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Meter Swap 1 ( Request Number: 15693 Public works Division Service Request Problem Address: 351 Ely St Requested By: Becky Olson Depxrtmentk WATER Address: No address pa�ovided Problem/Isaue: INSTALL AMR METER Phone Number: 763-786-6809 Scheduled Dstte: 2017-06-OS Schednled Tlme: 01:00:00 1 ACIION NEEDED• Created by: Werniy Hiatt Dxte Created: 2017-06-01 ACIION TAt{EN: _..._.___............... M.�!:__ ... .._........_......_.`�n�� v-�'_`-�__.__ _.._......_..............�.._.._. .__...._..__...._._.._.____________.._..._..._..._. ......._.__.__...._..__�_._._.�...._._....___ . _ '� :,,��,, Status: In Progcess Submitter Has Bean r , ; Co�acted � Date Compieted: �,,.. �.,_ �`, Completed by: ���, . �� � . C6#y�f�rodley ��� --/�7'`S"7 /� �O ''� 1 � . l-� � water De�a�tment �'" � 6431 lJniversity Avenue NE �f 1�/ l.' ls �rirlley,MN 55432 �� `'/""7 763-572-3566 i/we hereby autharize the City of Fridley and/or its employees to do what is necessary to replace the water meter, t undersfiand that the�roperty owner is liabie for the water line from the main to the premise and all irrterior plumbing. (Per City code 402.06) I atso ho4d the Crty of Fridiey and�ts employees harmless for arry damages that may occur while doing this operation. This to indude,but not limited to vatves,piping,wails,floors or the curb stop 6ox and service line. in under.�and 1 am also requir� to abtain a permit prior to arry work,if necessacy. FBNAL METER READING(ald meter) �� � ✓ � � Name: 1J'Q,��� V ��(J-r/\- Address_ J-J I ��� ��• Phone lYumber�,��J" l ��" (� p� l.f� `� � -- 1 � Signature Witness Signature � �, 5 ��5 OI.D METER# V � OLD READlNG_ J � V � � � NEW NiETER#_ - 1 -I��� � �J � � NEW READING O E�tT# 6 � � 0�, � I � � FRIDLEY ClTY CODE CHAPTER 402.WATER,STORM WATER AND SANITARY SEWER ADMINISTRATION � (�tef Ord No 113,�64,565,566,624,638,662,922,988,1144,1156,1191) ' 402.5 PEftMiT FEE Prior to constructing or repair of any water of sewer line connecting#he existirtg municipaf system artd any house or building for which the, application is made,the ow�er or cor�tractor shall be required to obtain a permit for such connection,and shali pay a permit fee as provided in Chapter 11 of this Code. After such connection has been made,the Water and Sewer Department shall be notified. 1t shall be unlawfut to cover any co�necting line urtti!an inspection has been made and such connection and the work incident thereto has been approved by the City as a proper and suitable connection. 4Q2.06 REPAIRS AND MAINTENANCE TO COPIPlECT10N After the initiat connectiort has been made to the water service curb stop box or the sewer iead at the properly ltne or a water service iead has been extended to the property line for connection,the applicarrt,owner,or occuparrt o�user of such premises shall be liable for all repairs required to any water line and sewer tines necessary�for connection af the premises from the main to the premises. ff the�mperty owner requests mairrtenance service or repairs be performed by the Cety,the property owner shafJ be charged for the c�ts of the mairrtenartce and/or irepairs,including necessary street repairs at a rate set annually by an administrati�ne poliry. It shaii be the respansibility of the applicarrt, owner,occupa�rt or user fio perform standard mairrtenance of the sewer service line from the premises to the main induding debris dearing or root cutting and xo mairitain the water service curb stop box for operability and at such height as will ensure that it remains above the finished grade of the fand or property. (Re�f 638,1156,1191)