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Meter Swap r � Request Number: 13035 Public works Division Service Request Problem Address: 7526 4th St Requested By: Greg Gordon Department: WATER Address: 7526 4th Str Fridley,MN 55432 Problem/Issue: INSTALL AMR METER Phone Number: 612-910-7687 Scheduled at : 2017 01-25 � Scheduled'Iime: 11:00:00 �l � I CcrYl ACTTON NEEDED:AMR Created by: Beth Kondrick Date Created: 2017-0 l-23 ACTION TAKEN: , � ` � - . ... � , �-(,' _..... , - ti .................i...l.....�...,.....a............. ................._. ................................................................................................................................................................................................................._........................................................................................... ................................................................................................................................................................................................................................................................................................................................................................................................................... .................................................................................................................................................................................................................................................................................................................................................................................................................. ................................................................................................................................................................................................................................................................................................................................................................................................................... ................................................................................................................................................................................................................................................................................................................................................................................................................. ................................................................................................................................................................................................................................................................................................................................................................................................................... Status: In Progress Submitter Has Been r Contacted Date Completed: Completed by: � � L,�-� . � � � f,�,i,t �G�� iNater�epartrrtent �C`l �I � `.0 6431 ilniversitvf/�ver�ue WE � Fridfey,N!N 55432 `� !� �j L�� 753-572-3566 ��-�� • �/we hereby authorize the�ity�f Fridley andJor its empioyees to rtio what ds necessary to replace the water meter. 1 understand that the property owner as liable for the watee line#rom the main to the premise and all interior plurrsbing. (Per City sode 402.06) i also hold the City�f Fridley and/ifis employees harmless for eny damages that may occur while doing this operatian. This to 9nclude,but not Bimited 3o valves,piping,walls,floors or the curb stoP box and service line. In understand 1 am also require� to obtain a permit prior to any work,if necessary. /� ^ ' �-7 PlNAL METER READING(oid meter) _�� 'n � l- � � Name• _��V��C•� `��`�,�_.,�,��'�� Address �� `� 1 � `� Phone Number� {�� .' ��j -� I � v Date Signature I� Witness S+gnaivre "" � o�a �,E��- 7�c�� Z -, �� , OLD READlNG �'� �� J�� I�IEW NlETER#_�� I , � �� f ��`� I�, �NEUV READt{�1G �/ L��-C� ^�. �'�� ( (' � ERT# � =-�� , ,/ .�a�. /�� FRi�LEY�i�f Y�Y"` �f ChlA�TER 402.WATER STORN!WA � � ! � , � ADN11N ISTRda s'V�v (9tef Ord 6Vo 113�464�565�566s 529�635�662�922�98$P 1144�1156� 1191� 402.5 PERMIT FEE Prior to constructing or repair of any water of sewer iine connecting the existing rnunicipal system and any house oc building for which the appiication 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 rnade,the Water and Sewer Department shall be notified. It shall be unlawful to cover any connecting line until an inspection has been►nade and such connection and#he work incident thereto has been approved by the City as a proper and suitabte connection. 402.06 REPAIRS AND SUfA1NTENANCE T�CONIUECTION After the initial connection has been made to the water service curb stop box or the sewer lead at fihe property line or a water service lead has been extended to fihe property line for connedion,the applicant,owner,or accupant 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 shall be charged for fihe costs of the maintenance and/or repairs,including necessary street repairs at a rate set annual(y by an administrative poliry. It shall be the responsibility of the applicant, owner,occupant or user to pert'orm standard maintenance of the sewer service line from the premises to the main�ncluding debris clearing or root zutting and to maintain the water service curb stop box for operability and at such height as will ensure that it remains ahove the finished grade of the land or property. (Ref 638,1156,1191)