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Meter Swap q � Request Number: 13356 Public Works Division Service Request Problem Address: 6084 Woody Ln Reqaested By: Bridget Departme�: WA'IER Address: No a�ress provided .:� _ �:_ Probiem/lssue: INSTALL AMR METER Phone Nnmber: 612-816-1245 ` ' Sc�ednled DAte: 2017 02-13 Schednled 11me: 01:30:00 � l � 3 ACTION NEEDED: Created by: We�y Hiatt Date Crerted: 2017-02�8 .,��' ACTION TAI�N: � ..: ` ���s�-�,CC� �� Stat�: In Progress Snbmitter Hai Been r. Contacted , Dstte Completed:� — �.3 —' `� Completed by: ���� ry;;:_,+- ������__ ..u,..,., ,�.sprcYe Loea�c�ea. �431 l9niv�rsi�s�,rren�ae 9Y� S L� � `t � � Fridley, N6N 55432 l. • ` 753-572-3566 ,��,�j-, � � � �:� �i-- �i j , �I1i1°� here6y authorize the�'rty af IFridtey andjor its emp�oyees to do wha�t is necessary to replace the water rneter. e�nderstand that�he property owner 3s liabie for the water line from 4he main to Yhe premise and all imerior plurrabing. (Per Crty code 4fl2.06} i aFso hold Lhe�it��ot��idley and�ts empioyees harmiess for arry damages that rt�ay occur while doing this operation. This#o�ncfude,bu$no#lirndted�o valves,piping,walls,floors or tfie cutb sto�o box and service line. In understand 1 am atso requir to abtain a permit prio�r#a any�eror4c,i#aecessaey. FriVAL 1NETER READIWG(oF[i meter? ��,� �VL�v � y j � — rlame: �� G J Address LL��� �CJ�3�J � Phone Pfumber� `2'— V I�Q "�,�,,� 5 Date_ � ~ � �J `~ �� �� Signature Witness Signature , OLD MEfER# CT� �`�� OLD READtNG_Dg � J�PiV�/ 1�EW METER# �vr�D � v � ( N£W READIIVG � �RT# � �� I Ga �Co g � FRIDLEY CiTY CODE CHAP7'ER 402.WATER,SfORM WA�TER AND SANtTARY SEWER ADMfNtlSTRATiON (Ref Ord Afv i13,464,565,566,629,638,662,922,988,1144,T1S6,1191) 402.5 PERMIT fEE Prior ta constructing or repair o�E any water of sewer line connectsng the euisting municipal system and arry fiouse or building fov which the appilcatio�is made,the owner or corrtractor shai{be required tv otrtain a permit for sucfi connection,and shall pay a pesmit fee as prohdeci irt Chapter 11 of this Code. After sucfi connection has been made,#he 1Aiater and Sewer Departmerrt shall be notified. It shail be untawfi�l to crnre any connecting I�ne until an impectian has been made and such connecCion and#he wo�lc inaderrt thereto has been approved by the qty as a proper and suitabie connection. ' 40ZA6 REP�4iRS AND�IIA{P�lTENAfVtCE TO CONNEC110N After the inifiial connecCion has been made to�the water service curb stop box or#he sewer lead at the property iine or a water service iead has been extended#o the proE►erty line for connecfiion,the appiicaat,owner,or accuparrt or user of such premises shal!be liabie for all repairs required to any water l�ne and sewer lines netessary#or tonnection of the premises from the main to the premises. tf the prpperty orrr�er reqaests mai{rtenance service or repairs be pesfarmed by the C'ity,the property owner shalt be charged foc the costs of the mairrterrar�ce and/or repairs,including necessary street repairs at a+�afie set annually by an administrative policy, it sfialf be the responsibQli#y of the applicarrt, owner,occupasrC or user to perform standard mairtCenance of the sewes servsce li�e from the p�emises to#he nnam inciuding debris deartr�g or root cutcing and to maintain the water service curb sCop!wx for operafoility and at such height as wiii ensure that it remains above the 8nisfied grade af#he[a�d or property. (Ref 638,1156,1191j