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Meter Swap �� Q ��.���-�-�� �� S�c�t �' l�`�`�{�?c�r , Y Request Number: 12508 Y. p11�1C wOI'kS�IV1S10II Service Request Problem Address: 7315 Able St Requested By: Da�Hallecic Departmen�t: WATER Addre:s: No ad�ess provided Problem/Iasue: INSTALL AMR METER Phone Number: 763-757-8691 � Stheduled D�te: 2016-12-27 Sc6ednled'ilme: 10:30:Of! �S �� �C�`- 3 C� ACTION NEEDED:AMR Created by: Wendy Hiatt Drtte Cre�ed: 2016-12-19 ACTION TAI�N: -�s��(�I�� .p�.� ______.__ _ :� ��: ��,o�� Snbmltter Ha�Beea �., Contacted Date Compteted: �a..� a��--�� Completed by: � .,t " ,�"� � -_,�r,. 4 ,�. . �1�� � 4� . r�� '�;: _ � .. City of Fridley 3� I - Y q � �3 0-- D� Water Department 6431 University:Avenue NE � ., Fridley, MN 55432 �� � � � 763-572-3566 1/we hereby authorize the City of Frici{ey and/or its empioyees to do what is necessary to replace the water meter. 1 understand that the property owner is liable for the water line from the main to the premise and all interior plumbing. (Per City code 402.06) 1 aiso hold the City of Fridley and/its employees harmless for any damages that may oscur while daing this operation. This to include,but not limited to valves,piping,walls,flaors or the curb stop box aod service iine. In understand I am also required to obtain a permit prior to any work,if necessary. ��� { �`, FfNAL METER READING(old meter) l.� [ �� � �, Name: �c�.�e ����-- I� A�� �,dress � 3 �> 'h'1"1�� � , Phone Number7�0 � � < ' l � Date LnC— � l -' �� .�[ Signature Witness Signature � f� OLD METER# �/V t����� OLD READING Q ` l��� � NEW METER# �� 4� v�✓ � 1 NEW READING � ERT# � ��v �� �� FRIDLEY CITY CODE CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER ADMINISTRATtON (Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191) 402.5 PERMIT FEE �rior to constructing or repair of any water of sewer line connecting the exi,ssting municipal system and any house or bui{ding for which the application is made,the owner or wntractor shall be required to otstain a permit for wch connection,and shalt pay a permit fee as provided in Chapter 11 of this Code. After sucfi connection has been made,the Water and Sewer Department shall be notified. It shall be ualawful to cover any connecting li�e until an inspection has been made and wch connection and the work inc+dent thereto has been approved by the C'�ty as a proper and suitable connection. 402.06 REPAIRS AND MAINTENANCE TO CONNECTION After the initiaf connection has been made to the water service curb 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 applicant,owner,or occuparit or user of such premises shalf be lisbie for all repairs required to any water{ine and sewer lines necessary for connection of the premises from the main to the premises. If the property ovrner requests maintenance service or repairs be performed by the City.the property owner shall be charged far the costs of the mai�rtenance and/or repairs,including necessary street repairs at a rate set annuaily by an administrative poliry. It shait be the responsbility of the applipM, owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris dearing or root cutting and to mairrtain the water service curb stop box far operability and at such height as wil{ensure that it remains above the finished grade of the land or property. (Ref 638,1156,1191)