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Meter Swap ` Request Number: 15914 Public Works Division Service Request Problem Address: 7892 Alden Way Requested By: Emily Department: WATER Address: No address provi�d Problem/Issue: INSTALL AMR METER Phone Number: 612-845-1306 Scheduled ate: 2017-06-12 Scheduled 13me: 11:00:00 2�` I''c�v c,. �� ACTION NEEDED: Cre�ted by: Wendy Hiatt Date Created: 2017-06-09 ACTi�?N TAKEN: ____ 5 � _....._�...-�-................ ___�............................... ................_ _._._.._ -___ ..................................___._....._...._.___. ��..-.�. .......... Status: In Progress Submitter H�s Been r, Coatacted Date Completed: j _ _ �^� _ t� Completed by: C a� \D d 1, J . �ity o��r6cliey 1lVater Departrn�nt �f.-. j��(�O- O/ � 6431 l�niv�rsity Aarenue NE � � Fa-od9ey,MN 55432 �j�� ���� 763-572-3566 iJwe hereby authonze the City of Fridley 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�'�ty code�02.06} 1 a{so hold the Crty of F�idiey and/its empioyees harmtess for any damages that may ocwr wh�e doing this operation. This to include,but not limited to va(ves,pipin�walis,floors or the curb stop box and senrice line. in understand l am also requisE to obtain a permit prior to arry worEc,If necessary. FINAL METER READIWG(oid meter) ✓ � � t ` � �lame:_��L Vy Address �� � f�� P ne�tumber 11G 6. � v�J^ �✓O W Date �K � �� � V 1 Signature Witness 5ignature OLD METER# / � ����'��� ��� � � � - S �n,a�J �i 1 t af�i�- o�. �. OLD REAi7lNG Z NEW METER#_� � �� � I3 1 NEW READING � E�tT'# ����� � t � FRtDLEY CITY CODE CHAPTER 402.WATER,STORMI WATER AND SANITARY SEWER ADMINISTRATION (Ite#OraJ No 113,464,565,566,629,638,562,922,988,1144,1156,1191y 402.5 PERSIAIT FEE Prior to constructing or repair of any water of sewer line connecting the existing municipat system and am/house or 4witding for whicfi the application is made,the owner or contractar shall be required to abtain a permit fvr such connection,and shail pay a permit fee as provided in Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department sfiaff be notified. it shail be unlawful to cover any connecting line untii an inspection fias been made and such connection and the work incident thereto has been approved 6y the City as a proper and suitable connection. 4Q2.06 REPAiRS AtVD MAiNTE9�ANCE TO COPINECTiON After the initial con�ection has been made to the water service curb stop box or the sewer lead at the property Itne or a wate�servi�tead has been extended to fihe property line for sonnecCion,the app(icarrt,owner,or occupant ar user of wch premises shall be liabie for all repairs required to any water line and sewer lines necessary for conneetion of the premises from the main to the premises. ff the property owner requests maintenance service or repairs be performed by the City,the property owner shaii be charged for the costs of the maimenartce and/or repairs,including necessary street repairs at a rate sQt annually�y an administrative poiiry. It shaU be ct�e responsibility of the applicant, owner,occupant or user to perform standard mair�tenance af the sewer service line from the premises to the main including debris dearing or root cutting and to mair►tain the water service curb stop box for operabil'rty and at such height as will ensure that it remains abave tt�e finished grade af the land or property. (Ref 638,1156,1191) Ft�q�# f+�r�:rvic� R �i�y t�fi ��d1� � �: �t-��-� . � �� Ti�e: T�water�h�n �y: fl�ep�� Wa�er {�t t�� Taa!�rt�+e� �: 78'� ' �Fl4�f"!� E'�: 7F'►3�4-0623 S�d[�e: �p�t{� �an l�ar� . R�l�da�: �iei�6ar[Ta��rolGaed a le�i�ad i�:e e�i�g�t af���rs �ro�- Nei�6�r��nf�_ ��e��ar�ei ie�e�!e an �loat_ ���_ ��.C�.� \ � �`� �r'� P� �Av�-�" o� �1-�-�- L f��C�P��o� ��lS��� ��T�.�2 lS �r� c t� � � �S� `��Z, �� ��2.�C�-��o� SY S-r�,� 1 � q�V F ��5� �-z �Lo �c�`�a. � � ..__...�._ ______.�______� �.. _ � � __________ _�_ � _ _--____.. __ �� �� I �,��� �_�����_.__ _�.. _.�_e . _