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Meter Swap . ` Request Number: 15246 Public works Division Service Request Problem Address: 5538 W Danube Rd Requested By: Mary Kay Department: WATER Address: No address provided ProMem/7ssue: INSTALL AMR ME1�R Phone Number: 763-242-9590 Scheduled te: 2017-OS-12 5chednled 1lme: 10:00:0U �� � Q AG"TION NEEDED: Created by: Wendy Hiatt Date Crexted: 2417-OS-09 AC1'IOAT TAKEN: � V..._1�.Y�?.`._�.�.��.........._...�...._._�\�\�______.._......_ ._ _�.. Status: In Progress Submitter Has Been r, Contacted Date Completed: Completed by: � �� � � � � - ' . �� � ��o-a 1 City of Fridfey � � Water Department �y� �I' � �� 6431 University Avenue NE t/ �t~ Fridley, MN 55432 763-572-3566 �/we hereby authorize the C'ity of Fridiey and/or its empbyees 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 iMerior plumbing. (Per City code 402.06) I also hold the tity of Fridley and/its employees harmless for arry damages that may o�r while doPng this operation. 7his 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 any work,if necessary. FINAL METER READING(old meter) ���� ��� Name: Address ��J L V v �13'� � Phone Number � � � Date � ) '� Y (_�� Signature Witness Signature OLD METER#_ - 1� cX.�) ���� OLD READING ���� I�� NEW METER# � 6J�4/� L�� NEW READING C� ERT# I ��� `Z�� 1 FRIDLEY CITY CODE CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER ADMtNISTRATtON (Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1],56,1191j 402.5 PERMIT FEE Prior to construding or repair of a�y water of sewer line connecting the existing municipal system and arry house or building for which the application is made,the owner or contractor shall be required to obtain a permit for sucF�connection,and shall pay a perm�t fee as provided in Chapter li of this Code. After such connection has been made,the Water and Sewer DepartmeM shall be notified. R shall be unlawtul to cover any connecting line until an inspection has been made and such connection and the work incident thereto has been appro+red by the City as a p�oper and suitabie connection. 402.06 REPAIRS APID MAINTENANC�TO CONNEC770N After the initial co�nedion has been made to the water service curb stop box or the sewer lead at the property line or a water service lead has been extended to the property line for connection,the appltcant,owner,or occupant or user of such premises shali be lisble for all repairs required to any water line and sewer lines necessary for connection of the premises from the main to the premises. tF the property owner requests maintenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maintenance and/or repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility o#the applicaM, owner,occupant or user to perForm standard maintenance of the sewer senrice line from the premises to the main including debris clearing or root cutting and to maintain the water service wrb stop box for operability and at such height as wiii enwre that it remains above the�ntshed grade of the(and or property. (Ref 638,1156,1191)