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Meter Swap r' � z. Request Number: 12878 Public works Division Service Request ProWem Addresa: 1414 76th A� Requested By: James Departmeut: WA'IER Addresa: 1414 76th A�e Fridley,MN.55432 Probiem/Issue: INSTALL AMR METER Plwne'Numberc 763-785-7052 � 3chedpled Date: 2017-01-19 Schednled 11me: 02:OO:OQ , 5 � �� ACIION NEEDED:AMR Install-Resideut warns it is a tight space. Created byc Beth Kondrick D�te Created: 2017-01-13 �� _ ACYION TAI�N: � �..s�.:c,�-� ��-t,�--- .� . .................... _ _�. __..._____________.._._.__...._.....�....................._�...______Y_V_.� .._ Statua: In Progress 5ubatitter Has Becn r, Contncted Date Completed: � —"' I G.�. �� Completed by; / ��. �� , Y � �t� � .�� Lot1l or rr�aoey Water�epartment 6431 University Avenue NE �U�S��� �j � Fridley, MN 55432 �(�3-� 763-572-3566 � � ��� �1 � S �/ I/we hereby authorize the Ciiy of Fridley and/or its employees to do what is necessary to replace the wafier meter. 1 understand that the property oarner is liable for the water line from the main to t6e premise and a11 irtterior plumbing. (Per C'rty code 402.06j i also hold the City of Fridley and/its employees harmless for eny stama�es that may occur while doing this operation. This to include,but not limi#ed to valves,piping,walls,floors or the curb stop box and service line. In understand 1 am also required to obtain a permit prior ta arry wor[c,sf necessary. FIWAL METER READING(old meter) � � ���~�� Name:_�)O�.w�^Q-"Q Address ����" 1 ���1 '�� Phone Number ��� ' l �� '" ��,�j�Date ��' `�,'� �� Signature Witness Signature �� o�o nn�rER# d 1 S � �� 3� OLD READtNG �� �� ��� NEW METER# _� ` � I �� �� NEW READING � ERT# � S�C) �� �-g FRIDLEY CITY CODE CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER ADMINlSTRATION (Ref Ord No 113,464,565,566,629,638,662,922,988,Ii44,1156,1191j 402.5 PERMIT PEE Prior to constructing or repair of any water of sewer line connecting the euisting municipa(sYstem and arry house or building for whkh the epplication is made,the owner or corrtractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in Chapter 11 of#his Code. After such connection has been made,tF�e Water a�d Sewer Department shall be notitied. it shall be unlarrful to cov�r any connecting line until an inspection has been made and such connection and the work inaderrt thereto has been approved by the City as a proper and suitab�e connection. 402.06 REPAIRS AND MAINTENAWCE TO CONNEC170N After the initial connectio�has been made to the water servtce arb stop box or the sewer lead at the property line or a water service lead has been extended to the property line for connection,the applicaM,owner,or accuparrt or user aF such premises shaii 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 main#enance service or repairs be perFormed by the City,the property owner shall be charged for the cost,s of the mairrtenance and/or repairs,including necessary street repairs at a rate set annually by an administrative poliry, it shatl be the responsibility of the applicarit, owner,occupant or user to perform standard mairrtenance of the sewer servlce line from the premises to the main inclucling debris dear�ng or root cutting and to maintain the water service curb stop box for operability and at such height as will enwre that it remains above the finished grade of the land or property. (Ref 638,1156,1191)