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Meter Swap ♦ x c ,� Request Number: 16332 Public works D�ivisian Service Request Problem Address: 921 Rice Creek Terr Requested By: Kelsey Department: WATER Address: No address provided Problem/7sst�e: INSTALL AMR METER Phone Number: 612-709-5459 �. Schediiled DAte: 2017-07-18 Schednled 13me: 07:00:00 � " $� � �,��"' ON NEEDED: . i,,. . �;� � ����, ��,� � t: �.v. :;� � ` �i++�' �. �.. Create� : WendyHiatt DateCreated: 2017-07-14 ACTION TAI�N: �,5�-�. �1�e c� �� �— .........................._._._..........__..............................._........................___..........._..._ ......____....._................__.......__.........._........_.....__.....___ __..._._......_._......._.........._.._-_--____._._.___. �,;:,.�. , ...._..................._...................................._.__.........____.._�..............._.........__........._........___...___ _...._..__._ � . .........._.............._....._.....__._.._.____.._...._................_. .� Status: _ In Progress 5ubmitter Has Been r, Contacted Date Completed: �],,, / �,_, �� Completed by: C , � r �� J Q.�. �� � ��� y��� y �: ,�:: ; � � { � , :.� , .. � ���'/ �/.•1_. /J.q �1 x/ �r� �� ` "' l.�^ !�J \� �.J � �ity�#Fridley WaterDepartment C�� ,•;� C� 6431 University Avenue NE J �•� J Fridley,MN 55432 763-572-3565 ��`"�e fiereby authorize the City of Fridley and/or its employees to do what is necessary to repiace the water meter. i understand that the property owner is liable fo�the water line from the main to the premise and ail trrterior plumbing. (Per Crty code 402.06) I also hold the�ty of Pridley and/its employees harmless for arry damages that may occur while doing this operation. This to include,but not limited to valves,pipPng,walts,floors or the curb stop box and service 1ine. in unde►�stand f am aiso required to obtain a permit prior to any work,if necessary. FIPIAL ME1'ER READII1tG{oid metera � v v � � V Hame: �����/ Address _ ��' t�1rL�° ��°��L �`�.r� Phone Num r_�i('•�^ 7 Q i ` ✓� 1 p�. � �— � � "�- �� �Signature Witness Signature '�– OLD METER# �� J� � �" l 1 OLD READING ���� y � NEW METER# �1`�3� 57 g I � � NEW READING � ERT# �0��� l 1 �y FRIDLEY CI7Y CODE CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER .ADMlNISTRATION (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 any water af sQwer{ine connecting tfie existing municipal system and any house or building for which the application is made,the owner or contractor shall be required to obtain a permit for such connection,and shail 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 uniawful to cover any connecting line until an inspection 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 APtD MAINTENANCE TO COMNECTION After the initiai connection has been made to the water service curb stop box or the sewer tead aC the property line or a water senrice fead has been extended to the property line for connection,the applicant,owner,or occupant ar 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 properly owner requests mairttenance service or repairs be perfarmed by the City,the property owner shall be charged for the c�ts of the maintenance and/or repairs,including necessary street repairs at a rate set ann�lally by an administrative potiry. It sha{I be the resporuibility of the applicarrt, owner,occupant or user to perform standard mairrtenancc�of tfie sewer service line from the premises to the main inciuding debris clearing or root cu#ting and to mainta�n the water service curb stop�box for operabil'�ty and at wch height as will ensure that it remains above the finished grade of the land or property. (Ref 638,1156,1191) -�_ '