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Meter Swap � ' Request Number: 13059 Public Works Division Service Request Problem Address: 7535 Arthur St Requested By: Pemry Broden Departme�: WA1ER Address: 7535 Arthur St Fridley,MN 55432 Problem/lasue: INSTALL AMR ME1ER Phone Number: 763-784-6146 SchedW ed Date: 2017-02-02 hd Schednled 1lme: 11:00:00 2 AG"IION NEEDED: Crented by: Beth Koxidrick Unte Created: 201�-O 1-24 ACIION T.�I�N: �. ��� ���— St�us: In Progress Snbmitter H�Been �., Coutacted Date Completed: Completed by: �.�' � � 1 � � � Wate��e�sartrnent �'� ,� � l.� �� 6431�D�iversityf Avenue PIE Fridley, MN 55432 �� .�' � 763-572-3566 � a� — �� C��y�� .�,, 4jwe hereby authorize the City of Fridley and/or its empioyees to do what is necessary to replace che water meter. 1 understand that the property ownec ss liabte for tfie water line from the main to the premise and all irrterior plumbing. {Per Crty code 402.06) 1 also hold the C"cty of Fridley andrts empioyees harmless#or any damages that may occur white doing this opera�tion. This to include,but not Bim'rted io valves,piping,walls,floors or the curb stop box and service line. lrt understand!am also require� to obtain a permit prior to any worlc,�f aecessary. FINAL M R READING(oid meter) "'-�� ��a Name: � 1 t '�� Address �v �� �`1•`�"` Phone Number� � � �� �6p� �� � Signature _ � �----_ Witness Signatuce otD��-�R���� t 3 `�� OlD READING_ ��� � V\J NEW METER# ���0 { ��� NEW READtNG V ERT#� ��� � `/ � FRIDLEY C1TY CODE CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER ADMt1YtSTRA1'ION (Ref Ord No 113,464,565,566,629,638,662,922,988,11Q4,i15fi,1191) 402.5 PERMtT FEE Prior to constructirig or repair of any water of sewer tine connecting tfie existing munidpai system and arry house oc buildir�fo�whicah the application is made,the owner or corrtractor shall be required to obtain a permit for such connection,and sFiall pay a permii fee as prrniided in� Chapter 11 of this Code. After such connection has been made,the Water and Sewer Depardnent shall be notified. ht shail be uniawful to cover any connecting line until an inspection f�as been anade and such connection and the woric inaderrt thereto has been approved by the City as a proper and suitable connection. 402.06 REPAIRS AND M,AIWTENANCE TO CONNEC'1'IOM After the initiai connection has been made to the water service curb stop boK or the sewer lead aC the property iine or a water service lead has been extended to the property line for connection,the applicarrt,owner,or accuparrt or user af such premises sf�ap be liable fw�aii repairs required to any arater line and sewer tines necessary for connection of the premises from the main to the premises. If the property owner requests mai�tenance senrice vr repairs be performed by the�ty,the properky owner sfiaU be charged for the cosis of the mairrtenanoe and/or repa7rs,including necessary shxeet repaiss at a rate set annuatiy Iry an administrative pol'icy. tt shall be the responsbility af the applicant, owne�,occupant or user to perform standard maimtenance of the sewer service line from#he prem+ses to the main induding debris dearing or root cufiting and to mair�tain the water service curb stop box for operability and at such height as wiil ensure that it remains al,�ve the finished grade of the land o�property. (Ref 638,1156,1191)