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Meter Swap 1 Request Number: 15667 Pubhc Works Division Service Request Problem Address: 341 Ely St Requested By: Greg Department: WA'IF.R Addre:s: No ad�ess providad Problem/Issue: INSTALL AMR METER Phoae Nnmber: 651-894-3822 Scheduled Date: 2017-06-OS Schednled 11me: Ol:00:00 ' ACIION NEEDED: Created by: Beth Kondrick Date Created: 2017-OS-31 ACTTON TAI�N: I��-� v� ��,CL-- Status: 1n Progress ��h�r Has Been r, Contacted Date Completed: Completed by: �- 5�- l� � �r � �ity of F�idley • �a����ep���e�� �� - �e� �20-03 6431 l�niversity Avenue NE Frrel(ey, MN 55432 S� � ��� 763-572-3566 ��"'�e hereby authorize the Crty of Fridtey and/or its employees to do what is necessary tc replace the water meter. i understand that the pro�oerty owner is liable for the water line from the main to the premise and all irrterior plumbing. {Per City code 402.06) 1 also hoid the City of Fridtey and/its empiayees harmless for any damages that rnay occur while doing this operation. This Yo indude,but not limited to valves,pipin�walis,floors or the curb stop box and senrice line. In anderstand 1 am aiso requirE to abtain a permit prior to arty work,if necessary. FINAL METER READING(old rr�eter) ���� ��o Name: � Address � M� 1'� �� Phone�lumb r VV' �J I �'��p�e �p��'" `� —�-- �Signature � � � Witness Signature OLD IVIETER# ��� � `��b OLD READlNG { � cC, � �j NEW METER# `Ir����� , PIEW READING ERT# V� J (J —l.��� FRIDLEY CITY CODE CHAPTER 4�02.WATER,ST�RM WATER AND SAMITARY SEWER ADMIIYISTRATION � (Ref Ors!No 113,�64,565,566,629,638,662,9?Z,988,1144,1156,1191) 402.5 PERMlT FEE Prior to cvnstructing or repair of any water of sewer line connecting the existing municipal system and arry house ar buitding for which the application is made,the owner or contractor sha(I be required to abtain a permit for such cannection,and shall pay a penmit fee as provided in Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall 6e notified. it shall be untawfut to cover any co�necting line unti!an inspection has been made and such connection and the work incident thereto has i�en approved by the City as a proper end suitable wnnection. 402.06 REPAIRS AND MAINTENANCE TO COPINECTIOAI After the irtitiaf cannectiort has been made ta the water service wrb stop boec or the sewer iead at the property line or a water service lead has been extended to the property line for sonnection,the applicarrt,owner,or occuparit 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. ff the property owner requests maintenance senrice or repairs be performed by the City,the property owner shail be charged for the costs of the mairKenartce and/or repairs,including necessary sfireet repairs at a rate set annually by an administrafive poliry. It shali be the responsibit'ity of the applicant, owner,occupant or user to perform standard maintenance of the sewer senrice iine from the premises to the main including debris dearing or root cutting and to maintain the water service curb stop box for operability and at such height as witl ensure that it remains above the�nished grade af the iand or property. (Ref 638,1156,1191)