,1191) 402.5 pERMIT FEE Prior to constructing or repair of any water of sewer line connecting the existing municipal system and arry house or building fo�which the epplication is made,the owner or contractor sha(I be required to obtain a permit for such connection,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. it shail be unlawfui to cover any connecting tine untii an inspection has been made aod such connection and the woric inciderit thereto has been approved by the City as a proper and suitabie connection. 402.05 REPAIRS AND MAINTEtYANCE TO C�IYNECTION After the inifi�ai connection has been made to the water senrice cu,i�stop box or the searer lead at the property iine or a water service lead has been extended to the property line for connection,the appiicarrt,owner,or occupant or user af such premises shaq be liat�e for all repairs required to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property�rner requests mairitenance service or repairs be performed by the City,the property owner shatl be charged for#he costs of the mairtterrance and/or repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shatl be the responsbility of tfte applicarrt, owner,occupant or user to perform standard mairrtenance of the sevrer serv'sce line from the premises to the main andutling debris dearing or root cutting and to mairrtain the water service curb stop box for operabil"rty and at such height as will ensure that it remair�above the finished grade of the land or property. (Ref 638,1156,1191) __.__+.�__� f� ,r _ . _. . e- -. V 1 � � �O ! �+ t / ��'� Ci�y of Frirlley Water Department Address �(p�� ,��N Name ��..�Q ��G�� Date �^-�,'�-�� . Old Meter Number � � � , � � � � Old Meter Reading �S � Replacement No. 3ya $5 �� Replacement Reading_ (�f Replacement Make��,� Remarks:_ M�S�1�� Signed �� $3�05�3 .w � £�, 8 4 f ?�