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Meter Swap . L Request Number: 15194 Public works Division Service Request � � . � Problem Addreaa: 7465 Able St Requested By: Mark " Department: WATER .�ireas: No address provided Problem/Isaue: INSTAL,L AMR METER Phone Number: 612-423-3031 Schedeled Date: 2017-OS-16 � Scheduled 11me: 02:00:00 ��r � AC'II�N NEFDED: Created by: Wendy Hiatt Date Cre�ad: 2017-OS-OS ACTiON T . � � � • � �� ; � �� ._.___._______ _ , ,�:: Status: jn Progress ��er Haa Beee �., Conts�ted Ds�te Completed: Completed by: �-1� � � �r' � ry �//� '{/`� (y�/ ///��/1/ {/A// 1 /)� � •' ` �` ��4 V 'V City of Fridley � Water Department � � ��j 6431 University Avenue NE �J Fridley,MN 55432 763-572-3566 �/We hereby authorize the City of Fridley and/or its employees to do what is necessary to replace the water meter. I understand that the property owner is liable for the water line from the main to the premise and all tnterior plumbing. (Per C"�ty code 402.06) 1 also hold the C'ity of Fridiey and/its employees harmless for any damages that may occur while doing this operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand 1 am also required to obtain a permit prior to any work,if necessary. FINAL METER READING(old meter) Q r�� Name: 1 IGv� IL-- Address b ��11L� � Phone Number � V��`�'��z��ate v��~ V � Signature _ / Witness Signature OLD METER# �� 'c� OLD READING l J - I v� � �l J NEW METER# `�t �� I �� NEW READING � ERT# t � � � �� 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 s�wer line connecting the existing municipal system and any house or building for which the application is made,the owner or contractor shall be required to obtain a permit for such connedion,and shali 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 notifiied. It shall be unlaMrful to cover any connecting(ine until an inspection has been made and sucb connection and the work incident thereto has been approved by the City as a proper and suitable connection. 402.06 REPAIRS AND MAINTENANCE TO CONNECTION After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a water servke lead has been extended to the property line for connection,the applicarrt,owner,or occuparrt or user of wch premises shall be liable for all repairs required to any water line and sewer lines necessary for connection of the premises from the main to the premises. tf the property owner requests maintenance service or repairs be perFormed by the City,the property owner shall be charged for the costs of the maintenance and/or repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shail be the responsibility of the applicant, owner,occupant or user to perform standard maintenance 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 ensure that it remains above the finished grade of the land or property. (Ref 638,1156,1191) .,� '��,� � ' '��X°F'`�z,��'�-•�y�'�s�s�t:� ;i �..,,_ '��«. " b`�4-..�'o :�' ��,"�� , �,4�� C�lDt� � City of Fridley Wa'epartment Address -y�J G.�j �L�57 ,,� ��- J�--�1 �[1��K;1 Name ��: Date �3�� _ O1d Meter Number Old Meter Reading � � Replacement No. � RepZacement Reading — �Q a�,�_.�lt� - Replacement Make �� i Remarks• S'To�'�' !11y..� i ned � -- S g �, ,a:�,..