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Meter Swap , � . ` ��_��--.�.�?�� ,. � Request Number: 14492 Public Works Division Service Request Problem Address: 1153 Mississippi St Requested By: Hardik Joslri Department: WA1ER Address: No a�ress provided Problem/Issue: INSTALL AMR ME1ER Phone Nnmber: 763-528-3832 SchedWed Da : 2017-04-08 Sc6ednled 1ime: 07:30:00 ✓r. �/x` � ACTION NEEDED: Created by: Wendy Hiatt Date Created: 2017-04-04 ACTiON TAKEN: Status: In Progress Submitter Has Beas r Co�acted Date Completed: Completed by: ��� � � , { ' ' � ; y� �� 1� �"�� � r City of Fridley � � � ��, f� Water Department �� 6431 University Avenue NE Frid{ey,MN 55432 763-572-3566 UWe hereby authorize the City of Fridley and/or its employees to do what is necessary to replace the water meter. I understand that the property owner is liable for the water line from the main to the premise and all irKerior piumbing. (Per City code 402.06) I also hold the Ciry of Fridley and/its employees harmless for anY damages that maY occur while doing this operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand 1 am also required to obtain a permit prior to arry work,if necessary. FINAL METER READING(old meterl �0�� ��O Name: �d�V��i�i ���tw� Address ` l .7 � � �g,��, �J'� Phone Number��J ��2�� ��7� Date � U �`7 Signature Witness Signature 1Cit� OLD METER# �����ro�r OLD READING ��7 1�� � - - -- —�� � �������������������� � NEW M�ER#� IIIIIIIIIIIINI 49208194 � NEW READING ' -- -- ERT# IIIII IIIIII IIIIIII I III E � � 11 72223113 . FRIDLEY CITY CODE CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER ADMINISTRATION (Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191) 402.5 PERMIT FEE Prior to constructing or repair of arry water of sewer line connecting the existing municipal system and any house or building far which the apptication is made,the owner or coMractor shall be required to obtain a permit for wch connectton,and shall pay a permit fee as provided Yn Chapter 11 of this Code. After such connection has been made,the Water and Sewer DepartmeM shall be notified. tt shaN be enlawfu{to�ver any connecting line until an i�spedion has been made and such connection and the work incident thereto has been approved by the City as a proper and suitable connection. 402.06 REPAIRS AND MAINTEIYANCE TO CONNECTION After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a water se�lead has been extended to the property line for connection,the appiicaM,owner,or occupant or user of such premises shall be liable 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 owner requests maintenance service or repairs be perFormed by the City,the property owner shall be charged for the costs of the matMenance and/or repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicarrt, owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing or root cutting and to maintain the water senrice curb stop box for operability and at such height as will ensure that it remains above the�nished grade of the land or property. (Ref 638,1156,1191)