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Meter Swap A � Request Number: 15454 Public works Division Service Request Problem Address: 7580 Alden Way Requested By: David Blank Department: WATER Address: No address provided Problem/Issue: INSTALL AMR METER Phone Number: 763-951-3677 Scheduled Date: 2017-OS-23 � Schednled 1lme: 02:00:00 � ACTION NEEDED: '° Created by: Beth Kondrick Date CreAted: 2017-OS-18 ACTION TAI�N: , . . i-�- .�.....�_�:�_::�-�._�._`....__..._.�...�"�......._�_. ............._ _____._._..__.........__..__......_...._.......____-_____ Status: 1n Progress Submitter Has Been r � ' Contacted "� '�� Date Completed: �^�� ` �� Completed by: � �.� � 3�r - �9 ��-� o � ` City of Fridley Water Departrnent ��—}� �(,,�,�� 6431 University Avenue NE � *� Y� Fridley, MN 5543Z 763-572-3566 ��We hereby authorize the City of Fridtey and/or its empioyees to do what is necessary to replace the water meter. 1 understand that the property owner is liabie for the water line from the main to the premise and all interior plumbing. (Per City code 402.06) 1 also hold the City of Fridley and/its employees harmless for any damages that may ocwr while doing this operation. This to inc{ude,but not timited to vafves,piping,wails,floors or the curb stop box and senrice line. in understand I am also required to obtain a permit prior to any work,if necessary. FINAL METER READING oid meter �� � 1 r �Q � ) Name: lJ�U� �J�G-(/�,� Address ���v �"c �d`�/ Ahone Number �� J '� R rf`r 3��' 1 qa� �" ��j'�-' �� Signature Witness Si �"� gnature OLD METER#_ � v� 1 �� � � OLD READING r � ` ' �O NEW METER# t 1���v� G NEW READING v ERT# _ � �� �� �lQl> FRIDLEY CITY CODE CHAPTER 402.WATER,S70RM WATER AND SANITARY SEWER ADMINISTRATION (Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191) 402.5 PERMi7 FEE Prior to constructing or repair of any water of sewer line connecting the existing municipal 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 connedion,and shail pay a permit fee as provided in Chapter il of this Code. After such connection has been made,the Water and Sewer Departmerrt sha{f be notFtied. It shall be unlawFul to cover any connecting line urrtil an inspection has been made and such connection and the work incident thereto has been approved by the Cty as a proper and witable wnnection. 402.06 REPAIRS AND MAINTENA11tCE TO CONNECTION After the initlal connection has been made to the water service curb stop 6oz or the sewer lead at the property line or a water service tead has been extended to the property line for co�nedion,the applicarrt,owner,or occuparrt or user of such premises shail 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 maiMenance and/or repairs.including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicarrt, owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including deb�is dearing 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)