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Meter Swap �ozy�r rr�aoey ,�03 �oa ��a � �r�- t Water Department ^�%� 6431 Universitvf Avenue NE , ✓, . �.E� � ''� � J Fridley, MN 55432 � � 753-5723566 �,;,�� , 1 ��We hereby authorize the City of Fridley and/or its empioyees to slo what is necessary to replace#he water meter. 1 understand that the properry owner is liable for the water line from the main to the premise and all interior pluenbing. (P,er City code 402.06) i also hold the City of Fridley and/its employees harmless for any damages that may occur while doing tfiis operation. This to include,but not Bimited to valves,piping,walls,floors or the turb stop box and service line. In understand I am also required to obtain a permit prior to any uro�ic,if necessary. F11VAL METER READING(old meter) � �" � � ��+� Name• ��dress I C7�.� �� . T�V''�.� Phone Plumb�(Q �� ,�� Date �,� s�.�' + � Signature - Witness Signature OLD METER# � �''� 1 � �� OLD READtNG �� ,�� ;�'`'�—1�'� NEW METER# � � '] � I��v� � ��`�"�; � l a7-i�"1 �,�.w►,,�.��`.�'°�I NEW READIf�1G � ERT# G �.{� t�'�'`�'s FRIDLEY£ � ,-g�� c..�h1(��1C1� CHAPTER 402.WATER,STORM 1 �� " �I p, ADMINIS�. � � � (Ref Ord No 113,464,565,566,629,� �.��_ L1' � II �� 402.5 PERMIT FEE ��,� � ��G�Q J �� Prior to constructing ar repair of any water of sewer iine connecting the e �ich the application is made,the owner or contractor shafl be required to obtain a �� d provided in Chapter 11 of this Code. After such connection has been made,the Wate �Ll�� (J7� wful to cover any connecting line until an inspection has been made and such connectic y �'� e City as a proper and suitable connection. .. � a�;,�,�,/,� .�t�-r+%Cw^JL� �" `� 402.06 REPAIRS AND MAINTENANCE TO CONPIECTION �� - �39��-�'�y,a.�. A#ter the initial connection has been made to the water service curb stop ce lead has been extended to the property fine for connedion,the applicant,owner,or occupant or user of such premises shall be liabie 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 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 of the applicant, owner,�ccupant or user to per#orm standard maintenance of the sewer service line from the premises to the main including debris clearing or root cutting 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#he land or property. (Ref 638,1156,1191) Y � � Request Number: 12858 Public works Division Service Request Problem Address: 1361 75th Ave Requested By: Cathleen Peterson Department: WATER Address: 1361 75th A� Fridley,MN 55432 Problem/Issue: INSTALL AMR METER Phone Number: 612-252-2821 Scheduled Date: 2017-01-26 Scheduled 15me: 07:00:00 - �- ��_ � ACTION NEEDED: Created by: Beth Kondrick Date Created: 2017-01-13 ACTTON TAKE • � ..........................�........ ....... ... ....�....-�.�:................... ........ ... ......................... .........................................................................................................................................................__............_._................_....._.._...---. � � ............................................................................................................................................................................................................................................._..............._........................................................._._....._............_............__......._._.._..._...._..._... ................................................................................................................................................................................................................................................................................................................................................................................................................. ............................................................ ......................................................................................................................................................................................................................................................................................................................................... .............................................................................................................................................................................................................................................................................................................................................................................................................. ..................................................................................................................................................................... ......................................................................................................................__...._...................................___._.............__.................................... Status: In Progress Submitter Has Been r Contacted Date Completed: Completed by: � �- �-� ' ��? �C l��T � Hara, Sandra From: Hiatt, Wendy Sent: Friday, February 03, 2017 9:49 AM To: Hara, Sandra Subject: 1361 75th Ave Hi Sandi. The correct meter number for this address is 47118409 Thanks Wendy Hiatt Administrative Assistant City of Fridley—Public Works City of Fridley Wendv.hiatt@��'idleymn.�av 763-572-3566 1