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Meter Swap . � T Request Number: 12846 Public works Division Service Request Problem A�ddress: 7626 Arthur St . Requcated By: Te�rance Din� Departme�: WATER Addreas: 7626 Mthur St Fridley,MN 55433 , Problem/Issne: INSTALL AMR METER Pho�Namber: 763-447-8898 Sc�edeled D�te: 201'7-01-19 Sc6edoled 11a�: ll:t10:00 � � ��� � AC"IION NEEDED:Inetall AMR Crexted by: Beth Kondrick Date Cre�e�: 2017-01-12 ' ACT(ON TAI�N: Cl ' 1 � � ,� Status: In Progress S�be�f#tsr H�Bes� �., Co�aeted Date Compteted: Complsted by: .----" /.� �� � � City of Fridley ���✓ti L��}- U � Water Department ' 6431 University Avenue NE Fridley, MN 55432 � ��� 763-572-3566 � 1/we hereby authorize the City of Fridley and/or its empioyees 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 interior plumbing. (Per City code 402.06) I also hold the City of Fridley and/its employees harmless for any damages that may occur while doing this operation. This to include,but not limited to valves,piping,walls,flaors or the curb stop box and service line. In understand I am also required to obtain a permit prior to any work,if necessary. FINAL METER READING(old meter) �� � � �j 1 �p0 • . �n Name: I vYf�'V' � I �1 Address � Y J Y � Phone Number��"��� �y Date r� �� � � Signature � / \ Witness Signature OLD METER# �C'��� �7��-�-�9r OLD READING . ,v � / �� NEW METER# �� I I L,J ✓�� NEW READING � ERT#,� C� V� �� 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 sewer line connecting the existing municipai system and arry house or buildir�for which the application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permR fee as provided in Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be not�ed. It shall be unlawful to cover any connecting line until an inspection has been made and such connection and the work incident thereto has been approved by the City as a proper and suitabie wnnection. 40�.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 w�service kad has been extended to the property line for connection,the applicant,owner,or 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. If 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 policy. It shall be the responsibility of the applitarrt, owner,oaupant 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 remai�above the finlshed grade of the land or property. (Ref 638,1156,1191)