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Meter Swap � + -� � `� i C� �'���'���1 � , �. ---, _�,/� , � � (�' � � � -� �� Request Number: 12507 Public Works Division Service Request Problem Addre�s: 7313 Able St Requested By: Da�e Halleck Departmem: WA'IER Address: No address provided Problem/Issue: INSTALL AMR ME'IER Phone Number: 763-757-8691 Seheduled e: 2016-12-2'7 Schednled 11me: 10:00:00 � �� Q (M . ` AClION NEEDED:AMR ;�;. Crented by: Wendy Hiatt Date Crexted: 2016-12-19 ACIiON TAKEN: �� [1�-� ��- Statns: In Progcess Snbmittar H�Been � Contacted Dxte Com�eted: � �� ��,��( n Completed by: r �'E� 1��i+��_—._...._"""`_.._._., l�i �r� � . � � �uUi - `f9 $ l�O� �`� City of Fridley , Water Department 6431 University.Avenue NE � Fridley,MN 55432 �(`l (� � 763-572-3566 �� �/We hereby authorize the C'�ty af Fridiey and/or its empioyees to do what is necessary to replace the water meter, 1 understand that ihe property owner is liabfe for the water line from the main to the premise and all iMerior plumbing. (Per City code 402.06) I aiso hold the City of Fridtey and/its employees harmfess for any dama�es that may occur while doing this operation. This to include,but not limited to valves,piping,wafis,floors or the curb stop box and service line. In understand 1 am also required to obtaia a permit prior to any work,if necessary. FINAL METER READING(ofd met r)� l � J �1J � Name: ��� _ `� ���` Address �313 1�cb� 5-�-� Pfione Number � / -'�� / � l � Date_ 'd�— � ` ��W ,^ �ignature Witness Signature ��- OLQ METER# d �� 1 �a �� OLD REAOING � I � � ��� NEW METER# � � �=1 �" �� NEW READING V E�# � a$g c�� �3� � FRIDLEY CITY CODE CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER ADMINISTRATION {Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191) 402.5 PERMIT FEE Prior to constructing or repair of any water of sewer Ilne�nnecting the existing municipaf system and arry house oc Iwilding for which the application is made,the owner or contractor shall be required to obtain a permit for wch cannection,and shatl pay a permit fee as provided in Chapter 11 of this Code. After wch connection has been made,the Wate�and Sewer Department shall be notified. tt shaf{be unfawful to cover any connecting line until an inspection has been made and such connectioa and xhe wc�k inadent thereto has been appro�d by the City as a proper and suitable connection. 402.06 REPAIRS AND MAINTENANCE TD CONNECTION After the initial connection has been made to the water service curb stop box or the sewer lead at the properly line or a water service lead has been extended to the property line for connection,tfie appficarrt,owner,or occupaM or user of such premises shall be liable for all repairs required ko any water line and sewer lines necessary for connettion 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 malntenance and/or repairs,including necessary street repairs at a rate set annualty by an administrative poliry. It shall be the responsibility of the applicant, owner,occupant or user to perForm standard mairrtenance 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 ensu�e that it remains above the flnished grade of the land or property. (Ref 638,1156,1191) �.-: