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Meter Swap � Request Number: 14411 Public Works Division Service Request Problem Address: 1473 Trollhagen Dr Requested By: Cheryl Kolodge Departme�t: WA'IER Addresa: No adc��ess p�ovided Problem/Issue: INSTALL AMR METER Phone Number: 763-227-3568 Scheduled Date: 2017-04-06 Scheduled 11me: 08:30:00 � � ACITON NEEDED: Created by: Beth Kondrick Date Created: 2017-03-30 ACITON TAKEN: _�._.............................._:�5�..��...__...._......._____._.��..�-- .___._._.___ � Status: Ix►Progress Submitter Haa Been r, Co�acted Date Completed: �r.� � I� Completed by: ��` � 6 w , '. ,�,s`•.'... , ✓/ 35� �� i% �.C� �s � / � / !�� , �� " City of Fridley Water Department 6431 University Avenue NE Fridley, MN 55432 763-572-3566 I/we hereby authorize the City of Fridley and/or its employees to do what is necessary to replace the water meter. 1 understa�d that the property owner is tiable for the water line from tfie main to the premise and all interior piumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may ocair while dang this. operation. This to include,but not limited to vahres,piping,wails,floors or the curb stop box and senrice line. In understand 1 am also required to obtain a permit prior to arry work,if necessary. FINAL METER READING(oid meter) �� Name: �✓�`e' 1 � 1"lJ ��Address 1 "L� ✓ I 1��'��Ci�°iV 1 {V! � Phone Number /�� y �"`'� Date 6�`-C_ �� Signature Witness Signature OLD METER# J�� OLD READING � 1 �� d NEW METER# 4 ��a � 1 �� NEW READING O ERT# � aaa 3 � �5 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 wnstructing or repair of arry water of sewer line connecting the 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 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 shall be uelawful to cover any wnneding 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 suitabfe connection. 402.06 REPAIRS AND MAINTENANCE TO CONNECTION After the initial wnnection has been made to the water service airb stop box or the sewer lead at the property line or a water service lesd has been extended to the property line for connection,the applicant,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 shalt be charged for the c,osts of the maiMenance and/or repairs,including necessary street repain at a rate set annually by an administrative policy. It shall be the responsibility of the applicant, owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main inciuding debris clearing or root cutting and to maintain the water service curb stop box for operebility and at such height as wiii ensure that it remains abrnre the�nished grade of the land or property. (Ref 638,1156,1191) ., � � .� � f � ��"'� �# t. • �� '�4�`�y"� �, �. � �`�£ .s ,� :� _ . . �. . ., �y; M ''��-r."$-.,� : �r a' �`�.��.,a,r._{rx��x .� s f, ✓� t�''' t�3�ti city of Fridley water Department Address ��(�_��(��-�,j Name �j�p � Date - Old Meter Number � �b O1d Meter Reading a Replacement No._ �j�j��'� �� Replacement Reading� Replacement Make Remarks• C3�O S igned `�--' 0 r�G�{�'�� " ��o'