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Meter Swap 5 - Request Number: 13241 Pub�lic Works Division Service Req�st Problem Address: 1640 76th A�e Requested By: Jason Dep�rtme�: WA1ER Address: No address provided Pro�em/Issne: INSTALL AMR ME'IER Phone Number: 612-310-4538 Sc�eduled Date: 201?-02-4 '�'ti Sc6edaled 1ime: 08:00:00 6 (J,}(� ACTiON NEEDED: Created by: Wendy Hiatt Date Cre�ted: 2017-02-03 AiCtiON TAI�N: � �v�,5�-�-Cl�e � �� dZ. s Status: In Progress 5abe�itter Has Been r , � ,„: Contacted � Date Completed: �� G�'� !,�� Compteted hy: t Hours d �a-(G-'e— -'----- —��,,......o�a..,o�. �4�5.i9niversit�e�ve�,�ae�1� FsradlQy,6U1{� 554.32 y 7ss-5�z-�s�� )�-�3 _ ��(:31�,�0-- C� �� • l��P� hereby authorize the City�f fridley a�d/or fis empioyees#o aio what es necessary �eplace the water metea-. 3 unclerstand ti�at fihe propea�#y owner u diable for tfie serater line fram the main to�the premsse and a{i imerior p{usa�ebing. {Per Ciry coale�02.m6� i adso�told the Cit�j�#Feidiey and�ts employees hacmiess for any�lamages that may occur while doing th opeeation. 3his to include,#wfi eo�timitecl to valves,pipin�wafis,fl+nors or the u,arb stop boz ar►c� rvice line. in understand I am aisa req+ n to obtain a permi�prsor to any rwor�c,�f necessary. � ��� � F9lVAL METER READIAIG(old mefierj 1 0�`-' � ` V lYame: � ) G-�d 11 Addre�_ v""" l•� f 1.�� ��-- Phane�tumhec��rZ^ 3 I V -" �� J � Date �� �� �'� SFgnature Witness Si�nature �- o���-�R� t�a��.� OLD RfADt�IG � �� � � `V RIEW METER# �� ! V � ��3 NEW READlRIG � � ERT# � � V� � � � ) FRfD4EY CI'!"�C�D£ CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER . � ADMINISTRA'!'ION �: �Ref Ord!1[0 213,464,565,366,629,638,662,922,988,i144.,1155,1191} 402.5 PERMIT EEE Prior to constevding or repair af any waTer of sewer iine connecting the exis#ing muniapat system and arn/lwuse oc bui{dir�for which the appiicafiion is macie,the owner or cornractor sha�t be required to obtain a permifi for such connection,and sha{I pay a pemritfee as provided i Chapter 11 of�his Code. After such connection has been made,fihe Water and Sewer�epartmerrt shal!be noti�fied. it shail be untaarFul to co� arry connecting tine urrh7 an irrspection has been anade aad such connett.ion and the wor�c inciderrt thereto has been approeied by the City as a proper and suita6le connection. 402.06 REPAIRS ARO[D�A{N'i'ENANCE 1"p COAINEC'TION After the initial connectiort has been made to the water se�ce curb stop boK or the sewer iead at tf�property I��or a rrater senrice lead i�a; been extended to the property line for connection,the applicant,owner,or flccuparrt or user oF such premises shati be 1'�al,�e for ap repairs required to any water line and sewer lines necessary#ar connettian af the premises from the main ta the prem�es. tF the property orrner requests mai+�#enance senrice ar repairs be perFflrmed by the C'ity,the p+-oper�y owner shall be charged for ttte�osts of the mai�eriance and/t repairs,includir�g necessary strE+,et sepairs at a rate set annuaify by an administra#ive poGcy. Ft sha(!be�e responsbility of the appGcarrt, owner,occupant or user tv perform standard mairrtenance of the sewer service line from the premises Co the main ancluding debris dearing w root u�tting and to anairrtain the water service curb stop box for operability and at such height as wili ensure that it remaisu above fihe finishec grade of xhe land or property. (Ref 638,1156,1191j