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Meter Swap � � � Request Number: 15772 Public Works Division Service Request Problem Address: 7601 East Riv�r Rd Requested By: Hovuazd Tappe Department: WA'IER Address: • No address provi�d Problem/Issue: INSTALL AMIt METER Phone Number: 763-571-9711 Scheduled Date: 2017-Ob-08 Schedaled 19me: 10:00:00 � � _�s�'` . ct. ACTION NEEDED: Created by: Beth Kondrick Date Created: 201�-06-OS AET'ION TAI�N: � S�ti �s��— ...���n,_._.........._......__��� ._..._..........._ ............. _...._ __ Status: In Progress Submitter Has Been r Contacted »�'='' � Date Completed: � _ �_ �� Completed 6y � �����. � City of�r�dley ���j''��p C�{�Q ' V `. Water Departrnert� � � � ' 6431�niversity Avenue NE G fridley,N6N 55432 �� ��O � 763-572-3566 1/we herebq authorize the Crty of Pridley and/or its employees to do whaC is necessary to replace the water meter, t understand that the property owner is tiable for the water line from the main to the premise and all irrkerior plumbing. (Per C'rty code 402.06j t also hold the Crty of Fridiey and/ifis empioyees harmiess for arry damages that may occur while doing this operatiom. This to include,but not limited to va(ves,pi�ing,walis,floors or#he curb stop box and senrice line. in unden�tand 1 am aiso requirE to obtain a permit prior to am/worlc,if necessary. FINA!METER READING(old mete�) � ��� � / Name: �tl)�Q-r �� ��C��"e �`� � � �`�� J �V�t�r � �� Address_ . Phone lYumber���— � ! � — F� � Date � � � `� � 7�.�ignature �� Witness Signature % — OLD METER# `� � � OLD READING � � / I � NEW METER# 1 ��� � � I � NEW READIN('a � � E�# 7� 3�5 t 3� F��u«r cinr co�E CHA[�TER 402.WATER,STORM WATER AWD SANITARY SEWER ADMINlSTRATION � (Etef Ord No 113,4.f�,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 con�ecting the existing municipa(system and arry house or building for which the application is made,the owner or contrador shall be required to obtain a permit for such connection,and shatl pay a permit fee as provided in Chapter 11 of this Code. After such connection has been made,the MUater and Sewer DepartmerK shall be notified, tt shall be untawfut to cover any connectin�line urrtil an inspection has been made and such connection and the worlc inciderrt thereto has been approved by the City as a proper and suitable connectiort. 402.06 REPAIRS AND MAINTENANCE TO COfYPlEC710N After the initiat connection has been made to the water service curb stap box or the sewer lead at the property line or a water service lead has been extended to the property line for connection,the applicarrt,owner,or occuparrt ar user of such premises shall6e liable for ai!repa9rs required to any water line and sewer lines necessary for connection af the premises from the main to the premises. ff the property rn�vner requests maintenance service or repairs be performed by the City,the property owner shali be charged for the costs af the mairrtenance and/or repairs,including necessary street repairs at a rate set annually by an admirtistrative policy. It shall be the responsibility of the applicar�t, owner,occuparrt or user to perform standard mair►tenance of the sewer service line from the premises to the main including debris deacing or root cutting and xo maintain the water service curb stop box for operability and at such height as wiil ensure that it remains above the finished grade af the land or property. (Ref 638,1156,1191j