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Meter Swap „ � Request Number: 15196 Pablic works I3ivision Service Request Problem Address: ?191 East River Rd Requeated By: Department: WATER Addre:a: No address provided Problem//1'saaue: INSTALL AMR ME1ER Pho�e Number: 612-S54-Z483 Scl�dnled Ihte: 201?-OS-09 �,,,t Sc6eduled'if�e: 09:UO:W ! ACIZON NEEDED: Cre�ted by: Wendy Hiatt Date Cres�teds 2017-05-08 ACIION TAI�N: ' ”�S�Gc� ���-____. StAtus: In Progress Submitter Has�eee �, Coatacted Date Co��eted: �_ (���� Completed by: J��� � �, �:: �, � " . .:LY.�,'� .. � �'}��"- • T;� .. (a,.�J<.s . . . . . . . . .' , 30 � � 5o� 2io - o � �� City of Fridley Cj�� "���� Water Department 6431 University Avenue NE Fridiey, MN 55432 763-572-3566 �/we hereby authorize the Gty of Fridley andjor its employees to do what is necessary to replace the water meter, t understand that the p�operty owner is fiabie for the water rne from the main to the pnemise and all interfor piumbing. (Per City code 402.06J 1 also hoid the City of Fridley and/its employees harmless for any damages that may ocwr while doing this operation. This to inc{ude,but not timited to valves,piptng,walls,floors or the curb stop box and senrice line, In understand 1 am also required to obtain a permit prior to any work,if necessary. FINAL METER READING(oid meter) � ��� � � Name• Address � � � 1 .'�iG��� ��5� �. Phone Number ���• v ��/- r' ��v�ate �� `� �'� Signature Witness Signature OLD METER# � ����q� ( OLD READING � ` 1 (,�� NEW METER# ���� ��� NEW READING � ERT# ������� `� 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 s�wer line cannecting the existing munlcipai system and any house or building for which the application is made,the owner or contractor shafl be required to obtain a permit for such connection,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall 6e notifted. It shall be uniawful to co�er any connecting line until an inspectton has been made and such connectton and the work incident thereto has 4een approved by the Cty as a proper and suitable connection. 402.06 REPAIRS AND MAINTENANCE TO CONlYECTION After the initial connection has b¢en made to tfie water service curb stop box or the sewer lead at the property Iine or a water service lead has been extended to tl�e property fine for connection,the applicant,owner,or occupant or user of such premises shall be liable for all repairs required to any water tine and sewer lines necessary for connection of the p�emises 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�aE the mairrtenance and/or repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicant, owner,occupant or user to perform standard mair�tenaace of the sewer service line from the premises to the main inciuding 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)