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Meter Swap � ` Request Number: 16195 Public Works Division Service Request Problem Address: 523 Ely St Requested By: Graeme Department: WATER Address: No address provided Problem/Issue: INSTALL AMR METER Phone Number: 763-607-4454 Sched�ed Date: 2017-0?-11 Schednled'llme: 11:00:00 � '� ':1 ACTI����EEDED: Created by: Wendy Hiatt Date Created: 2017-06-29 AGTION TAI�N: �-v���. �I�� -�'��-- ..................................................�. . .............................�..... ............................................. . .�...............��.................................�.�. ........� �d�' � . � � ���. ��. . - :,t .3� Submitter Has Been '� Status: In Progress Contacted r Date Completed: �� I ' _ � � Completed 6y: ���L � Hours _ �• . City of Fridle s�� � C� / '!/ `�" � Y �" / �' Water Departev�ent 6431 University Avenue NE I� �- ���� Fridiey, MN 55432 7f 3-572-3566 ��`"�e hereby authorize the City of Fridiey and/or its employees to do what is necessary to repiace che water meter. i understand that the property owner is liable for the water line from the main to the premise and all ir�terior plumbing. (Per City code 402.06) 1 also hold the City af Fridley andrts employees harmless for any damages that may occur while doing this operation. This to irtctude,but not limited to vafves,piping,watis,floors or the curb stop box and service line. In uaderstand I am also required to obtain a permit prior to any work,if necessary. FtNAI METER READttYG old meter ��w� EA ( ) Plame: �1�a��� Address _ ✓�� ��� ��' _ Phone Number `�f!� � VGIJ / ` /�1�1 p�e (--- � ' -- � � �� 73 ----�-7l' � .-_ Signature -�LU.��(.L^3=-�- -� Witness Signature oLo �� 17 a 5 -----� t � �� ���� METER# lS/ � OlD READING v ��� �� N�W METER# 4 t ✓��� �-j — `� � NEW READING � ERT#_ l � � I �y�� FRIDLEY CITY CODE CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER ADMlNISTRATION (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 municipal system and arry house or butiding for which the application is made,the owner or contractor shali be required to obtain a permit for such connection,and shall pay a permFt fee as provided in Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmer�t shall be notified. It shall be unlawful to cover any connecting line until an inspection has been made and such connection and the woric incident thereto has been approved by the City as a proper and suitable connection. 402.06 REPAIRS APID MAINTENANCE TO CONNECTION After the initiaf connection has been rnade to the water service 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 applicarrt,owner,or occupant or user of such premises shall be liable for all repairs required to any water line and sewer lines necessary for connettion aF the premises from the main to the premises. If the property owner requests mairrtenance 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 annuaily by an administrative poliry. It shail be the respo�ibility af the appiicant, owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main including debris clearing or root cu#ting and to maintain the water service curb stop box for operabil'rty and at such height as will ensure that it remains above the finished �rade af the land or property. {Ref 638,1156,1191}