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Meter Swap . 4 Request Number: 15815 Public works Division Service Request Problem Address: 611 Glencoe St Requested By: Limla Department: WA1F1t Address: 611 Gle�oe St Problero/Issue: INSTALL AMR METER Phune Number: 763-�8M0610 Scheduied Date: 2017-06-OS Schednled 1tme: 08:00:00 � AGTTON NEEDED: Created by: Beth Kondrick Date Cre�ted: 2017-06-06 ACITON TAI�N: L � .��� ^3�: 1 »lit��i �� .......�._........_._. ..__.:�... .._._...._._...._._._.__._...__......_......_.._ . _._._.._..._._...___w_________�_.�..._.._._._._____ Status: In Progress Submitter Has Been r Contacted Date Completed: /' _ _ �,?,_1`� Completed by: �ak� t0 V , �.. � �o�,�f��ar�Y 3��7 -c�-?�(a -C� 1 . wa�er Depaa�a�aent �� � r I�(�('/ 6431#�niversit�Aver��ae NE �''� i d €a-idley,MN 55432 763-572-3566 `j'"�e fie�eby autharize the City of�Fridley and/or its empiayees to do wfiat is rtecessary to replace the water meter. !understand that the property owner is tiabte for fihe water line from the main to the p�emise and all irtterio� p(umbi��. (Per City code 4Q2.05) I also bold the Cit;t of Fridley ar�dTts employees fiarmless for am/damages tfiat may occur whiie doing this operation. This to inc(ude,but not limited to valves,piping,wa{Is,flovrs or the curb stop box and service line. fn understand H am aiso requir� to abtain a permst prior to arry work,if eecessary. FHMA!METER READING(oid meter) ������� Name: l—1��!� �� �,2.�� U�`e.'�'1 L�Z° �'' P ne!Yu 4 ��' ` � "V��� Date l.� ^ `� � L ` �.�._ Sign re Witness Signature OLD METER# �� " ��Q�v OLD READtNG �(J'�O`���V NEW METER# � ���� �oC`1 NEW READING � ��-# � �aa � 5 � � 1FRiDLEY�lTY CODE CHAPTER 402.WA3ER,STORM WATER AND SANITARY SEWER ADMINiSTRATION � (Re�Ord No 113,46�,565,566,629,638,662,922,988,T144,1156,1191j 402.5 PERMIT FEE Rrior to constructin�or repair of any water af sewer iine connecting tfie euisting municipal system a�d any house or buitding for which the application is made,the owner or corrtractor shali be required to obtain a permit for suth connection,and shall pay a permit fee as provided in Chapter 11 af this Code. After such connection has been made,the Water and Sewer Departmerrt shait 6e notified. It shall be uniavafu!to cover any connecting line until an inspection has been made and such connection and the work 9nciderrt thereta has been approved b�r the Crty as a proper and suitabie connecfion. 402.06 REPAtRS AND MAINTEAIANCE TO COP/IYECTf�}1i After the initial connection has been made to the water service aurb stop box or the sewer lead at the property tine or a water service tead has 6een extended to the property tine for connection,tfie appiicarifi,owner,or occupartt ar user of such premises shalt 6e liab(e for ail repairs required to any water tioe and sewer tines necsssary#or connection of the premises from the main to the premises. tf#he pro�rty owr►er reguests maintenance senrice or repairs be performed by the C'rty,the property oarner shall be charged for the costs of the maiMenance andjo� repairs,including necessary street repairs at a rate set annuaily by an administrative policy. It shaff be tt�e res�nsibility of tfie appiicaitt, owner,vccupant or user to perform standard mairrtenance of the sewer service line from the premises to the main including debris dearing or root cutting and to maintain the water service curb sfiop box f4c operability and at such heigF+t as wiq ensure tNat it remains above the finished grade af the tand vr property. (Ref 638,1156,I191j