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Meter Swap � Request Number: 15297 y pli�iC w02'1{S�1V1S10II Setvice Request Problem Address: 110 Alden Circle Reqnested By: Kari BtB'geron ��' ,�' :. ment: WATER Address: No address p�ovided r�; obl�mllssne: INSTALL AMR METER PLone Number: 612-669-7381 ;� " Scheduled Dnte: 2017-OS-18 Schednled'Rme: 01:00:00 . +_,,1N%. . � I I 1 ACTION NEEDEDs Created by: Beth Kondrick Ds►te Crented: 2U17-05-11 �'TION T'AI�N: � .W...�.�s.�-��� ._._._._....�. _.__._�---�__ � .�,� Statas: In Progress 5nbmitter Hns Been �.., Contacted DAte Completed: Cj 1 (��`,��-'j Completed by: ����, c,! �" 1 �J l �� � � ���� � � , City of Fridley �� ��� s Water Department � ` f 6431 University Avenue NE ��C Fridfey,MN 55432 763-572-3566 ��We hereby authorize the City of Fridley and/or its empbyees to do what is nec�ssary to replace the water meter. i understand that the property owner is liabte for the water line from the main to the premise and all interior pfumbing. (Per C'rty code d02.06) i also hold the City of Fridley a�djits employees harmless for any damages that may occur while doing this operation. This to include,but not limited to�alves,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. � � ,� � a v , � FINAI METER READING(old meter) Name• _f� _Y �J���YTt/�- Address �I�V � ��� �U1 [ �V� Phone Number � �Z"� �4��,�" ���J� Date_ � �' �� �`' 1�'� Signature witness Signature OLD METER# � J � I d�' J�� ,�" �� � �� OLD READING NEW METER# l t ��✓�� � � NEW READING U ERT# L ` �� � ` `' � FRIDLEY CITY CODE CHAPTER 402.WATER,STORM WATER AND SANiTARY SEWER ADMINISTRATION (Ref Ord No 113,4f�t,565,566,629,638,662,922,988,1144,1156,1191) 402.5 PERMIT FEE Prior to constructing ar repair of any water of sewer line connecting the existing municipal s�/stem and any hw,�se or I�itding fcr which tfie application is made,the owner or contractor shall be required to obtain a permit for such connection,and sfiall pay a permit fee as provided in Chapter il of this Code. After such connection has been made,the Water and Sewer DepartmeM shali be notified. It shall be unlawful to cover any connecting line until an inspection fias been made and such connection and the work incident thereto has been app�oved by the Cty as a proper and suitable connedion. 402.06 REPAIRS AND MAINTENANCE TO CONNEC7'I�N After the initia{connection has been made to the water senrice curb stop box or the sewer lead at the property line or a water service lead has been extended to the property line for co�nection,the applicaat,owner,ar occupant or user of such 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. ff the property owaer requests maintenance service or repairs be performed by the City,the property owner shall be charged fo�the costs of the mair�tenance and/or repairs,inciuding necessary street repairs at a rate set annuaily by an administrative poliry. It shal{6e the responsibility of the applicant, owner,occupant or user to perform standa�d 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 tand or property. (Ref 638,1156,1191)