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Meter Swap � Request Number; 14278 Pubtic Works Division Service Request Problem Address: 1516 Windemere Dr Requested By: Ginger Departme�: WATER Address: No address provided Probiem/Issue: INSTALL AMR ME'IER Phone Number: 612-325-5794 Scheduled Date: 2017-03-30 Sc�dnled 1lme: 10:30:00 .a..,- � v� ACIION NEEDED: Created by: Wendy Hiatt Date Created: 201�-03-23 ACIION TAI�N: � t l.�' _.___ `��..! �� ; . _. .._..___ ;;:r^ Stat�s: In Progress ��er Has Been r Co��tcd Date Completed:��-`j a ,�I� Completed by: f��- c� -„J ' � 1 �, . � ��k �I�IC� (�� City of Fridley Water Department �� ,��{7.� 6431 University Avenue NE Fridtey, MPI 55432 763-572-3566 t/we hereby authorize the City of Fridtey and/or its empbyees to do what�necessary to replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premtse and all interiw plumbing. (Per C'�ty code 402.06) i also hold the City of Fridley and/its employees harmless for any damages that may ouur while doing this operation. This to include,but not limited to valves,piping,walis,floors or the wrb stop box and service line. In understand 1 am also required to obtain a permit prior to any work,ff necessary, FINAt MEi'ER READING(oid meterj V ✓� ��v v Name: �t�Q l° r Address � v � F� ��(KJI° .HV�/�� 1✓r• Phone Number_��Z� r��" J� 1�-! Date � v � � � l Signature Witness Signature � OLD METER# ��/-1�`�i � 6 � OLD READING ��Q� �v a NEW METER# � !�� I NEW READING V ERT# � I �� , l vO FRtDLEY 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 any water of sewer line connecting the existing municipal rystem and any house or buiiding for which the application Ps made,the owner or contractor shatl be required to obtain a permit for such connection,and shall pay a permit fee as pravided in Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. ft shall be unlawful to coMer any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the Cky as a proper and suitable conoection. 402.06 REPAIRS AND MAINTENANCE TO CONNECTION After the initfal wnnection has been made to the water service curb stop box or the sewer lead at the property Itne or a water senrice kad has been extended to the property line for connedion,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 connectton of the premises from the main to the premises. If the properly owner requests maintenance service or repairs be performed by the City,the property owne�shall be charged for the costs aF the maintenance and/or repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibility of the applipr�t, owner,oaupant or user to perform standard maintenance of!he sewer senrice line from the premises to the main includlr�debris dearing or root cutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains above the finished grade of the land or property. (Ref 638,1156,1191) -- , _ �---_ _ a...�-� _�� _. . _ � - - - v ��-3 ��S-�,s=-y 9�� City of Fridley Water Department Address- ��,f�j �J„�:1i.rf�ln�,/�..�.. ' Name /� l'/t��` ��,+� '`T Date_ ��- � -jv Old Meter Number �3� _ Old Meter Readin .5.5 C� Replacement No._3 � � /'�� 7 ' Replacement Reading C' Replacement Make �J_��i� Remarks• („�l . �y7C' �`�"-�-- S3gned � � � i f ,. . _ _ � `�> �_.,I�� ._ . + .�.� �______. _ _____.____�..__._.�___.___ _.____..__� � ..�_ _.�____ .._ __ �_�� ----� � �'� � - � � __�___� _ __ .___ _ _ _ �__ �_ ___________._______.___.._.____.___v____� � � a�►��'r�►�l �d�g��? l� Q ✓�s�1r�o��s --��'� � � � �``7�/'� ��Sr.t1'ns' �L,r� asn�� -�.�� n�� 7 �� / ..�� '�� U:� �S�'��y� 7� _.... -��. �� ! Z `�-�p� `� ��! � = � �' � , =�U� � /�� Mit�t l�L�+IIUV ��fl P�S ll ��a�-v��c � �act ��r►s«� _� . � ��a� :� �° �� 3 �F�P� =�t� Z1daZ10� �� '-Zt-ltl� ��f , \ . �� :l�� 1� �� 2lil�� . L�� I � � �� ' � r ��F��-�`� f, , � / � � �,�,;Z E��.,�N'�� l,(X1��;� c�,<t.� �,m U�� $�� (�-�� .<<, �� 2, �.�r��-i,,� _ c��, C}2�=�'��C�-1,��r�t,� 5 l��,��)� . �� i�+T"c�-4�; i='�Uc� r .�p � c� � (''!`��C.;�r --� CJ'��-� ��r,r_ it�K ��r�r�r��x� �rv��!i.... I��T� ��`� �- �O i � � �� ,�, �� ,,,��r��