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Meter Swap . • Request Number: 15733 Public Works Division Service Request Problem Address: 7819 Alden Way Requested By: lhomas Ste�nson Departraent: WATER Address: No address provided Problem/Issue: INSTALL AMR METER Phoae Number: 763-566-6300 Sc6eduled D�te: 2017-06-OS Schedaled Time: 07:00:00 � ACITON NEEDED: Created by: Beth Kondrick Date Created: 2017-06-02 ACTION TAKEN: '�� Status: 1n Progress Sabmitter Has Been �.. Contacted D�te Completed: Completed by: ��' � �1 2p � _ �� i��-01 co�o��rod'e� �a��o��a��,� .Sa� u s� 1 . f431 l�n6versity Averoue NE + Fa-aclley,MN 55432 763-572-3556 ��""�e hereby authorize the Crty of Fridley andjor its emp(oyees to do what is necessary to replace the water meter. I understand that the property owner is liabte for the�vater line from the main to the premise and all irtterior plumbing. (Per City code 402.06) t also fioid the C'rty of Fridiey and�ts employees harmless for any damages that may ocxur while doing this operation. This to inctude,6ut not limited to valves,piping,walts,floors or the curb stop box and service line. in understand!am also requirc to abtain a perrn+t prio�to any work,if necessary- FfP1AL METER READItItG(old meterj � , � � Name: Address L C�� ( Phone lYum D�, ��S�—1 � Signature '`� Witness Signature OLD NlETER# `� ` , t �� OLD READING_ � t t � �� NEW METER# �� '"`��O 1 NEW READING � ERT# � 1 l�1 '�t'"C� t FRtDLEY CITY CODE CHAPTER 40Z.WATER,SCORM WATER AND SANITARY SEWER ADMINISTRATIOIV � (Itef Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191) 402.5 PERMtT FEE Prior to constructing or repair of any water of sewer line connecting the existing municipat system and arry house or building for which the application is made,the owner or contrador shall 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 6een made,the Water and Sewer Departmerrt shall be notfied. It shall be untawfut to cover any connecting tine urrtil an inspection has been made and such connedion and the work 9ncident thereto has been approved(�y the City as a proper and suitable connection. 402.06 REPAIRS AMD MAINTEPIANCE TO CQPiNECTtON After the initiai connection has been made to the water service curb stop box or the sewer lead at the properly line or a water serotce lead has been axtended to the property line for sonnection,the applicant,owner,or occupar�t ar user of such premises shail be liable for all repairs required to any water line and sewer lines necessary for connection af the premises from the main to the premises. tf the groperty owner requests mairrtenance service or repairs be performed by the City,the property owner shalt be charged for the costs of the mairrtenartce and/or repairs,including necessary street repairs at a rate set annually by an administrative policy. It shall be the responsibitiry of the applicarn, owner,occupant or user to perform standard mairrtenance of the sewer senrice line from the premises to the main including debris dearing or root cutting and to maintain the water service curb stop box for operability and at sucfi heigfit as wiN ensure that it remains above the finishec[ grade af the land or property. (Ref 638,1156,1191j ��U i S�-�s-`�9�i l�J J Ci�y of Fridley Water Department Address + �` ! �� A�� Name �k lA ��'�.-��.'`�S'",�� _ - Date �`��✓ Old Meter Number � Old Meter Reading � 0��-�✓.--- Replacement No. �� Replacement Reading_� ` Replacement Make ��"` Remarks• `��C��` S i g n e d___��i�� - .,� ,� � � *.