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Meter Swap Request Number: 15592 Public Works Division Service Request Problem Address: 186 Ely St Requested By: Diana Department: WA1ER Address: 186 Ely St Problem/Issue: INSTALL AMR METER Phone Number: 763-786-6953 Scheduled Date: 2017-OS-30 Scheduled 1ime: 08:30:00 `�` � �` ACTION NEEDED: Created by: Beth Ko�irick Ds�te Cres�ted: 2017-OS-26 ACTION TAKEN: _._..___t��L��.........__..._.._ � / _......__._._ ���► -._._.`-� _____._. �.. __._ ._._......_.............._._..._...........__...._ � ._. ..�.._._.. ....._... _..._..__.........._._ _�...__.._.__ ....�. y. � ,� Status: In Progess Snbmitter HAs Beea r ��• :�,; Contacted Date Completed: � _ � ,� Completed by: \ O- ,� G,� �ity of Fridley �/ '" v�/ � � �� r� � � Water Departrnent 6431 llniversity Avenue NE c rn� ��� , �, Fridley, MN 55432 ��•� '� 763-572-3566 ��`"�e hereby authorize the City of Fridley and/or its employees to do what is necessary to replace the water meter. 1 understand that the p�operty owner is liable far the water{ine from tfie main to the premise and all interior plumbing. (Per City wde 402.06� I also hold the City of Fridley and/its employees harmiess for any damages that may occur while doing this operation. This to include,but not limited to valves,piping,wal[s,floors or the wrb stop box and service line. in uncierstand 1 am also required to obtain a permit prior to arry worlc,if necessary. FINAL METER RERDING(old meter) �� � v D Name: - � ���-� Address_ �lo �� �^ . Phone lYumber ��3" �U(�^1.9� J 3Date J '� J D — �� Signature Witness Signature OLD METER# O�-�J� ���1[/ � � OLD READING ������ NEW METER# �-t �� � I�4.� NEW READING � ERT# � � 35 �,aZ � FRIDIEY CITY CODE CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER ADMINISTRATION (Ref Ord No 113,464,565,566,629,638,662,97Z,988,1144,1156,i191) 402.5 PERMIT FEE Prior to constructing or repair of arry water of sewer line connecting the existing municipai system and any house or buiiding for which the appiication is made,the owner or contractor shatl be required to obtain a permit for such wnnection,and shali pay a permit fee as provided in Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified. It shail be unlawful to cover any connecting line u�til an inspection has been made and wcfi connection and the wortc incident thereto has been approved by the City as a proper and suitable connection. 402.06 REPAtRS AIYD MAINTEPIANCE TO COPINECTION After the initial connection has been made to the water senrice wrb stop boK or the sewer lead at the properCy line or a water service lead has been extended to the property line for connection,the applicant,owner,or occuparrt or user of such premises shall be liable fcr ail repairs required to any water{ine and sewer fines necessary for connection of the premises from the main to the premises. If the property owner requests maintenance servtce or repairs be performed by the City,the property owner shali be charged for the costs of the mai�rtenance andfor repairs,including necessary sLreet repairs at a cate set annually by an administrative policy. It shali be the responsibility of the applicant, owner,occuparrt or user to perform standard mairrtenance af the sewer senrice line from the premises to the main inciuding debris dearing or root cuttting 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 af the land or property. {Ref 638,1156,1191)