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Meter Swap � YT Request Number: 12564 Public Works Division Service Request Problem Address: 7500 Able St Requested By: Paul Seydel Department: WATER Address: 7500 Able St Fridley,MN 55432 Probiem/Issue: INSTALL AMR METER Phone Number: 612-369-4495 SchedWed Date: 2016-12-30 Scheduled 15me: 11:00:00 � v 5 ACTION NEEDED:Install AMR Created by: Beth Kondrick Date Created: 2016-12-23 ACTION TAKEN: ...............................__._..:�:..��_S`�'.`..::_��P::......�'.�.........._....................��:.......___.............._.................___.....___....................._______._............_......__.�..__.__.._._____. ........................._.........................._..__..____._.......................__.......___......_._..�._.........._.._.......___.__.............___........................_................._................__....................................__._.._...............__.._.._�._......__..._._..._.. , Status: In Progress Submitter Has Been C, Contacted Date Completed: �(�� 3 Q '� i� Completed by: (��� l''✓ "1-�----------_.. ;;�,r�':, <���v�v,�� N�;�<. �" �„ � y ���cre���.z�. +y � Y�}vE' x � n�, Y a �,u s� ���iv�.4:m���`�y �;4 yr,� .y r a- �s sr � l � � ,fr'i� � ��»'4��""i��'��:: g „;, ,,. .. 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D�A!!lT 2C�t�'f€�'t� ' ��t9�. t���� '',. 'W�" ' `Y, ;�. � fr LcJ C�z ti.�f-'2ee��-�`G'�- 'r,�.�`'' .�: /� � ,,� (,iJ'd�^,,, `�--_ �ZGn��'� .+-�^'�3��v��_ �`'� �'�+�;c�" �� �.c,� � � '���-.�lJ '��� � �� ��� � 9 ���,�. � � � City of Fridley �� ��3�� f Water Department 6431 University Avenue NE •-��� �if� �S�t� -c>� Fridley,MN 55432 763-572-3566 1/we hereby authorize the City of Fridley and/or its employees to do what is necessary to replace the water meter. i understand that the property owner is{iable for the water line from the main to the premise and a!{irrterior plumbing. (Per City code 402.06) 1 also hold the City of Fridley andJits employees harmiess for any damages that may occur while doing this operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand I am atso required to obtain a permit prior to any work,if necessary. � FINAI METER READING(old meter) ��'��� " Name• �p'�'�'1 �'�-'Y �e ` Address �J�� � � ��• Phone Number lx �2� ����''� l� Date � �' �U � �"' �Signature �.-� itness Signature '�� �3LD METER# ! � ! � � SC' _ .�` F ti �` `_�� � - �.� �a�� 3� � :� ... OLD READING ' � d�^- �'��C �'� NEW METER# ` ! �I �� 4 � ��,t, c Q,�,.�v;�'i \ ��� i NEW READING � � � , ERT# � � � �,/ l � a� — --- , 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 constructing or repair of any water of sewer line connecting the existing municipaf 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 u�lawfut to cover any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the Gty as a proper and suitable connectian. 402.06 REPAIRS AND MAINTENANCE TO CONNECTION After the initiaf cannection fias been made to the water service cu�b stop box or the sewer lead at the property line or a water service lead has been extended to the property fine for con�ection,the appiicant,owner,or occupant or user of such premises shaN be liable for afi repairs required to any water line and sewer lines necessary for connettion 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 shali be chae�ged for the costs of the maintenance and/or repairs�inciuding necessary street repairs at a rate set annualiy by an administrative poliry. It shall be the responsibilityr af the appfiqnt, owner,occupant or user to perforsn standard mair�tenance of the sewer service line from the premises to the main induding debris ciearing 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 638,1156,3191)