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Meter Swap � . Request Number: 12872 Public Works Division Service Request Problem Address: 1437 76th A�e Requeated By: A�Marie Ma�claet3snz Departmeet: WATER Addrea:: 1437 76th Are Fridley,MAT 53432 Probietn/Isaue: INSTALL AMR METER Pho�Number: 763-786-5406 Scheduled te• 2017- -25 � Sc�e�led'Rme: 09sOt1:00 � ACIION NEEDED: Created by: Beth Kon�ick Date Cre�ed: 2017-Oi-13 ACIION TAi�N: ._..______ �✓�`'�-��--�"' " � �"� Stat�u: In Progress Subaiitter�iu Becn �, Ceutaeted Date Couapleted: I��5'� u� Campletcd by: ���� , ,�fl:. �. � �.oz��r t�r�aoey ..-.. 2 Water Department �Q✓" �D � ,��j� " � � 6431 University Avenue N� � Fridfey,MN 55432 � � � � �� 753-572-3566 1/we herehy authorize the City af Fridley andior its employees to do wfiat is necessary to replace the water meter. 1 understand that ihe property owner is liabie for the water line from the main to the premise and al{irrterior piumbing. {Per City sode 402.06) i alsn hold the City of Fridiey and/its employees harmless#or any damages that may occur white daing this operation. This to include,but not limi#ed to valves,piping,walis,floors or the curb stop box and service line. In understand 1 am also reguiced to obtain a permit prior to arry wor{c,if necessary. EINAL METER READlA1G(old meter}—_��� ��� Name: [�wu"�`pr {v 1�GtiG ��'Address_� 1 � i ��� �� �^�',�tt (�,p� c�,�r� (� (`�f Phone Number b�/:) '°"�CN�J 1�� pate �""r�•�� ` + Signature Yllitness Signature OLD METER#_ t���( �� (.� OLD READING �`�' ����v NEW METER# �4� l I C7 �/� � NEW READING � ERT# � V� � ��ll� FRIDLEY CITY CODE CHAPTER 4Q2.WATER,SCORM WATER AND SANITARY SEWER ADMfNISTRATION (Ref Ord Plo 113,464,565,566,629,&38,662,922,988,1144,1156,1191j 402.5 PERMiT FEE Prior to constructing or repair of arry water of sewer line connecting the existing muniapai system and arry house or butiding for which the application is made,the owner or corrtractor sheil 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 not�ed. ft shalt be uniawful to cover any connecting line untii an inspection has been anatle and such wnnection and the worlc inciderrt thereto has been appro�red by the City as a proper and suitable connectian. 402.06 REPAIRS AND MAfNTENANCE TO CONNECTIOTf After the initial connectio�has been made to the water service curb stop box or the sewer tead at the property iine or a water service lead has been extended to the property line for connection,the applicant,owner,or occupatrt or user o�f sucfi premises shail be liabie for ali repairs required to any water line and sewer lines necessary for connection of the precnises from the main to tfie premises. ff the property oarner reques#s mairrtenance service or repairs be performed by the C'ity,the property owner shail be charged for the costs of the mairrtenance andior repairs,including necessary street repairs at a rate set annually by an administrative policy. R sE+a4t be the responsibility of the applicarit, owne�,occupant or user to perform standard mair�tenance af the sewer service line from the premises to the mai�includir�debris deari�or root catting and to mairrtain the water service curb stop box for operability and at such height as wilt e�sure that it remains above the finished grade of#he land or properly. (Ref 638,1156,1191)