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Meter Swap . • Request Number: 15643 Public works Division Service Request Problem Address: 614 Cheryl St Requeated By: Clark Aiason Departme�: WATER Addresa: No ad�ess provided Problem/Issue: INSTALL AMR ME1ER Phone Number: 763-202-2388 Scheduled Date: 201'7-06-02 � Sc6ednled 1ime: 10:30:OU , � /L/! AClION NEEDED: Created by: Beth Ko�rick Date Crerted: 2017-OS-31 �. ACIION TAIiEN: � ` �v��<< ,� �. � _� � �� Stxtus: In Prog,ress Sabmitter Has Heen r � Cont�ted Date ComplEted: Completed by: �6 -2- �� ,,- � �ity o�Fridley Q(,��"��`Z L/v OI Wa�er De�artroaerat � � 6431 l�niversity Avenue NE C,rti � , r�� ` Frodley, MN 55432 "Z'� �f 7fi3-572-3566 �/"°e hereby authorize the City of Fridley and/or its employees fio do what is necessary to repiace the water meter. t understand that the property owner is liabfe for the water line from the anain to the premise and al(irrterior plumbing. (Per Lity code 402.06) 1 aiso hold the City of Fridley andrts employees harmless for any damages that may occur whiie doing this operation. This to include,but not limited to vaives,piping,walis,floors or the curb stop box and seroice line. In undentand!am also requirE ta abtain a perrnit prior to any work,if necessary. FINA!METER READING{old meter) �J � r v� � Name• l�i�� (` Address � l� � l,� Pho�e Number /,f0� (,1�J2� �.3 � D� — �� xSignature Witness5ignature � � OlD NIETER#_ � �� u OLD READING ( �—t, �� I�l.�..� ��M�E�� '�°�1� ��L-�,6 NEW READING � ��-# �122Z �73 FRtDtEY CITY CO�E CHAPTER 4-Q2.WA7ER,SI'ORM WATER AND SAMITARY SEWER ADMINISTRATION � (Itef 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#he existing municipal system and any house or buiidir�g for which the application is made,the owner or contractor shaN be required to abtain a permit for such connection,and shalt pay a permit fee as provided in Chapter 21 aF this Code. After sucfr connection has been made,the Water and Sewer Departmertt shalt be notffied. tt shatl be unlawfut to cover any connecting line urrtil an inspection has been made and such connection and the work incident thereto has been approved Iry the Crty as a proper and suitable connection. 4Q2.06 REPAIRS AND MAIIVTEPIANCE TO CONNECTIOAI After the initiat 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 connection,the appl�qrrt,owner,or occupant or user of such premises shalt be tiabte for a!i repairs required to any water line and sewer Gnes necessary for connection of the prem�ses from the main to the premises. If the pro�rty owner requests mairitenance service or repairs be perforrned by the Gty,the property owner shali be charged for the costs of the mair�tenance and/or repairs,includirrg�ecessary street repairs at a rate set annually bg an admirtistrative po1Fry. It shaH be the responsibitity of the applicarrt, owner,occupar�t or user to perForm standard mairrtenance of the sewer service iine from the premises to the main including debris clearing or roo#cutting end to mairrtain the water senrice curb stop bvx for operebilifij and at such height as will ensure that it remains above the finished grade af the land or property. (Ref 638,1256,1191) F��q��t f+�}f�(� R �i#y►c�f Fridfe� �� 1-12 ��: 3�'121Z012 T�e: t�Etr�er�11i►at�er dept_} B�a: �e�. W�at� t��_ £�rk� �� T� � 7ti.3- S��d�= 3�f12/�Zf!'12��'tl�ii �e�yQr��er: 4�cA�iaaor� _ Y�a� �e _ Requ�l: : Nee�s w�er ata�t a� � _ _.._. .� � � M W�_____. _._.._____..�� _ � ...__�� _ �-_�___�.� � .� _�.._ ��: � ��R`�-��1 ��r�� J� o� 1-��S � ,�L�t• � � ��TE;D�-� ��}� �lldT TO S�� < <�-L , ` 1� �,. ��-- ��L L ��t...�, '`�/�1C ��-� � � � ��, � !'� 1�L-v�� o C�l��C�� -�� ; � � R�� _ _�_ �.�.. ��_ .____ __-- _ __.__� __ � _ , �.�__ _.�.�.�.�.___.. __�__�.._.�.�_.. _._.�.��.�_.__..______�---_�._�._��______� � I � � _�_�� __�_________� _ ____ _�. .�_�.�_� _ .__._.____ �� : �� W��-.�� -- .� �