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Meter Swap . � Request Number: 16245 Public Works Division Service Request Problem Address: 533 Glencoe St Requested By: Mattie Ebersol Depsirtment: WA'iER Address: No acidress provided Problem/Issue: INSTALL AMR ME'IER Phone Nnmber: 763-795-8654 Scheduled Date: 2017-07-10 � Schednled'llme: I0:00:00 �`�1c� I 0'. AG7ION NEEDED: : Created by: Wendy Hiatt Date Crented: 2017-0?-06 _ � ACIION TAKEN: , �'`'�' �� v� S-�.� �� --- �>>� �� (/ " � �� 't,,, ; �� _ �� : ______._._...... __ ....._._.____ _._....._.__._..___....__ �� 5tatus: In Progress Submirier Has Been � Contacted Date Completed: -,_ ' � _ )� Completed by: ��, ;;,,� , ; �: , City of Fridley Water Departrnent ��— 5� ,�3v_v�- 6431 University Avenue NE Fridley,MN 55432 �� f� f�� 763-572-3566 t � ��< < ��We hereby authorize the City of Fridiey and/or its empbyees to do what is necessary to replace the water meter. i understand that the property owner is liabie for the water line from the main to the premise and all iMerior plumbing. (Per City code 402.06) 1 also hold the C"ity of Fridley and/its employees harmless for any damages that may occur while doing this operation, This to include,but not limited to vatves,piping,walls,floors or the curb stop box and service line. In understand i am also required to obtayn a permit prior to any work,ff necessary. FINAL METER READING(old meter) �� D Name•_I"�p��-�� 'l�GJI� )�. Address �,,,�� 1(��/�9� �[�• phone Number��u� ! I J'�� Date �� `-' _ � � XSignature��. Witness Signature '-i� OLD METER# � � v � �� ` OLD READING �� I � 1 � NEW METER# � `�J J � �g NEW READING � ERT# �� I �� U FRIDLEY CITY CODE CHAPTER 402.WATER,STORM WATER AMD SANITARY SEWER ADMINISTRATION (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 a�d any house or buiiding for which the application is made,the owner or contractor shall be required to obtain a permit for such connection,and shall pay a permit fee as provided in Chapter il of this Code. After such connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to cover arry connecting line untii an inspection has been made and such connection and the wor�c incident thereto has been approved by the Gty as a proper and suitable connedion. 402.06 REPAlRS AI1[D MANYTEAIANCE TO COAFNECTION After the initfal connection has been made to the water service curb stop box or the sewer lead at the property Iine or a water service lead has been extended to the property line for connection,the applicant,owner,or occupant or user of such premises shall be liable for all repairs required to any water line and sewer tiaes necessary for connectivn of tfie premises from the main to the premises. ff the property owner requests mairrtenance service or repairs be performed by the City,the property owner shall be charged for the costs of the maiMenance and/or repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shail be the responsibility of the applicarrt, owner,occupant or user to perform standard mair►tenance of the sewer service line from the premises to the main including debris ctearing or root cutting and to maintain the water service curb stop box for operabifity and at such height as will ensure that it remains above the finished grade of the land or property. (Ref 638,1156,1191� E.:::. � �``g'� ?Y'=, .��i